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논문 기본 정보

자료유형
학술저널
저자정보
Yoon, Chang-gyo (Department of Preventive Medicine, Armed Forces Medical Command) Kang, Dong Yoon (International Peace Supporting Standby Force, Ministry of National Defense) Jung, Jaehun (Department of Preventive Medicine, Armed Forces Medical Command) Oh, Soo Yon (Korean Institute of Tuberculosis) Lee, Jin Beom (Korean Institute of Tuberculosis) Kim, Mi-Hyun (Korean Institute of Tuberculosis) Seo, Younsuk (Korean Institute of Tuberculosis) Kim, Hee-Jin (Korean Institute of Tuberculosis)
저널정보
대한결핵 및 호흡기학회 Tuberculosis and Respiratory Diseases 결핵 및 호흡기 질환 제82권 제4호
발행연도
2019.1
수록면
298 - 305 (8page)

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Background: Tuberculosis (TB) causes substantial health burden to the Korean military. This study aims to assess the impact of infectious TB cases on close and casual contacts in the Korean Army settings based on contact investigation data. Methods: Six Army units with infectious TB cases from September 2012 to May 2013 were enrolled in the study. We analyzed the clinical data from close and casual contacts screened using the tuberculin skin test (TST) and QuantiFERON-TB Gold In-Tube to identify latent tuberculosis infection (LTBI) cases. For the control group, 286 military conscripts with no reported TB exposure were tested by TST only. Results: Of the 667 contacts of index cases, LTBI cases identified were as follows: 21.8% of close contacts of smearpositive cases (71/326), 8.5% of casual contacts of smear-positive cases (26/305), and 2.8% of close contacts of smearnegative cases (1/36). In the control group, 16.8% showed positivity in TST. In a multivariate analysis, having stayed in the same room or next room with TB patients was identified as a risk factor of LTBI. Conclusion: Using the data from TB contact investigations in the Korean Army units, we found an overall LTBI rate of 14.7% among the contacts screened. This study demonstrates that contacts living in the same building, especially the same room or next room, with TB patients are at a high risk of acquiring LTBI, serving as additional evidence for defining close and casual contacts of a TB patient with regard to Army barrack settings.

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