Transmission of multidrug-resistant Mycobacterium tuberculosis during a long airplane flight

The New England Journal of Medicine
T A KenyonK G Castro

Abstract

In April 1994, a passenger with infectious multi-drug resistant tuberculosis traveled on commercial-airline flights from Honolulu to Chicago and from Chicago to Baltimore and returned one month later. We sought to determine whether she had infected any of her contacts on this extensive trip. Passengers and crew were identified from airline records and were notified of their exposure, asked to complete a questionnaire, and screened by tuberculin skin tests. Of the 925 people on the airplanes, 802 (86.7 percent) responded. All 11 contacts with positive tuberculin skin tests who were on the April flights and 2 of 3 contacts with positive tests who were on the Baltimore-to-Chicago flight in May had other risk factors for tuberculosis. More contacts on the final, 8.75-hour flight from Chicago to Honolulu had positive skin tests than those on the other three flights (6 percent, as compared with 2.3, 3.8, and 2.8 percent). Of 15 contacts with positive tests on the May flight from Chicago to Honolulu, 6 (4 with skin-test conversion) had no other risk factors; all 6 had sat in the same section of the plane as the index patient (P=0.001). Passengers seated within two rows of the index patient were more likely to have positive tuberculin ...Continue Reading

References

Jul 1, 1979·American Journal of Epidemiology·M R MoserD G Ritter
Dec 1, 1992·The American Review of Respiratory Disease
Aug 28, 1991·JAMA : the Journal of the American Medical Association
Jan 1, 1968·Archives of Environmental Health·V N HoukD C Kent
Nov 5, 1982·JAMA : the Journal of the American Medical Association·R W AmlerA R Hinman
Jan 18, 1995·JAMA : the Journal of the American Medical Association·M C RaviglioneA Kochi
Apr 20, 1995·The New England Journal of Medicine·M T McKennaI Onorato
Oct 5, 1994·JAMA : the Journal of the American Medical Association·C R DriverK G Castro
Jul 10, 1993·Lancet·J W McFarlandK L MacDonald
Dec 1, 1993·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·R E HuebnerJ B Bass
Dec 1, 1993·Anales españoles de pediatría·C Loza CortinaA Ramos Perez
Feb 1, 1994·Annals of Internal Medicine·R MenziesY St Germain
Sep 1, 1995·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·C R Braden

❮ Previous
Next ❯

Citations

Mar 1, 2007·Environmental Health and Preventive Medicine·Hiroyuki Furuya
Jul 2, 2009·Environmental Health and Preventive Medicine·Hiroyuki FuruyaTetsu Watanabe
May 18, 2005·Social Science & Medicine·Jim Yong KimPaul Farmer
Nov 7, 2012·Travel Medicine and Infectious Disease·Paul J Edelson
Mar 1, 1997·The American Journal of Medicine·D J FarrarJ D Rich
Mar 16, 2005·Lancet·Alexandra Mangili, Mark A Gendreau
Sep 17, 2002·Clinical Evidence·Paul Garner, Alison Holmes
Feb 24, 2001·Social Science & Medicine·A S KlovdahlJ M Musser
Jun 1, 1997·Infectious Disease Clinics of North America·D A NafzigerR M Massanari
Mar 5, 2003·International Journal of Antimicrobial Agents·Hamdan Al-JahdaliDick Menzies
Aug 9, 2008·Epidemiology and Infection·J D Holmes, G C Simmons
Mar 11, 2009·Epidemiology and Infection·J CastillaA Barricarte
Apr 11, 1996·The New England Journal of Medicine·R P Wenzel
Aug 29, 1996·The New England Journal of Medicine·J S Wolf
Dec 19, 2003·The New England Journal of Medicine·Sonja J OlsenScott F Dowell
Apr 5, 2002·The New England Journal of Medicine·Mark A Gendreau, Charles DeJohn
Mar 28, 2003·The New England Journal of Medicine·Daniel M Musher
Jul 5, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·I N Okeke, R Edelman
Apr 24, 2004·The Journal of Infectious Diseases·Pauli N AmornkulPaul V Effler
Mar 5, 2008·The Annals of Occupational Hygiene·Lauralynn Taylor McKernanRobert Herrick
Apr 27, 2000·Current Opinion in Pulmonary Medicine·N A Habib, R H Behrens
Apr 14, 1999·Australian and New Zealand Journal of Medicine·S C Pang
Jan 26, 2005·Internal Medicine Journal·K Leder, D Newman
Mar 30, 2002·Thorax·UNKNOWN British Thoracic Society Standards of Care Committee
Feb 3, 2004·American Journal of Respiratory and Critical Care Medicine·Theodore A MyattDonald K Milton
May 8, 2004·American Journal of Respiratory and Critical Care Medicine·Luca RicheldiAjit Lalvani
Jun 27, 2006·American Journal of Respiratory and Critical Care Medicine·Luca Richeldi
Oct 27, 2005·American Journal of Respiratory and Critical Care Medicine·UNKNOWN American Thoracic SocietyUNKNOWN Infectious Diseases Society of America
Feb 18, 2010·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Matthew B StanbrookPaul C Hébert
Apr 22, 2004·Internal Medicine·Yoichi NakamuraShigeru Kohno
Jun 8, 2011·Journal of Epidemiology·Fuqiang CuiHongjie Yu
Oct 27, 2004·Emerging Infectious Diseases·J Gabrielle BreugelmansGérard Krause
Nov 20, 2004·Emerging Infectious Diseases·David M Bell, UNKNOWN World Health Organization Working Group on International and Community Transmission of SARS
Feb 12, 2005·Emerging Infectious Diseases·Ronald K St JohnTheresa W S Tam
Jul 19, 2011·Emerging Infectious Diseases·A Ruth FoxwellPaul M Kelly
Feb 14, 2004·Lancet·Joia S MukherjeeKwonjune J Seung
Mar 12, 2013·Pulmonary Medicine·Padmanesan NarasimhanDilip Mathai
Feb 1, 2013·Journal of Pathogens·Aaron Fernstrom, Michael Goldblatt

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