Bronquiectasias no asociadas a fibrosis quística en niños / Non cystic fibrosis bronchiectasis in children

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[Tuberculosis outbreak in a school]. / Brote de tuberculosis en una escuela.

OBJECTIVE: To demonstrate the importance of preventive measures when a case of tuberculosis is detected, identify the causes that favored a tuberculosis outbreak in a school and determine the efficiency of obtaining induced sputum samples. DESIGN: Descriptive, study. SETTING: The Santa Maria de la Providencia school, located in the municipality of Alcala de Henares in Spain. INTERVENTIONS: On April 11, 2005, a case of bacilliform pulmonary tuberculosis was notified in a teacher. Study of contacts in the collective was performed as a programmed intervention. Mantoux skin test and, if positive, chest radiograph were performed in contacts. Treatment of latent or active tuberculosis was recommended according to the result. RESULTS: School exposures were identified and underwent the Mantoux skin test (142 students in years 1, 2, 3, and 4 of compulsory secondary education and 22 teachers). The Mantoux test was positive in 68 students (48 %) and seven teachers (32 %). In seven students with results compatible with active tuberculosis disease, sputum induction was performed and treatment was started. A further two students, identified as contacts, were studied in another center and also started treatment for active tuberculosis disease. Due to the high risk of contagion, study of contacts was extended to the remaining students in compulsory secondary education. In this second phase, 134 students received the Mantoux skin test and seven were Mantoux positive (5.2 %). In all these students, active tuberculosis disease was ruled out. Latent tuberculosis treatment was recommended in all Mantoux-positive contacts.

Brote de tuberculosis en una escuela / Tuberculosis outbreak in a school

Objetivo. Demostrar la importancia de la actuación preventiva ante un caso de tuberculosis. Identificar las causas que favorecieron dicho brote. Comprobar la rentabilidad de la obtención de muestras mediante la inducción del esputo. Diseño. Estudio descriptivo. Emplazamiento. Colegio Santa María de la Providencia, ubicado en el municipio de Alcalá de Henares. Intervenciones. El 11 de abril de 2005 se notificó un caso de tuberculosis pulmonar bacilífera en un profesor de escuela. Como intervención programada se realizó el estudio de contactos del colectivo. Se realizó la prueba de tuberculina y radiografía de tórax (si tenían tuberculina positiva) a los contactos, recomendando tratamiento de la infección tuberculosa latente o de la enfermedad tuberculosa según el resultado. Resultados. Inicialmente se identificó el círculo de expuestos al caso, realizándose la prueba de tuberculina. En total la prueba se llevó a cabo en 142 alumnos de los grupos 1.º, 2.º, 3.º y 4.º de ESO y 22 profesores del claustro. Los resultados de la lectura de la prueba de tuberculina suponen un total de 68 alumnos con prueba (+) (48 %) y 7 profesores con prueba (+) (32 %). Los pacientes con hallazgos compatibles con enfermedad tuberculosa (7 alumnos) fueron citados para recoger muestras respiratorias, mediante la técnica del esputo inducido, e inicio de tratamiento. Otros 2 alumnos del centro escolar, identificados como expuestos, fueron estudiados en otro centro, iniciando ambos igualmente tratamiento de la enfermedad tuberculosa. Debido al elevado riesgo de contagio, se decide ampliar el estudio de contactos al resto de alumnos de ESO. En esta segunda fase se realizó la prueba a un total de 134 alumnos, de los cuales 7 tuvieron la prueba de tuberculina (+) (5,2 %). Se descartó mediante radiología, la presencia de enfermedad tuberculosa en todos ellos. A todos los contactos con prueba de tuberculina (+) se recomendó tratamiento de la infección tuberculosa latente

Objective. To demonstrate the importance of preventive measures when a case of tuberculosis is detected, identify the causes that favored a tuberculosis outbreak in a school and determine the efficiency of obtaining induced sputum samples. Design. Descriptive, study. Setting. The Santa Maria de la Providencia school, located in the municipality of Alcala de Henares in Spain. Interventions. On April 11, 2005, a case of bacilliform pulmonary tuberculosis was notified in a teacher. Study of contacts in the collective was performed as a programmed intervention. Mantoux skin test and, if positive, chest radiograph were performed in contacts. Treatment of latent or active tuberculosis was recommended according to the result. Results. School exposures were identified and underwent the Mantoux skin test (142 students in years 1, 2, 3, and 4 of compulsory secondary education and 22 teachers). The Mantoux test was positive in 68 students (48 %) and seven teachers (32 %). In seven students with results compatible with active tuberculosis disease, sputum induction was performed and treatment was started. A further two students, identified as contacts, were studied in another center and also started treatment for active tuberculosis disease. Due to the high risk of contagion, study of contacts was extended to the remaining students in compulsory secondary education. In this second phase, 134 students received the Mantoux skin test and seven were Mantoux positive (5.2 %). In all these students, active tuberculosis disease was ruled out. Latent tuberculosis treatment was recommended in all Mantoux-positive contacts

Osteomielitis por Salmonella grupo B en paciente portador sano / Osteomyelitis due to Salmonella group B in a healthy carrier

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