A cluster of tuberculosis associated with use of a marijuana water pipe.
Int J Tuberc Lung Dis
; 7(9): 860-5, 2003 Sep.
Article
en En
| MEDLINE
| ID: mdl-12971670
ABSTRACT
SETTING:
New cases of pulmonary tuberculosis (TB) were noted in a cluster of young Caucasian males, an unusual ethnic group for this disease in Queensland, Australia. It was noted that marijuana water pipe ('bong') smoking was common amongst cases and contacts.OBJECTIVE:
To report this cluster of TB and to investigate whether shared use of a marijuana water pipe was associated with transmission of TB.DESIGN:
All contacts were identified and screened according to standard protocols. Cases were asked to list contacts with whom they had shared a marijuana water pipe.RESULTS:
Five cases of open pulmonary TB were identified clinically and on sputum culture, and all isolates of Mycobacterium tuberculosis were identical on typing. Of 149 contacts identified, 114 (77%) completed screening, and 57 (50%) had significant tuberculin skin test (TST) reactions on follow-up. Of 45 contacts who had shared a marijuana water pipe with a case, 29 (64%) had a significant TST reaction.CONCLUSION:
Sharing a marijuana water pipe with a case of pulmonary TB was associated with transmission of TB (OR 2.22, 95 % CI 0.96-5.17), although the most important risk factor for acquiring TB infection in this cluster was close household contact with a case (OR 4.91, 95% CI 1.13-20.70).
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Tuberculosis Pulmonar
/
Fumar Marihuana
/
Brotes de Enfermedades
Tipo de estudio:
Guideline
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Humans
/
Male
País/Región como asunto:
Oceania
Idioma:
En
Revista:
Int J Tuberc Lung Dis
Año:
2003
Tipo del documento:
Article
País de afiliación:
Australia