[Source: Eurosurveillance, full page: (LINK). Abstract, edited.]
High rate of transmission in a pulmonary tuberculosis outbreak in a primary school, north-eastern Italy, 2019
Sandro Cinquetti1, Maria Dalmanzio1, Elisa Ros1, Davide Gentili1,2, Mauro Ramigni3, Adriano Grossi4,5, Xanthi D Andrianou5,6, Leonardo Ermanno La Torre7, Roberto Rigoli8, Pier Giorgio Scotton9, Angela Taraschi10, Vincenzo Baldo11, Giuseppina Napoletano12, Francesca Russo12, Patrizio Pezzotti5, Giovanni Rezza5, Antonietta Filia5
Affiliations: 1 Public Health Office , Local Health Unit 2 Marca Trevigiana, Treviso, Italy; 2 Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy; 3 Epidemiology Office, Local Health Unit 2 Marca Trevigiana, Treviso, Italy; 4 University Cattolica del Sacro Cuore, Rome, Italy; 5 Department of Infectious Diseases, National Health Institute (Istituto Superiore di Sanità), Rome, Italy; 6 European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden; 7 Department of Radiology, Oderzo Hospital, Local Health Unit 2 Marca Trevigiana, Treviso, Italy; 8 Department of Microbiology, Treviso Hospital, Local Health Unit 2 Marca Trevigiana, Treviso, Italy; 9 Department of Infectious Diseases, Treviso Hospital, Local Health Unit 2 Marca Trevigiana, Treviso, Italy; 10 Department of Pediatrics, Oderzo Hospital, Local Health Unit 2 Marca Trevigiana, Treviso, Italy; 11 Hygiene and Public Health Unit, University of Padua, Padua, Italy; 12 Prevention Department, Veneto Regional Health Authority, Venice, Italy
Correspondence: Antonietta Filiaantonietta.filiaiss.it
Citation style for this article: Cinquetti Sandro, Dalmanzio Maria, Ros Elisa, Gentili Davide, Ramigni Mauro, Grossi Adriano, Andrianou Xanthi D, La Torre Leonardo Ermanno, Rigoli Roberto, Scotton Pier Giorgio, Taraschi Angela, Baldo Vincenzo, Napoletano Giuseppina, Russo Francesca, Pezzotti Patrizio, Rezza Giovanni, Filia Antonietta. High rate of transmission in a pulmonary tuberculosis outbreak in a primary school, north-eastern Italy, 2019. Euro Surveill. 2019;24(24):pii=1900332. https://doi.org/10.2807/1560-7917.ES.2019.24.24.1900332
Received: 24 May 2019; Accepted: 13 Jun 2019
Italy is a low-incidence country for tuberculosis (TB). We describe a TB outbreak in a primary school in north-eastern Italy, involving 10 cases of active pulmonary disease and 42 cases of latent infection. The index case was detected in March 2019, while the primary case, an Italian-born schoolteacher, was likely infectious since January 2018. Administration of a pre-employment health questionnaire to school staff with sustained contact with children should be considered in low-incidence countries.
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Keywords: TB; Institutional outbreaks; Italy.