Neonatal tuberculosis: an experience that teaches

J Matern Fetal Neonatal Med. 2012 Oct:25 Suppl 4:38-41. doi: 10.3109/14767058.2012.714984.

Abstract

Objective: This study reports on an experience following contact by a large number of newborn babies with a nurse infected by active tuberculosis (TB).

Methods: A large number of newborn babies were checked for possible contact with Mycobacterium tuberculosis (MTB) using interferon-gamma tests (IGTs) to determine specific treatment.

Results: One hundred and seven infants showed a positive IGT positive and were not affected by active TB. All were treated with anti-tubercular drugs and were followed-up for 1 year. None of the infants developed active TB and all infants showed normal tuberculin skin tests and chest-x-rays, as well as IGT results at the end of treatment.

Conclusions: Our experience suggests that newborns are at low risk of infection after contact with a nurse with active TB. IGTs can be used to assess possible contact with MTB and to determine a reduced number of infants to treat.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Contact Tracing* / statistics & numerical data
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Infant, Newborn, Diseases* / diagnosis
  • Infant, Newborn, Diseases* / epidemiology
  • Infant, Newborn, Diseases* / etiology
  • Infant, Newborn, Diseases* / therapy
  • Infectious Disease Transmission, Patient-to-Professional* / prevention & control
  • Infectious Disease Transmission, Professional-to-Patient / statistics & numerical data
  • Nurses
  • Teaching
  • Tuberculin Test
  • Tuberculosis / congenital*
  • Tuberculosis / diagnosis
  • Tuberculosis / transmission