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- Title
Multidrug-Resistant Tuberculosis in the New York State Prison System, 1990–1991.
- Authors
Valway, Sarah E.; Greifinger, Robert B.; Papania, Mark; Kilburn, James O.; Woodley, Charles; DiFerdinando, George T.; Dooley, Samuel W.
- Abstract
Three epidemiologically linked multi drug-resistant (MDR) tuberculosis (TB) outbreaks in 1990–1991 involving New York State (NYS) inmates suggested MDR-TB was widespread in NYS prisons. Inmate lists were linked to 1990–1992 TB registries, medical records were reviewed, and movement histories for inmates with MDR-TB were examined within and between prisons and hospitals. In 1990–1991, 171 inmates were diagnosed with TB. This rate (156.2/100,000) was significantly higher than the 1990–1991 US rate (10.4/100,000) and the 1986 rate among NYS inmates (105.5/100,000). Of 171 cases, 155 were culture-confirmed; 37 (32%) of 116 with drug susceptibilities determined had MDR-TB. Two other inmates with TB before 1990 were diagnosed with MDR-TB in 1990–1991. Of 39 inmates with MDR-TB, 38 (97%) were infected with the human immunodeficiency virus and 34 (87%) have died. These 39 lived in 23 of the 68 NYS prisons while potentially infectious; 12 were transferred through 20 prisons while ill with MDR-TB. Policies of correctional systems on infection control and inmate transfers need to be reevaluated to prevent spread of TB.
- Publication
Journal of Infectious Diseases, 1994, Vol 170, Issue 1, p151
- ISSN
0022-1899
- Publication type
Article
- DOI
10.1093/infdis/170.1.151