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Vol 83, No 1 (2015)
ORIGINAL PAPERS
Submitted: 2015-01-08
Accepted: 2015-01-08
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Tuberculosis among the homeless and inmates kept in custody and in penitentiary institutions in the Silesia region

Joanna Pendzich, Wanda Maksymowicz-Mazur, Jolanta Pawłowska, Łucja Filipczyk, Ilona Kulawik, Jerzy Zientek, Jerzy Kozielski
DOI: 10.5603/PiAP.2015.0003
·
Pneumonol Alergol Pol 2015;83(1):23-29.

open access

Vol 83, No 1 (2015)
ORIGINAL PAPERS
Submitted: 2015-01-08
Accepted: 2015-01-08

Abstract

Introduction: There are more than 10 million prisoners in the world. Tuberculosis incidence is 10−100 times higher in prisoners than in the general population. Inmates have close contact with other prisoners and with prison workers and visitors, so tubercle bacilli may be easily spread. Most of the inmates come back to normal life and contact with the general population. The aim of the study was to assess active tuberculosis incidence among prisoners and homeless persons in the Silesia region.

Material and methods: In total 897 people entered the study, of whom 720 were Silesian penitentiary system inmates, and 177 were homeless. BACTEC MGIT fast TB detection system and GenoType Mycobacteria Direct test were used. Drug susceptibility testing was done using SIRE KIT and PZA KIT.

Results: Tuberculosis was diagnosed in 13 out of 897 persons (1.45%): in 11 out of 720 inmates (1.53%) and in 2 out of 177 homeless persons (1.13%). Data concerning drug susceptibility were obtained for 11 persons. M. tuberculosis strains isolated from eight persons were susceptible to four first-line antituberculosis drugs (streptomycin, isoniazid, rifampin, ethambutol), while M. tuberculosis strains isolated from three persons were drug-resistant. One out of three isolated strains was resistant to ethambutol, but susceptible to streptomycin, isoniazid, rifampin, and pirazynamide. The second strain was resistant to streptomycin and pyrazinamide but susceptible to isoniazid, rifampin, and ethambutol. The third strain was susceptible to rifampin but resistant to the other four tested drugs. According to the obtained data, culture-positive pulmonary tuberculosis was 100 times more frequent in the examined population than in the general population of the Silesia region in the same period of time.

Conclusions: The health project enabled effective detection of tuberculosis in risk groups and should be continued in the following years. The set of the applied diagnostic methods allowed the detection of in the studied subpopulations people suffering from tuberculosis. Patients were treated with antituberculosis drugs that would stop them from spreading the disease to other people.

Abstract

Introduction: There are more than 10 million prisoners in the world. Tuberculosis incidence is 10−100 times higher in prisoners than in the general population. Inmates have close contact with other prisoners and with prison workers and visitors, so tubercle bacilli may be easily spread. Most of the inmates come back to normal life and contact with the general population. The aim of the study was to assess active tuberculosis incidence among prisoners and homeless persons in the Silesia region.

Material and methods: In total 897 people entered the study, of whom 720 were Silesian penitentiary system inmates, and 177 were homeless. BACTEC MGIT fast TB detection system and GenoType Mycobacteria Direct test were used. Drug susceptibility testing was done using SIRE KIT and PZA KIT.

Results: Tuberculosis was diagnosed in 13 out of 897 persons (1.45%): in 11 out of 720 inmates (1.53%) and in 2 out of 177 homeless persons (1.13%). Data concerning drug susceptibility were obtained for 11 persons. M. tuberculosis strains isolated from eight persons were susceptible to four first-line antituberculosis drugs (streptomycin, isoniazid, rifampin, ethambutol), while M. tuberculosis strains isolated from three persons were drug-resistant. One out of three isolated strains was resistant to ethambutol, but susceptible to streptomycin, isoniazid, rifampin, and pirazynamide. The second strain was resistant to streptomycin and pyrazinamide but susceptible to isoniazid, rifampin, and ethambutol. The third strain was susceptible to rifampin but resistant to the other four tested drugs. According to the obtained data, culture-positive pulmonary tuberculosis was 100 times more frequent in the examined population than in the general population of the Silesia region in the same period of time.

Conclusions: The health project enabled effective detection of tuberculosis in risk groups and should be continued in the following years. The set of the applied diagnostic methods allowed the detection of in the studied subpopulations people suffering from tuberculosis. Patients were treated with antituberculosis drugs that would stop them from spreading the disease to other people.

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Keywords

tuberculosis, diagnostics, drug sensitivity testing, prisoners, homeless, Silesia region

About this article
Title

Tuberculosis among the homeless and inmates kept in custody and in penitentiary institutions in the Silesia region

Journal

Advances in Respiratory Medicine

Issue

Vol 83, No 1 (2015)

Pages

23-29

DOI

10.5603/PiAP.2015.0003

Bibliographic record

Pneumonol Alergol Pol 2015;83(1):23-29.

Keywords

tuberculosis
diagnostics
drug sensitivity testing
prisoners
homeless
Silesia region

Authors

Joanna Pendzich
Wanda Maksymowicz-Mazur
Jolanta Pawłowska
Łucja Filipczyk
Ilona Kulawik
Jerzy Zientek
Jerzy Kozielski

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