Résumé
Objectifs: Déterminer la prévalence de l’Infection tuberculeuse reliée à un cas de tuberculose pulmonaire et laryngée et documenter les prédicteurs d’un PPD positif dans une entreprise.
Méthodes: Les contacts recensés ont subi l’épreuve de Mantoux (PPD) et ont répondu à un questionnaire.
Résultats: Des 112 travailleurs exposés, 92 (82,1%) ont été testés. Au seuil de 5 mm, 65,2% des travailleurs ont un PPD positif. En contrôlant le BCG antérieur et l’intensité de l’exposition, les résultats démontrent que l’âge est relié au PPD (RC: 3,5; IC 95%: 1,25–10,03). En contrôlant pour l’âge et le BCG, une exposition élevée est significative-ment reliée à la positrvité du PPD (RC: 5,6; IC95%: 1,25–24,68).
Conclusion: Le taux observé est probablement lié au fait que le cas-index était très contagieux, qu’il a eu des contacts dans un milieu fermé et durant une longue période avant d’être retiré du travail.
Abstract
Objectives: To determine the prevalence of tuberculosis infection related to a case of pulmonary and laryngeal tuberculosis in a workplace and to study PPD predictors.
Methods: The Mantoux skin test (PPD) was offered to all potentially infected contacts. Participants were asked to answer a questionnaire.
Results: Among 112 exposed employees, 92 (82.1%) were tested. At the 5 mm level, 65.2% of employees had positive tuberculin skin test (PPD). By controlling prior BCG and the degree of exposure, it showed a positive association between age and PPD (RC: 3.5; 95% CI: 1.25–10.03). When age and BCG were controlled, high exposure was statistically associated with PPD results (RC: 5.6; 95% CI: 1.25–24.68).
Conclusion: The observed prevalence rate is probably related to the fact that the index case was very infectious and had contact in an enclosed area over a long period of time before withdrawal from work.
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