Detecting Mycobacterium tuberculosis Infection in Children Migrating to Australia

In 2015, Australia updated premigration screening for tuberculosis (TB) disease in children 2–10 years of age to include testing for infection with Mycobacterium tuberculosis and enable detection of latent TB infection (LTBI). We analyzed TB screening results in children <15 years of age during...

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Main Authors: Ingrid Laemmle-Ruff, Stephen M. Graham, Bridget Williams, Danielle Horyniak, Suman S. Majumdar, Georgia A. Paxton, Lila V. Soares Caplice, Margaret E. Hellard, James M. Trauer
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2022-09-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/28/9/21-2426_article
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author Ingrid Laemmle-Ruff
Stephen M. Graham
Bridget Williams
Danielle Horyniak
Suman S. Majumdar
Georgia A. Paxton
Lila V. Soares Caplice
Margaret E. Hellard
James M. Trauer
author_facet Ingrid Laemmle-Ruff
Stephen M. Graham
Bridget Williams
Danielle Horyniak
Suman S. Majumdar
Georgia A. Paxton
Lila V. Soares Caplice
Margaret E. Hellard
James M. Trauer
author_sort Ingrid Laemmle-Ruff
collection DOAJ
description In 2015, Australia updated premigration screening for tuberculosis (TB) disease in children 2–10 years of age to include testing for infection with Mycobacterium tuberculosis and enable detection of latent TB infection (LTBI). We analyzed TB screening results in children <15 years of age during November 2015–June 2017. We found 45,060 child applicants were tested with interferon-gamma release assay (IGRA) (57.7% of tests) or tuberculin skin test (TST) (42.3% of tests). A total of 21 cases of TB were diagnosed: 4 without IGRA or TST, 10 with positive IGRA or TST, and 7 with negative results. LTBI was detected in 3.3% (1,473/44,709) of children, for 30 applicants screened per LTBI case detected. LTBI-associated factors included increasing age, TB contact, origin from a higher TB prevalence region, and testing by TST. Detection of TB and LTBI benefit children, but the updated screening program’s effect on TB in Australia is likely to be limited.
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spelling doaj.art-859897d0102f411681d1f76d259eb07d2022-12-22T03:25:39ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592022-09-012891833184110.3201/eid2809.212426Detecting Mycobacterium tuberculosis Infection in Children Migrating to AustraliaIngrid Laemmle-RuffStephen M. GrahamBridget WilliamsDanielle HoryniakSuman S. MajumdarGeorgia A. PaxtonLila V. Soares CapliceMargaret E. HellardJames M. Trauer In 2015, Australia updated premigration screening for tuberculosis (TB) disease in children 2–10 years of age to include testing for infection with Mycobacterium tuberculosis and enable detection of latent TB infection (LTBI). We analyzed TB screening results in children <15 years of age during November 2015–June 2017. We found 45,060 child applicants were tested with interferon-gamma release assay (IGRA) (57.7% of tests) or tuberculin skin test (TST) (42.3% of tests). A total of 21 cases of TB were diagnosed: 4 without IGRA or TST, 10 with positive IGRA or TST, and 7 with negative results. LTBI was detected in 3.3% (1,473/44,709) of children, for 30 applicants screened per LTBI case detected. LTBI-associated factors included increasing age, TB contact, origin from a higher TB prevalence region, and testing by TST. Detection of TB and LTBI benefit children, but the updated screening program’s effect on TB in Australia is likely to be limited. https://wwwnc.cdc.gov/eid/article/28/9/21-2426_articletuberculosis and other mycobacterialatent tuberculosis infectionchildrenscreeningmigrationbacteria
spellingShingle Ingrid Laemmle-Ruff
Stephen M. Graham
Bridget Williams
Danielle Horyniak
Suman S. Majumdar
Georgia A. Paxton
Lila V. Soares Caplice
Margaret E. Hellard
James M. Trauer
Detecting Mycobacterium tuberculosis Infection in Children Migrating to Australia
Emerging Infectious Diseases
tuberculosis and other mycobacteria
latent tuberculosis infection
children
screening
migration
bacteria
title Detecting Mycobacterium tuberculosis Infection in Children Migrating to Australia
title_full Detecting Mycobacterium tuberculosis Infection in Children Migrating to Australia
title_fullStr Detecting Mycobacterium tuberculosis Infection in Children Migrating to Australia
title_full_unstemmed Detecting Mycobacterium tuberculosis Infection in Children Migrating to Australia
title_short Detecting Mycobacterium tuberculosis Infection in Children Migrating to Australia
title_sort detecting mycobacterium tuberculosis infection in children migrating to australia
topic tuberculosis and other mycobacteria
latent tuberculosis infection
children
screening
migration
bacteria
url https://wwwnc.cdc.gov/eid/article/28/9/21-2426_article
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