Bacillus Calmette-Guérin Cases Reported to the National Tuberculosis Surveillance System, United States, 2004–2015

Mycobacterium bovis bacillus Calmette-Guérin (BCG) is used as a vaccine to protect against disseminated tuberculosis (TB) and as a treatment for bladder cancer. We describe characteristics of US TB patients reported to the National Tuberculosis Surveillance System (NTSS) whose disease was attributed...

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Main Authors: Zimy Wansaula, Jonathan M. Wortham, Godwin Mindra, Maryam B. Haddad, Jorge L. Salinas, David Ashkin, Sapna B. Morris, Gail B. Grant, Smita Ghosh, Adam J. Langer
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2019-03-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/25/3/18-0686_article
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author Zimy Wansaula
Jonathan M. Wortham
Godwin Mindra
Maryam B. Haddad
Jorge L. Salinas
David Ashkin
Sapna B. Morris
Gail B. Grant
Smita Ghosh
Adam J. Langer
author_facet Zimy Wansaula
Jonathan M. Wortham
Godwin Mindra
Maryam B. Haddad
Jorge L. Salinas
David Ashkin
Sapna B. Morris
Gail B. Grant
Smita Ghosh
Adam J. Langer
author_sort Zimy Wansaula
collection DOAJ
description Mycobacterium bovis bacillus Calmette-Guérin (BCG) is used as a vaccine to protect against disseminated tuberculosis (TB) and as a treatment for bladder cancer. We describe characteristics of US TB patients reported to the National Tuberculosis Surveillance System (NTSS) whose disease was attributed to BCG. We identified 118 BCG cases and 91,065 TB cases reported to NTSS during 2004–2015. Most patients with BCG were US-born (86%), older (median age 75 years), and non-Hispanic white (81%). Only 17% of BCG cases had pulmonary involvement, in contrast with 84% of TB cases. Epidemiologic features of BCG cases differed from TB cases. Clinicians can use clinical history to discern probable BCG cases from TB cases, enabling optimal clinical management. Public health agencies can use this information to quickly identify probable BCG cases to avoid inappropriately reporting BCG cases to NTSS or expending resources on unnecessary public health interventions.
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spelling doaj.art-f424a8f4b5154a09a4cbf7beb129b8842022-12-21T23:54:46ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592019-03-0125345145610.3201/eid2503.180686Bacillus Calmette-Guérin Cases Reported to the National Tuberculosis Surveillance System, United States, 2004–2015Zimy WansaulaJonathan M. WorthamGodwin MindraMaryam B. HaddadJorge L. SalinasDavid AshkinSapna B. MorrisGail B. GrantSmita GhoshAdam J. LangerMycobacterium bovis bacillus Calmette-Guérin (BCG) is used as a vaccine to protect against disseminated tuberculosis (TB) and as a treatment for bladder cancer. We describe characteristics of US TB patients reported to the National Tuberculosis Surveillance System (NTSS) whose disease was attributed to BCG. We identified 118 BCG cases and 91,065 TB cases reported to NTSS during 2004–2015. Most patients with BCG were US-born (86%), older (median age 75 years), and non-Hispanic white (81%). Only 17% of BCG cases had pulmonary involvement, in contrast with 84% of TB cases. Epidemiologic features of BCG cases differed from TB cases. Clinicians can use clinical history to discern probable BCG cases from TB cases, enabling optimal clinical management. Public health agencies can use this information to quickly identify probable BCG cases to avoid inappropriately reporting BCG cases to NTSS or expending resources on unnecessary public health interventions.https://wwwnc.cdc.gov/eid/article/25/3/18-0686_articleBacillus Calmette-GuérinMycobacterium bovis–BCGtuberculosispublic health surveillanceTBtuberculosis and other mycobacteria
spellingShingle Zimy Wansaula
Jonathan M. Wortham
Godwin Mindra
Maryam B. Haddad
Jorge L. Salinas
David Ashkin
Sapna B. Morris
Gail B. Grant
Smita Ghosh
Adam J. Langer
Bacillus Calmette-Guérin Cases Reported to the National Tuberculosis Surveillance System, United States, 2004–2015
Emerging Infectious Diseases
Bacillus Calmette-Guérin
Mycobacterium bovis–BCG
tuberculosis
public health surveillance
TB
tuberculosis and other mycobacteria
title Bacillus Calmette-Guérin Cases Reported to the National Tuberculosis Surveillance System, United States, 2004–2015
title_full Bacillus Calmette-Guérin Cases Reported to the National Tuberculosis Surveillance System, United States, 2004–2015
title_fullStr Bacillus Calmette-Guérin Cases Reported to the National Tuberculosis Surveillance System, United States, 2004–2015
title_full_unstemmed Bacillus Calmette-Guérin Cases Reported to the National Tuberculosis Surveillance System, United States, 2004–2015
title_short Bacillus Calmette-Guérin Cases Reported to the National Tuberculosis Surveillance System, United States, 2004–2015
title_sort bacillus calmette guerin cases reported to the national tuberculosis surveillance system united states 2004 2015
topic Bacillus Calmette-Guérin
Mycobacterium bovis–BCG
tuberculosis
public health surveillance
TB
tuberculosis and other mycobacteria
url https://wwwnc.cdc.gov/eid/article/25/3/18-0686_article
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