Tuberculosis and air travel: a systematic review and analysis of policy

WHO international guidelines for the control of tuberculosis in relation to air travel require—after a risk assessment—tracing of passengers who sat for longer than 8 h in rows adjacent to people with pulmonary tuberculosis who are smear positive or smear negative. A further recommendation is that a...

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Vydáno v:	The Lancet infectious diseases Ročník 10; číslo 3; s. 176 - 183
Hlavní autor:	Abubakar, Ibrahim
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	London Elsevier Ltd 01.03.2010 Lancet Publishing Group Elsevier Limited
Témata:	Air transportation Aircraft Aircraft - standards Bacterial diseases Biological and medical sciences Centers for Disease Control and Prevention, U.S Contact Tracing - methods Europe Government Agencies - standards Human bacterial diseases Humans Infectious Disease Infectious diseases Medical sciences Mycobacterium tuberculosis Practice Guidelines as Topic Risk assessment Sputum - microbiology Travel - statistics & numerical data Tuberculosis Tuberculosis and atypical mycobacterial infections Tuberculosis, Pulmonary - prevention & control Tuberculosis, Pulmonary - transmission United States World Health Organization United States Europe Infection Policy Travel Tuberculosis Bacteriosis Mycobacterial infection Air Bibliographic review
ISSN:	1473-3099, 1474-4457, 1474-4457
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Popis
Shrnutí:	WHO international guidelines for the control of tuberculosis in relation to air travel require—after a risk assessment—tracing of passengers who sat for longer than 8 h in rows adjacent to people with pulmonary tuberculosis who are smear positive or smear negative. A further recommendation is that all commercial air travel should be prohibited until the person has two consecutive negative sputum smears for drug-susceptible tuberculosis or two consecutive cultures for multidrug-resistant tuberculosis. In this Review I examine the evidence put forward to support these recommendations and assess whether such an approach is justifiable. A systematic review identified 39 studies of which 13 were included. The majority of studies found no evidence of transmission. Only two studies reported reliable evidence of transmission. The analysis suggests that there is reason to doubt the value of actively screening air passengers for infection with Mycobacterium tuberculosis and that the resources used might be better spent addressing other priorities for the control of tuberculosis.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 ObjectType-Review-3 content type line 23 ObjectType-Undefined-4
ISSN:	1473-3099 1474-4457 1474-4457
DOI:	10.1016/S1473-3099(10)70028-1