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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Veröffentlicht in:The Lancet infectious diseases Jg. 10; H. 3; S. 176 - 183
1. Verfasser: Abubakar, Ibrahim
Format: Journal Article
Sprache:Englisch
Veröffentlicht: London Elsevier Ltd 01.03.2010
Lancet Publishing Group
Elsevier Limited
Schlagworte:
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
Online-Zugang:Volltext
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Zusammenfassung: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.
Bibliographie:ObjectType-Article-1
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ObjectType-Feature-2
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ISSN:1473-3099
1474-4457
1474-4457
DOI:10.1016/S1473-3099(10)70028-1