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Outbreak of tuberculosis and multidrug-resistant tuberculosis, Mbuji-Mayi Central Prison, Democratic Republic of the Congo

  • Michel Kaswa Kayomo
  • , Epco Hasker
  • , Muriel Aloni
  • , Leontine Nkuku
  • , Marcel Kazadi
  • , Thierry Kabengele
  • , Dorcas Muteteke
  • , Francois Kapita
  • , Alphonse Lufulwabo
  • , Ya Diul Mukadi
  • , Jean-Jacques Muyembe-Tamfum
  • , Margareta Ieven
  • , Bouke C. de Jong
  • , Marleen Boelaert

Research output: Contribution to journalA1: Peer-reviewed journal articlespeer-review

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Abstract

After an alert regarding approximate to 31 tuberculosis (TB) cases, 3 of which were rifampin-resistant TB cases, in Mbuji-Mayi Central Prison, Democratic Republic of the Congo, we conducted an outbreak investigation in January 2015. We analyzed sputum of presumptive TB patients by using the Xpert MTB/RIF assay. We also assessed the Mycobacterium tuberculosis isolates' drug-susceptibility patterns and risk factors for TB infection. Among a prison population of 918 inmates, 29 TB case-patients were already undergoing treatment. We found an additional 475 presumptive TB case-patients and confirmed TB in 170 of them. In March 2015, the prevalence rate of confirmed TB was 21.7% (199/918 inmates). We detected an additional 14 cases of rifampin-resistant TB and initiated treatment in all 14 of these case-patients. Overcrowded living conditions and poor nutrition appeared to be the driving factors behind the high TB incidence in this prison.

Original languageEnglish
JournalEmerging Infectious Diseases
Volume24
Issue number11
Pages (from-to)2029-2035
Number of pages7
ISSN1080-6040
DOIs
Publication statusPublished - 2018

Keywords

  • Adolescent
  • Adult
  • Democratic Republic of the Congo/epidemiology
  • Demography
  • Disease Outbreaks
  • Female
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Mycobacterium tuberculosis/drug effects
  • Prevalence
  • Risk Factors
  • Sputum/microbiology
  • Tuberculosis/epidemiology
  • Tuberculosis, Multidrug-Resistant/epidemiology
  • Young Adult

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