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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2019-03-01
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doaj-f424a8f4b5154a09a4cbf7beb129b8842020-11-25T02:46:34ZengCenters 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 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
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 |
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 |
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 |
title |
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_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_sort |
bacillus calmette-guérin cases reported to the national tuberculosis surveillance system, united states, 2004–2015 |
publisher |
Centers for Disease Control and Prevention |
series |
Emerging Infectious Diseases |
issn |
1080-6040 1080-6059 |
publishDate |
2019-03-01 |
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. |
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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