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Volume 26, Number 8—August 2020
CME ACTIVITY - Synopsis

Tuberculosis in Internationally Displaced Children Resettling in Harris County, Texas, USA, 2010–20151

Gabriella S. Lamb2Comments to Author , Andrea T. Cruz, Elizabeth A. Camp, Michelle Javier, Jessica Montour, Tamisha Piper, Umair A. Shah, and Jeffrey R. Starke
Author affiliations: Baylor College of Medicine, Houston, Texas, USA (G.S. Lamb, A.T. Cruz, E.A. Camp, M. Javier, J.R. Starke); US Committee for Refugees and Immigrants, Austin, Texas, USA (J. Montour); Harris County Public Health Refugee Health Screening Program, Houston (T. Piper, U.A. Shah)

Main Article

Table 4

Factors associated with a positive result for TST, IGRA, or both in 5,870 migrant children, Harris County, Texas, USA, 2010–2015*

Characteristic TST model
 IGRA model
 TST and IGRA combined model
No.† aOR (95% CI) p value No.† aOR (95% CI) p value No.† aOR (95% CI) p value
Age, y
<2 53 Referent 10 Referent 55 Referent
2–5 75 0.40 (0.26–0.61) <0.001 13 0.26 (0.11–0.60) 0.002 81 0.36 (0.24–0.54) <0.001
6–10 43 0.72 (0.45–1.07) 0.25 35 0.41 (0.20–0.85) 0.02 74 0.28 (0.18–0.42) <0.001
11–14 34 0.68 (0.39–1.21) 0.19 56 1.05 (0.52–2.12) 0.90 85 0.55 (0.37–0.83) 0.004
>14
 27
 0.77 (0.44–1.35)
 0.36
47
 1.35 (0.66–2.77)
 0.41
69
 0.72 (0.48–1.10)
 0.13
Region of origin
Southeast Asia 99 Referent 62 Referent 149 Referent
E. Mediterranean 74 0.48 (0.33–0.70) <0.001 30 0.34 (0.21–0.53) <0.001 98 0.44 (0.33–0.59) <0.001
Africa 49 0.69 (0.45–1.07) 0.10 61 1.02 (0.70–1.49) 0.91 100 0.81 (0.61–1.09) 0.17
Americas
 10
 0.19 (0.09–0.39)
 <0.001
8
 0.12 (0.06–0.25)
 <0.001
17
 0.14 (0.08–0.23)
 <0.001
HIV positive 5 2.99 (1.01–8.87) 0.049 2 – – 7 5.57 (2.23–13.90) <0.001

*aOR, adjusted odds ratio; E., Eastern; IGRA, interferon gamma release assay; TST, tuberculin skin test; –, numbers too small to enable performance of these tests.
†Number in group with a positive TB test result.

Main Article

1Preliminary results from this study were presented at the North American Union TB Conference, February 28–March 3, 2018, Chicago, IL, USA.

2Current affiliation: Harvard Medical School, Boston, Massachusetts, USA.

Page created: April 29, 2020
Page updated: July 17, 2020
Page reviewed: July 17, 2020
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