1. Tuberculosis in prison: What about after release? The example of French Guiana.
- Author
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Niaux, Moise, Boutrou, Mathilde, Daniel, Marie, Schiemsky, Vanessa, Vierendeels, Evelyn, Djossou, Félix, Nacher, Mathieu, Huber, Florence, and Bonifay, Timothée
- Subjects
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TUBERCULOSIS diagnosis , *TUBERCULOSIS epidemiology , *TUBERCULOSIS risk factors , *TUBERCULOSIS treatment , *RISK assessment , *CROSS-sectional method , *PEARSON correlation (Statistics) , *SUBSTANCE abuse , *PATIENT compliance , *CORRECTIONAL institutions , *FISHER exact test , *RETROSPECTIVE studies , *DESCRIPTIVE statistics , *CHI-squared test , *HIV infections , *KAPLAN-Meier estimator , *MEDICAL records , *ACQUISITION of data , *DATA analysis software , *CONFIDENCE intervals , *TUBERCULOSIS , *PATIENT aftercare ,TUBERCULOSIS transmission - Abstract
Introduction: Tuberculosis is a major cause of mortality worldwide. Prisoners in Guiana have multiple risk factors. The primary objective of this study was to describe tuberculosis occurring in prison and after release in French Guiana between 2008 and 2020. Secondary objectives were to identify tuberculosis risk factors and determine annual incidences. Methods: A retrospective cohort study of tuberculosis cases was carried out at the Guiana prison between 2008 and 2020. Data were collected from prison registers and cross-referenced with the list of tuberculosis notifications in French Guiana. Results: A total of 36 cases of tuberculosis were studied. Incidence was high, at 263/100,000 per year, higher than elsewhere in France and comparable to that in Brazil. Despite visibly effective screening on entry, with little evidence of intra-prison circulation of tuberculosis, 39% of patients were diagnosed within two years of leaving prison (76% were symptomatic). This could be explained by the high prevalence of latent forms (LTI). Discussion: Continued screening on entry, in combination with annual radiological and clinical screening, and reinforced follow-up on release seem indicated to improve patient management and the search for possible LTI. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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