Two children developed clinical primary tuberculosis in an unlicensed family day-care home. The husband of the proprietor of the day-care home was identified as an index patient. Contacts and associates of the index patient and the two children were tested with tuberculin skin test and chest x-ray films. The tuberculin-positivity rate was 60% in immediate family members of the index patient, and 28.9% in day-care children. Nine additional cases of primary tuberculosis and two positive reactors were identified among the total group of 38 day-care children. There is a need for a tuberculosis-control program in family day-care homes.
(JAMA 228:851-854, 1974)
Kaupas V. Tuberculosis in a Family Day-Care Home: Report of an Outbreak and Recommendations for Prevention. JAMA. 1974;228(7):851–854. doi:10.1001/jama.1974.03230320021019
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