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  Vol. 287 No. 22, June 12, 2002 TABLE OF CONTENTS
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Factors in Tuberculosis Contact Investigations

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

To the Editor: The article by Dr Bailey and colleagues1 describes an algorithm to improve the efficiency and effectiveness of tuberculosis (TB) contact investigations. We applaud the efforts of these investigators to develop criteria for simplifying the contact investigation process and provide several suggestions that might improve and help guide potential uses of this model.

First, the end point for assessing whether recent transmission had occurred was a positive tuberculin skin test (TST) result. Since as many as 10% of persons in the study area's general population are believed to have had a preexisting positive TST result, a single positive result, in the absence of a baseline result, lacks specificity to diagnose recent transmission. Use of this end point could result in identifying population risk factors for TB exposure rather than individual risk factors for recent transmission. We encourage the authors to further analyze the data by restricting evidence of . . . [Full Text of this Article]



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Evaluation of Investigations Conducted to Detect and Prevent Transmission of Tuberculosis
Mary R. Reichler, Randall Reves, Sarah Bur, Virginia Thompson, Bonita T. Mangura, Josie Ford, Sarah E. Valway, Ida M. Onorato, and for the Contact Investigation Study Group
JAMA. 2002;287(8):991-995.
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Predictive Model to Identify Positive Tuberculosis Skin Test Results During Contact Investigations
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