CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ | |
Journals - Article | |
Česky / Czech version | Epidemiol. Mikrobiol. Imunol., 52, 2003, č. 1, s. 3–8 |
Molecular Epidemiology of Tuberculosis among Prisoners Kubín M.1, Lillebaek T.2, Polanecký V.1, Kozáková B.1, Švecová Z.3, Papíková E.4,Vobora A.4 1Hygienická stanice hl. m. Prahy 2International Reference Laboratory for Mycobacteriology, Statens Seruminstitut Copenhagen, Denmark3Ústav lékařské mikrobiologie, FN, Plzeň 4Zdravotnická služba Vězeňské služby ČR |
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Summary: The subject of the investigation is a group of 27 strains of Mycobacterium tuberculosis isolated in
2000 fromprisoners with the diagnosis of tuberculosis, 19 Czechs and 8 foreigners (mean age 41 and
35 years resp.). The molecular-epidemiological examination of these strains was made using the
RFLP fingerprint technique (Restriction Fragment Length Polymorphism) with evidence of the
insertive sequence IS6110 and the technique of spoligotyping, based on detection of hybridization
of spacer oligonucleotides. DNA fingerprinting revealed a high polymorphism in the number and
molecular weight of sequence IS6110 which is common in Czech and other European strains of M.
tuberculosis. All strains with the exception of two had mutually different fingerprint profiles. In the
two with identical fingerprints probably a duplicit examination of the same material was involved
which occurred by mistake during transport or in the laboratory. The fingerprint method thus did
not prove interhuman transmission of tuberculosis between the examined prisoners. The technique
of spoligotyping revealed the finding of genotype Beijing M. tuberculosis in two sick prisoners, one
Algerian and one Albanese, and in one Czech prisoner. This genotype found in a high percentage of
patients in southeastern Asia and in migrants from this area was detected for the first time in the
Czech Republic.
The findings are evidence of a satisfactory standard of the programme of tuberculosis control in the
Czech prison system and at the same time draw attention to the potential possibility of the spread
of tuberculosis from migrants coming from areas with a high prevalence.
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