A cluster of tuberculosis associated with use of a marijuana water pipe

Munckhof, W. J., Konstantinos, A., Wamsley, M., Mortlock, M. and Gilpin, C. (2003) A cluster of tuberculosis associated with use of a marijuana water pipe. International Journal of Tuberculosis And Lung Disease, 7 9: 860-865.


Author Munckhof, W. J.
Konstantinos, A.
Wamsley, M.
Mortlock, M.
Gilpin, C.
Title A cluster of tuberculosis associated with use of a marijuana water pipe
Journal name International Journal of Tuberculosis And Lung Disease   Check publisher's open access policy
ISSN 1027-3719
Publication date 2003
Sub-type Article (original research)
Volume 7
Issue 9
Start page 860
End page 865
Total pages 6
Editor Iseman, Michael D
Place of publication France
Publisher International Union against Tuberculosis and Lung Disease
Collection year 2003
Language eng
Subject C1
321010 Infectious Diseases
730101 Infectious diseases
Abstract SETTING: New cases of pulmonary tuberculosis (TB) were noted in a cluster of young Caucasian males, an unusual ethnic group for this disease in Queensland, Australia. It was noted that marijuana water pipe ('bong') smoking was common amongst cases and contacts. OBJECTIVE: To report this cluster of TB and to investigate whether shared use of a marijuana water pipe was associated with transmission of TB. DESIGN: All contacts were identified and screened according to standard protocols. Cases were asked to list contacts with whom they had shared a marijuana water pipe. RESULTS: Five cases of open pulmonary TB were identified clinically and on sputum culture, and all isolates of Mycobacterium tuberculosis were identical on typing. Of 149 contacts identified, 114 (77%) completed screening, and 57 (50%) had significant tuberculin skin test (TST) reactions on follow-up. Of 45 contacts who had shared a marijuana water pipe with a case, 29 (64%) had a significant TST reaction. CONCLUSION: Sharing a marijuana water pipe with a case of pulmonary TB was associated with transmission of TB (OR 2.22, 95% CI 0.96-5.17), although the most important risk factor for acquiring TB infection in this cluster was close household contact with a case (OR 4.91, 95% CI 1.13-20.70).
Keyword Infectious Diseases
Respiratory System
Tuberculosis
Epidemiology
Water Pipe
Marijuana
Mycobacterium-tuberculosis
Outbreak
Transmission
Community
Identification
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2004 Higher Education Research Data Collection
School of Medicine Publications
 
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