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Tuberculosis Skin Testing Among HIV-Infected Pregnant Women in Miami, 1995 to 1996

Journal of Perinatology volume 22, pages 159–162 (2002)Cite this article

Abstract

OBJECTIVE: Approximately 6000 women deliver annually at Jackson Memorial Hospital in Miami, where 2.4% of women has human immunodeficiency virus (HIV) and 60% is foreign-born. We conducted a retrospective review of prenatal records among HIV-infected women to evaluate tuberculin skin testing (TST).

STUDY DESIGN: We determined how many women had TSTs placed and read, and the TST results.

RESULTS: We identified 207 HIV-infected women, 87% of such women delivering in 1995 to 1996. Most did not know their HIV status before seeking prenatal care (109, 54%) and most (176, 85%) had TSTs done. Of the women, 45 had positive TSTs, 96 had negative TSTs, and 35 were anergic. Most results were not recorded using millimeters of induration. Two women (1%) had active tuberculosis (TB) disease.

CONCLUSION: Overall, 21% of all HIV-infected women had positive TSTs and 1% had active TB disease. Focused TB skin testing should be part of routine prenatal care in clinics serving populations at high-risk for TB, such as those with HIV infection and the foreign-born.

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Authors and Affiliations

  1. Division of Tuberculosis Elimination, Centers for Disease Control and Prevention, MS E-10, 1600 Clifton Road Northeast, Atlanta, GA, USA

    Joann M Schulte DO & Ida M Onorato MD

  2. Department of Obstetrics and Gynecology, University of Miami, Jackson Memorial Hospital, 1500 Northwest 12th Avenue, Miami, E803, FL, USA

    Patricia Bryan BSN, Sally Dodds PhD, Monell Potter BSN & Mary Jo O'Sullivan MD

Authors
  1. Joann M Schulte DO
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  2. Patricia Bryan BSN
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  3. Sally Dodds PhD
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  4. Monell Potter BSN
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  5. Ida M Onorato MD
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  6. Mary Jo O'Sullivan MD
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Schulte, J., Bryan, P., Dodds, S. et al. Tuberculosis Skin Testing Among HIV-Infected Pregnant Women in Miami, 1995 to 1996. J Perinatol 22, 159–162 (2002). https://doi.org/10.1038/sj.jp.7210617

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