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Response to Active Tuberculosis Within a Maternal Newborn Unit - Military Treatment Facility, Alaska, April-August 2025.

Created on 18 Jul 2026

Authors

Amber F Britt, Angie S Guinn, Keith T Beam, Christine Smetana, Luca A Melendez, Stefanie Cocchimiglio, Sarah Campbell-Hester, Devin C Kelly

Published in

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases. Pages 108989. Jul 17, 2026. Epub Jul 17, 2026.

Abstract

Tuberculosis (TB) disease exposure within maternity units is a significant concern due to increased risk of infection among pregnant and post-partum women and their newborns. During April-August 2025, personnel from several military health authorities were deployed to assist a military treatment facility in Alaska after a labor and delivery nurse was diagnosed with pulmonary TB disease. A total of 282 individuals were identified through contact tracing. Staff contacted the affected families, answered questions, and facilitated evaluation and treatment. 263 (92.9%) of the 283 contacts were tested. Window prophylaxis was recommended for 26 children under five years of age. Of these, 21 (80.8%) completed the full therapeutic course. Four families declined the intervention, and one child was lost to follow-up. No additional cases of TB disease were detected; however, four cases of latent TB infection were diagnosed. Standardized guidance regarding TB screening and treatment procedures including routine risk assessments, screening for healthcare workers, and window prophylaxis timelines for infants and children is imperative for prevention.

PMID:
42468732
Bibliographic data and abstract were imported from PubMed on 18 Jul 2026.

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