Pakiz, Bilge, Alvarado, Sonia, Schulte, Joann M., Kenyon, Thomas A., Onorato, Ida M., Besser, Richard E., and Zell, Elizabeth R.
Conclusions. We identified several new or reemerging associations with positive TST including cross border travel, staying in a foreign home, and eating raw dairy products. The strong associations with BCG receipt and more recent previous TST may represent falsely positive reactions, booster phenomena, or may be markers for a population that is truly at greater risk for TB infection. Unlike studies conducted in nonborder areas, we found no association between positive TB skin tests and contact with a TB case or a foreign visitor. Efforts to control pediatric TB in San Diego need to address local risk factors including consumption of unpasteurized dairy products and cross-border travel. The interpretation of a positive TST in a young child in San Diego who has received BCG is problematic. tuberculosis, epidemiology, Bacille Calmette-Guerin, Mycobacterium tuberculosis, Mycobacterium bovis. [ABSTRACT FROM AUTHOR]