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Much of our knowledge about airborne TB transmission comes from experiments performed on guinea pigs during the 1950s. Now, a multinational research group has re-created the guinea pig model to investigate the TB infectiousness of TB/HIV-coinfected patients.
All air from a negative-pressure HIV/TB ward in Lima, Peru, was directed over guinea pigs housed in an airborne-transmission study facility. Monthly tuberculin skin tests were performed on the animals, and positive reactors were removed for autopsy and tissue culture for Mycobacterium tuberculosis.
During the 505-day study period, 97 pulmonary TB patients coinfected with HIV were admitted to the ward (118 total admissions; 1798 patient days). Of the 292 guinea pigs that were exposed to ai…