Reaching the Limits of Tuberculosis Prevention among Foreign-Born Individuals: A Tuberculosis-Control Program Perspective

Analysis of whether assiduous implementation of American Thoracic Society/Centers for Disease Control and Prevention/Infectious Diseases Society of America guidelines for targeted testing and treatment of latent tuberculosis infection could have prevented any of 223 cases of active tuberculosis in f...

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Bibliographic Details
Published in:Clinical infectious diseases 2008-01, Vol.46 (1), p.103-106
Main Authors: Walter, Nicholas D., Jasmer, Robert M., Grinsdale, Jennifer, Kawamura, L. Masae, Hopewell, Philip C., Nahid, Payam
Format: Article
Language:English
Subjects:
Brief Reports
Centers for Disease Control and Prevention (U.S.)
Communicable Disease Control - methods
Disease prevention
Emigration and Immigration
Epidemiology
Guideline Adherence
Homelessness
Humans
Latent tuberculosis
Medical treatment
Molecular epidemiology
Mycobacterium
Preventive medicine
San Francisco - epidemiology
Skin tests
Thoracic diseases
Tuberculin
Tuberculosis
Tuberculosis - diagnosis
Tuberculosis - epidemiology
Tuberculosis - microbiology
Tuberculosis - prevention & control
Tuberculosis control
United States - epidemiology
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Summary:Analysis of whether assiduous implementation of American Thoracic Society/Centers for Disease Control and Prevention/Infectious Diseases Society of America guidelines for targeted testing and treatment of latent tuberculosis infection could have prevented any of 223 cases of active tuberculosis in foreign-born persons in San Francisco during the period 2002-2003. We report that 62% of these cases were not preventable and conclude that a further reduction in the incidence of tuberculosis among foreign-born persons will be modest without modification of current guidelines.
ISSN:1058-4838
1537-6591
DOI:10.1086/523733