The incidence of methicillin-resistant staphylococcus aureus (MRSA) has grown in epidemic proportions; in many individuals, MRSA causes recurrent infections. MRSA infections can be transmitted from person to person through direct contact or contact with contaminated objects. Once confined to hospitalized individuals, MRSA is now seen in otherwise healthy individuals and congregate community settings. There is a demand for educational materials to guide MRSA patients in self-care, preventing recurrences, and reducing transmission. In 2004, Tacoma-Pierce County Health Department in Washington State led the effort to create an educational booklet for people with MRSA. Due to resource constraints, it was created without audience testing. In 2005, the revision of Living With MRSA involved audience testing using two focus groups comprising people living with MRSA and their families. This report describes the work of an interdisciplinary professional work group using focus groups to revise an educational booklet for people living with MRSA as patients, family members, and caregivers.
BACKGROUND: Progress towards TB elimination in the United States will require improved detection and treatment of latent TB infection among non-U.S.-born residents who remain at disproportionate risk of TB disease. To inform targeted testing efforts, we evaluated risk of TB disease
among non-U.S.-born residents of Washington State, USA, by region of origin and time from U.S. entry.METHODS: We conducted a retrospective cohort study among non-U.S.-born residents diagnosed with TB disease in Washington State from 2005 to 2014, for which country-specific population
estimates were also available. The risk of TB disease among non-U.S.-born residents was estimated by time since U.S. entry, World Bank region of origin, and WHO TB incidence category.RESULTS: Risk of TB disease for non-U.S.-born residents was highest within the first year after
U.S. entry. Among persons from countries with high TB incidence who had resided in the United States for more than 20 years, risk for TB remained elevated.CONCLUSION: Elevated risk of developing TB disease among individuals not born in the United States persisted long after U.S.
entry, particularly among persons originating from certain regions and from high-burden countries. These findings contribute to evidence supporting a refinement of existing screening guidelines.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.