Jails, a neglected opportunity for tuberculosis prevention

MacNeil, Jessica R.; McRill, Cheryl; Steinhauser, Gale; Weisbuch, Jonathan B.; Williams, Elizabeth; Wilson, Mark L.

doi:10.1016/j.amepre.2004.10.006

Cited by 25 publications

(11 citation statements)

References 8 publications

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“…Additional public health incentives derive from the knowledge that TB negatively impacts both on prison staff and on the communities to which prisoners return. 27,28 Proactive and routine TB surveillance and preventive measures include isoniazid preventive therapy (IPT) for TST-reactive individuals, and symptom-based TB screening, followed by sputum culture, and isolation for symptomatic inmates. 29 IPT is now recommended for all HIV-infected persons, particularly those with LTBI.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of tuberculosis symptoms and latent tuberculous infection among prisoners in northeastern Malaysia

Margolis

Al-Darraji²,

Wickersham³

et al. 2013

int j tuberc lung dis

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SUMMARY SETTING There are currently no routine screening procedures for active tuberculosis (TB) or latent tuberculous infection (LTBI) in Malaysian prisons. OBJECTIVE To determine the prevalence and correlates of LTBI and active TB symptoms among Malaysian prisoners with and without human immunodeficiency virus (HIV) infection using the tuberculin skin test (TST) and the World Health Organization TB symptom-based screening instrument. DESIGN A cross-sectional survey of 266 prisoners was performed in Kelantan, Malaysia. Consenting participants underwent two-step TST and were screened for active TB symptoms. Standardized cut-offs of respectively ≥5 and ≥10 mm were used to define reactive TST among prisoners with and without HIV. Clinical and behavioral data were assessed and HIV-infected prisoners were stratified by CD4 status. RESULTS Overall LTBI prevalence was 87.6%, with significantly lower TST reactivity among HIV-infected than non-HIV-infected prisoners (83.6% vs. 91.5%, P < 0.05); however, TB symptoms were similar (16.9% vs. 10.1%, P = 0.105). On multivariate analysis, previous incarceration (aOR 4.61, 95%CI 1.76–12.1) was the only significant correlate of LTBI. Increasing age (aOR 1.07, 95%CI 1.01–1.13), lower body mass index (aOR 0.82, 95%CI 0.70–0.96) and TST-reactive status (aOR 3.46, 95%CI 1.20–9.97) were correlated with TB symptoms. CONCLUSION LTBI is highly prevalent, associated with previous incarceration, and suggests the need for routine TB screening on entry to Malaysian prisons.

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Section: Discussionmentioning

confidence: 99%

Prevalence of tuberculosis symptoms and latent tuberculous infection among prisoners in northeastern Malaysia

Margolis

Al-Darraji²,

Wickersham³

et al. 2013

int j tuberc lung dis

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“…[1][2][3][4][5][6] TB incidence in prisons clearly exceeds values reported among the general population. 7,8 TB outbreaks, 9,10 transmission of drugresistant TB and TB transmission in the community by former inmates are of particular concern.…”

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confidence: 99%

Prevalence of positive tuberculosis skin tests during 5 years of screening in a Swiss remand prison

Ritter

Elger

2012

int j tuberc lung dis

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“…Released prisoners can infect people in their communities; this transmission represents a serious health public risk (Mac Neil et al 2005, Todrys et al 2011. The prison population has increased considerably in Brazil over the years, making prisons the perfect places for TB transmission (Baptista et al 2002).…”

mentioning

confidence: 99%