Tuberculosis Control Among Homeless Populations

Schieffelbein, Carl W.; Snider, Dixie E.

doi:10.1001/archinte.1988.00380080109029

Cited by 60 publications

(4 citation statements)

References 21 publications

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“…Risk factors for TB in the donor include substance abuse, malnutrition, HIV infection, and close household contact with TB smear-positive individuals [74][75][76][77] . Special attention should be paid to donors who have resided in homeless shelters, prisons, or highly endemic areas outside of the United States [78][79][80][81] . In donors with low TB risk accompanied by negative radiology, the allograft can be accepted without the need for chemoprophylaxis or additional informed consent on the part of the recipient.…”

Section: Tuberculosismentioning

confidence: 99%

Selecting suitable solid organ transplant donors: Reducing the risk of donor-transmitted infections

Kovacs¹,

Koval²,

Duin³

et al. 2014

WJT

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Selection of the appropriate donor is essential to a successful allograft recipient outcome for solid organ transplantation. Multiple infectious diseases have been transmitted from the donor to the recipient via transplantation. Donor-transmitted infections cause increased morbidity and mortality to the recipient. In recent years, a series of high-profile transmissions of infections have occurred in organ recipients prompting increased attention on the process of improving the selection of an appropriate donor that balances the shortage of needed allografts with an approach that mitigates the risk of donor-transmitted infection to the recipient. Important advances focused on improving donor screening diagnostics, using previously excluded high-risk donors, and individualizing the selection of allografts to recipients based on their prior infection history are serving to increase the donor pool and improve outcomes after transplant. This article serves to review the relevant literature surrounding this topic and to provide a suggested approach to the selection of an appropriate solid organ transplant donor.

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Section: Tuberculosismentioning

confidence: 99%

Selecting suitable solid organ transplant donors: Reducing the risk of donor-transmitted infections

Kovacs¹,

Koval²,

Duin³

et al. 2014

WJT

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“…Congregate housing (8,55,63,83,208,228,232,260,283,320,334), including housing for the homeless, and prisons (26,33,57,59,127,242,309,319) have features particularly conducive to the spread of tuberculosis. In a study of 169 homeless men in New York City in 1990 (334), Torres et al found that 63 (67%) of 94 were TST positive.…”

Section: Tuberculosis Outbreaks In Congregate Housing and Prisonsmentioning

confidence: 99%

Tuberculosis in the AIDS era

et al. 1995

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A resurgence of tuberculosis has occurred in recent years in the United States and abroad. Deteriorating public health services, increasing numbers of immigrants from countries of endemicity, and coinfection with the human immunodeficiency virus (HIV) have contributed to the rise in the number of cases diagnosed in the United States. Outbreaks of resistant tuberculosis, which responds poorly to therapy, have occurred in hospitals and other settings, affecting patients and health care workers. This review covers the pathogenesis, epidemiology, clinical presentation, laboratory diagnosis, and treatment of Mycobacterium tuberculosis infection and disease. In addition, public health and hospital infection control strategies are detailed. Newer approaches to epidemiologic investigation, including use of restriction fragment length polymorphism analysis, are discussed. Detailed consideration of the interaction between HIV infection and tuberculosis is given. We also review the latest techniques in laboratory evaluation, including the radiometric culture system, DNA probes, and PCR. Current recommendations for therapy of tuberculosis, including multidrug-resistant tuberculosis, are given. Finally, the special problem of prophylaxis of persons exposed to multidrug-resistant tuberculosis is considered.

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“…Fifty-eight per cent of foreign-born stu dents reg is ter ing at the Uni ver sity of Cali for nia at Los Ange les in 1988 had posi tive Man toux re ac tions (21). The United States is a ma jor res er voir of 10 to 15 mil lion peo ple with tu ber cu lo sis (22), with high con cen tra tions among very dis ad van taged groups: 50% of the home less (23) and 18% of those liv ing in shel ters (24). These pa tients are a large highrisk group, but few can mi grate to Can ada from the United States, and im mi grants from other parts of the world will there fore have a greater im pact on Cana da's tu ber cu lo sis rates.…”

Section: Syn Thèse Des Données Et Con Clu Sionmentioning

confidence: 99%

Screening and Treatment of Immigrants and Refugees to Canada for Tuberculosis: Implications of the Experience of Canada and other Industrialized Countries

Gushulak

1995

Canadian Journal of Infectious Diseases and Medical Microbiolog

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Data synthesis led to the conclusions that immigrants and refugees to Canada have five times the nonimmigrant and non-Aboriginal rate of tuberculosis; that screening programs discover new cases of tuberculosis on and after arrival and that up to 20% of those scheduled to attend a tuberculosis clinic after arrival may never attend; that drug resistance is widespread in countries from which Canada receives immigrants; and that directly observed therapy for active cases can result in 100% conversion rates.

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Tuberculosis Control Among Homeless Populations

Cited by 60 publications

References 21 publications

Selecting suitable solid organ transplant donors: Reducing the risk of donor-transmitted infections

Selecting suitable solid organ transplant donors: Reducing the risk of donor-transmitted infections

Tuberculosis in the AIDS era

Screening and Treatment of Immigrants and Refugees to Canada for Tuberculosis: Implications of the Experience of Canada and other Industrialized Countries

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