Public Health Issues in Control of Tuberculosis

Kearns, Thomas; Cole, Clifford H.; Farer, Laurence S.; Leff, Alan R.; Reza, R; Sbarbaro, John A.; Stead, William W.

doi:10.1378/chest.87.2_supplement.135s

Cited by 6 publications

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It can be assumed that the individual who became positive on the second test entered the institution in that condition. The two-step tuberculin test has been widely recommended wherever surveillance is important enough to warrant periodic tuberculin testing (Finucane, 1988;Barry, Regan, & Kunches, 1987;Burstin, Muspratt, & Rossing, 1986;Chaparas, Vandiviere, & Melvin, 1985;Kearns, Cole, & Farer, 1985; "The tuberculin skin test," 1981; Comstock & Woolpert, 1978).…”

Section: Two-stage Tuberculin Testingmentioning

confidence: 99%

Section: Two-stage Tuberculin Testingmentioning

confidence: 99%

“…Some authorities have recommended the use of two-step tuberculin skin testing in prisoners and prison staff (Kearns, Cole, & Farer, 1985;Anonymous, 1979). In 1985, the Committee on Public Health Issues of the American Thoracic Society recommended that all prison personnel undergo tuberculin skin testing and that those with doubtful reactions should be administered a second-stage test in order to correctly identify their tuberculin status (Kearns, Cole & Farer, 1985). However, recommendation for two-stage tuberculin skin testing on prison personnel and inmates was notably absent from important publications aimed at the control of tuberculosis in prisons, including the recommendations of the Advisory Committee for the Elimination of Tuberculosis titled "Prevention and Control of Tuberculosis in Correctional Institutions" until 1995 ("Prevention and control of tuberculosis...," 1989).…”

Section: Two-stage Tuberculin Testingmentioning

confidence: 99%

“…The Committee on Public Health Issues of the American Thoracic Society points out that management personnel of any institution has a legal obligation to protect employees, agents, patients, residents, or clients from tuberculosis when the acknowledged risk of the disease is high within the institution (Kearns, Cole, & Farer, 1985). Procedures for containment and surveillance are specified, with particular emphasis on prisons and nursing homes.…”

Section: Introductionmentioning

confidence: 99%

“…Newer and better methods ofdetecting and treating tuberculosis will have an impact, but these measures will be of no avail unless populations harboring the bacilli are identified and appropriately screened. The intradermal application of tuberculin, properly applied and evaluated, remains a valuable screening tool for large at-risk populations and continues to be urged by authorities as one of the intake health screening tools, both for the benefit of the incarcerated population and for the benefit of society (Freiden, 1993; "Control of tuberculosis...," 1992; Bass, 1990; "Screening for tuberculosis...," 1990; Braun, Truman, & Maguire, 1989;Snider & Hutton, 1989;Spencer, 1989;Kearns, Cole, & Farer, 1985; "Report of the American Trudeau Society Committee...," 1947).…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Two-Stage Tuberculin Testing in a Prison Population

Brady¹,

Spencer²

2000

Journal of Correctional Health Care

View full text Add to dashboard Cite

In the New Mexico Corrections Department, mass screening of male inmates revealed a purified protein derivative of tuberculin (PPD) conversion rate of 3.9 percent and led to the institution of two-stage skin testing of all new inmates. This policy change resulted in a drop of the annual conversion rate to O.9 percent. An analysis of the two-stage testing program showed that of 518 subjects classified as PPD positive, 121 were so classified on the basis of a documented history of a prior positive test, and 397 underwent the two-stage protocol. Of these, 273 (69%) had a significant reaction to the first test. The remaining 124 (31%) required the booster effect of the first test and had significant reactions only to the second test. Two-stage testing is recommended for new inmates of long-term correctional facilities, in order to establish accurate baseline information and to avoid the trap of false converter rates.

show abstract

Section: Two-stage Tuberculin Testingmentioning

confidence: 99%

Section: Two-stage Tuberculin Testingmentioning

confidence: 99%

Section: Two-stage Tuberculin Testingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Two-Stage Tuberculin Testing in a Prison Population

Brady¹,

Spencer²

2000

Journal of Correctional Health Care

View full text Add to dashboard Cite

show abstract

Infection Control in Nursing Homes

Smith

1985

JAMA

View full text Add to dashboard Cite

increasing costs, increasing commercial competition, and uncertain, but probably decreasing, reimbursement.TheJournal now plans the publication of a series of articles related to various aspects of the operation of the clinical office laboratory. Undoubtedly, they will provide enthusiasm, fresh insights, innovative ideas, differing approaches, and a few controversies. Many may share one refreshing characteristic: the determination of physicians to resist the "social transforma¬ tion" of medicine by retaining at least temporarily another aspect of medical practice that is still largely under their own control.

show abstract

The Respiratory System

Rodnick¹,

Gude²

1988

Family Medicine

View full text Add to dashboard Cite

Because of the frequency of respiratory problems, family physicians must be knowledgeable in their diagnosis and treatment. In the now classic Virginia study, 1 diseases of the respiratory system constituted the greatest number of problems seen compared to other diagnostic categories. In a review of 3 years of data and more than 120,000 visits to our Family Practice Center at the Community Hospital of Sonoma County (California), we found that 13.0% of the encounters were for respiratory problems (exclusive of ear/sinus disorders). According to estimates from the National Ambulatory Care Survey in 1981, respiratory problems accounted for 17.7% of all visits to general and family physicians and 12.5% of visits to all physicians. 2 Table 17.1 shows the frequency rank of common respiratory problems compared to all problems seen by family physicians from four epidemiologic studies. Each number represents the rank of how frequently respiratory problems are encountered, e.g. acute bronchitis was the fifth most common problem (of all diagnoses) seen by Virginia family physicians. The braces indicate where the study combined diagnoses. Although the data come from different populations and may use different diagnostic categories, the message is clear: These problems are commonly encountered by family physicians. R. B. Taylor (ed.), Family Medicine

show abstract

Public Health Issues in Control of Tuberculosis

Cited by 6 publications

References 0 publications

Two-Stage Tuberculin Testing in a Prison Population

Two-Stage Tuberculin Testing in a Prison Population

Infection Control in Nursing Homes

The Respiratory System

Contact Info

Product

Resources

About