With the recent resurgence of tuberculosis in the United States, it is unclear whether existing prevention strategies can successfully control and eliminate the disease.
We determined the extent to which opportunities for prevention were missed among patients with tuberculosis.
For all patients with active tuberculosis reported to the Oregon Wealth Division, Portland, from july 1991 through june 1992, we determined previous history of tuberculosis therapy, previous tuberculin skin test status, the presence of medical conditions for which skin testing is recommended, and previous health care.
We then determined whether they had undergone preventive procedures in accordance with current recommendations of the Advisory Council for the Elimination of Tuberculosis.
Of 153 patients with active tuberculosis, 90 (59%) had indications for-but had not previously undergone-recommended procedures.
Ten patients (7%) did not complete therapy for previous disease ; two (1%) did not complete preventive therapy ; 12 (8%) with known Previous positive tuberculin skin tests and an indication for preventive therapy never received it ; and 66 (43%) with known indications for screening never received a skin test.
Based on their known effectiveness, a major reduction in tuberculosis morbidity could occur if preventive measures were fully implemented.
Appropriate skin testing is a prevention strategy of major importance.
Mots-clés Pascal : Tuberculose, Poumon, Stratégie optimale, Prévention, Elaboration, Epidémiologie, Homme, Amérique du Nord, Mycobactériose, Bactériose, Infection, Amérique, Appareil respiratoire pathologie, Poumon pathologie
Mots-clés Pascal anglais : Tuberculosis, Lung, Optimal strategy, Prevention, Elaboration, Epidemiology, Human, North America, Mycobacterial infection, Bacteriosis, Infection, America, Respiratory disease, Lung disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0327678
Code Inist : 002B30A01C. Création : 01/03/1996.