To describe our experience with novel supervised housing programs developed to aid in the treatment of tuberculosis (TB) in homeless individuals, including a preliminary analysis of their effectiveness and estimate of potential cost savings.
Retrospective chart review.
A county TB control program.
The San Diego County TB Control Program's computer database was used to identify homeless individuals placed in one of two supervised housing programs for treatment of TB [Young Men's Christian Association (YMCA), for noninfectious patients, or Bissell House, for infectious patients]. Charts for all these patients were reviewed and information regarding their demographics, underlying medical conditions, therapy, microbiologic markers of response to therapy, hospitalizations, and participation in supervised housing programs was recorded.
The sputum culture conversion and treatment completion rates for those housed in the YMCA were 100 and 84.6%, respectively.
Of the patients in the Bissell House program, 100% had converted their smear and culture.
In addition, all patients in this program completed an adequate course of supervised therapy.
These rates of microbiologic conversion and treatment completion compare favorably with historical data from San Diego County and other locations. (...)
Mots-clés Pascal : Tuberculose, Mycobactériose, Bactériose, Infection, Homme, Programme sanitaire, Sans domicile fixe, Logement habitation, Traitement, Chimiothérapie, Efficacité traitement, Antituberculeux, Coût, Economie santé, Observance médicamenteuse, Antibiotique
Mots-clés Pascal anglais : Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Human, Sanitary program, Homeless, Housing, Treatment, Chemotherapy, Treatment efficiency, Antituberculous agent, Costs, Health economy, Drug compliance, Antibiotic
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0108695
Code Inist : 002B05B02O. Création : 16/11/1999.