Tuberculosis Screening in Boston's Homeless Shelters
From February 1984, through March 1985, a total of 26 cases of tuberculosis (TB) were verified in homeless persons in Boston. Fifteen cases were resistant to isoniazid (INH) and streptomycin (SM) and were most likely the result of a common source exposure to one or possibly two highly infectious per...
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| Veröffentlicht in: | Public health reports (1974) 1986-09, Vol.101 (5), p.487-494 |
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| container_end_page | 494 |
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| container_issue | 5 |
| container_start_page | 487 |
| container_title | Public health reports (1974) |
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| creator | M. Anita Barry Wall, Cynthia Lillian Shirley Bernardo, John Pamela Schwingl Eileen Brigandi Lamb, George A. |
| description | From February 1984, through March 1985, a total of 26 cases of tuberculosis (TB) were verified in homeless persons in Boston. Fifteen cases were resistant to isoniazid (INH) and streptomycin (SM) and were most likely the result of a common source exposure to one or possibly two highly infectious persons. Five cases without multiple drug resistant organisms occurred in persons with previous positive tuberculin tests who had not received adequate therapy for prophylaxis of infection or treatment of disease. The remaining cases were in persons with a previous negative skin test or no history of ever receiving a skin test. A screening program using chest roentgenograms (CXR), skin tests, and sputum smears led to the identification of several cases. CXR, the most readily accepted test, was the mechanism by which all cases detected through screening were identified. Detection and therapy of TB in the homeless, a group at particular risk for disease, required intensive intervention and outreach efforts. |
| format | Article |
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Anita Barry ; Wall, Cynthia ; Lillian Shirley ; Bernardo, John ; Pamela Schwingl ; Eileen Brigandi ; Lamb, George A.</creator><creatorcontrib>M. Anita Barry ; Wall, Cynthia ; Lillian Shirley ; Bernardo, John ; Pamela Schwingl ; Eileen Brigandi ; Lamb, George A.</creatorcontrib><description>From February 1984, through March 1985, a total of 26 cases of tuberculosis (TB) were verified in homeless persons in Boston. Fifteen cases were resistant to isoniazid (INH) and streptomycin (SM) and were most likely the result of a common source exposure to one or possibly two highly infectious persons. Five cases without multiple drug resistant organisms occurred in persons with previous positive tuberculin tests who had not received adequate therapy for prophylaxis of infection or treatment of disease. The remaining cases were in persons with a previous negative skin test or no history of ever receiving a skin test. A screening program using chest roentgenograms (CXR), skin tests, and sputum smears led to the identification of several cases. CXR, the most readily accepted test, was the mechanism by which all cases detected through screening were identified. 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Anita Barry</creatorcontrib><creatorcontrib>Wall, Cynthia</creatorcontrib><creatorcontrib>Lillian Shirley</creatorcontrib><creatorcontrib>Bernardo, John</creatorcontrib><creatorcontrib>Pamela Schwingl</creatorcontrib><creatorcontrib>Eileen Brigandi</creatorcontrib><creatorcontrib>Lamb, George A.</creatorcontrib><title>Tuberculosis Screening in Boston's Homeless Shelters</title><title>Public health reports (1974)</title><addtitle>Public Health Rep</addtitle><description>From February 1984, through March 1985, a total of 26 cases of tuberculosis (TB) were verified in homeless persons in Boston. Fifteen cases were resistant to isoniazid (INH) and streptomycin (SM) and were most likely the result of a common source exposure to one or possibly two highly infectious persons. Five cases without multiple drug resistant organisms occurred in persons with previous positive tuberculin tests who had not received adequate therapy for prophylaxis of infection or treatment of disease. The remaining cases were in persons with a previous negative skin test or no history of ever receiving a skin test. A screening program using chest roentgenograms (CXR), skin tests, and sputum smears led to the identification of several cases. CXR, the most readily accepted test, was the mechanism by which all cases detected through screening were identified. Detection and therapy of TB in the homeless, a group at particular risk for disease, required intensive intervention and outreach efforts.</description><subject>Adult</subject><subject>Aged</subject><subject>Boston</subject><subject>Disease resistance</subject><subject>Drug Resistance, Microbial</subject><subject>Female</subject><subject>Homeless Persons</subject><subject>Homelessness</subject><subject>Housing</subject><subject>Humans</subject><subject>Infections</subject><subject>Isoniazid - pharmacology</subject><subject>Male</subject><subject>Mass Screening - methods</subject><subject>Middle Aged</subject><subject>Mycobacterium tuberculosis</subject><subject>Mycobacterium tuberculosis - drug effects</subject><subject>Public health</subject><subject>Pulmonary tuberculosis</subject><subject>Radiography, Thoracic</subject><subject>Screening tests</subject><subject>Skin tests</subject><subject>Sputum</subject><subject>Sputum - microbiology</subject><subject>Streptomycin - pharmacology</subject><subject>Tuberculin Test</subject><subject>Tuberculosis</subject><subject>Tuberculosis - diagnostic imaging</subject><subject>Tuberculosis - epidemiology</subject><subject>Tuberculosis - microbiology</subject><issn>0033-3549</issn><issn>1468-2877</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkFFLwzAUhYMoc07_gUKf9KmQNLdJ8yLoUCcMfHA-lyS92zraZCat4L-3sjL0vtyH7_AdOCdkykAUaVZIeUqmlHKe8hzUObmIcUeHyxifkAmnCqhUUwKr3mCwfeNjHZN3GxBd7TZJ7ZJHHzvv7mKy8C02GAe8xabDEC_J2Vo3Ea_GPyMfz0-r-SJdvr28zh-W6Y4p2aWmWHOuGTDLq5xlzFCTGSGhUFBVoGVlgVeoGeacgrQAprKFNAKM5ZQPcEbuD959b1qsLLou6Kbch7rV4bv0ui7_E1dvy43_KhlIKcWv4HYUBP_ZY-zKto4Wm0Y79H0spaRCCZUPwZu_TceKcaeBXx_4btgkHDGITKpc8B9ZV29c</recordid><startdate>198609</startdate><enddate>198609</enddate><creator>M. Anita Barry</creator><creator>Wall, Cynthia</creator><creator>Lillian Shirley</creator><creator>Bernardo, John</creator><creator>Pamela Schwingl</creator><creator>Eileen Brigandi</creator><creator>Lamb, George A.</creator><general>U.S. Department of Health and Human Services, Public Health Service, and Health Resources Administration</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>198609</creationdate><title>Tuberculosis Screening in Boston's Homeless Shelters</title><author>M. Anita Barry ; Wall, Cynthia ; Lillian Shirley ; Bernardo, John ; Pamela Schwingl ; Eileen Brigandi ; Lamb, George A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j197t-b8f33a141c3d5121b0b2b674894dd4a7dc43dea1e53047c44bdc87b64bc303c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1986</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Boston</topic><topic>Disease resistance</topic><topic>Drug Resistance, Microbial</topic><topic>Female</topic><topic>Homeless Persons</topic><topic>Homelessness</topic><topic>Housing</topic><topic>Humans</topic><topic>Infections</topic><topic>Isoniazid - pharmacology</topic><topic>Male</topic><topic>Mass Screening - methods</topic><topic>Middle Aged</topic><topic>Mycobacterium tuberculosis</topic><topic>Mycobacterium tuberculosis - drug effects</topic><topic>Public health</topic><topic>Pulmonary tuberculosis</topic><topic>Radiography, Thoracic</topic><topic>Screening tests</topic><topic>Skin tests</topic><topic>Sputum</topic><topic>Sputum - microbiology</topic><topic>Streptomycin - pharmacology</topic><topic>Tuberculin Test</topic><topic>Tuberculosis</topic><topic>Tuberculosis - diagnostic imaging</topic><topic>Tuberculosis - epidemiology</topic><topic>Tuberculosis - microbiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>M. Anita Barry</creatorcontrib><creatorcontrib>Wall, Cynthia</creatorcontrib><creatorcontrib>Lillian Shirley</creatorcontrib><creatorcontrib>Bernardo, John</creatorcontrib><creatorcontrib>Pamela Schwingl</creatorcontrib><creatorcontrib>Eileen Brigandi</creatorcontrib><creatorcontrib>Lamb, George A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Public health reports (1974)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>M. Anita Barry</au><au>Wall, Cynthia</au><au>Lillian Shirley</au><au>Bernardo, John</au><au>Pamela Schwingl</au><au>Eileen Brigandi</au><au>Lamb, George A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tuberculosis Screening in Boston's Homeless Shelters</atitle><jtitle>Public health reports (1974)</jtitle><addtitle>Public Health Rep</addtitle><date>1986-09</date><risdate>1986</risdate><volume>101</volume><issue>5</issue><spage>487</spage><epage>494</epage><pages>487-494</pages><issn>0033-3549</issn><eissn>1468-2877</eissn><abstract>From February 1984, through March 1985, a total of 26 cases of tuberculosis (TB) were verified in homeless persons in Boston. Fifteen cases were resistant to isoniazid (INH) and streptomycin (SM) and were most likely the result of a common source exposure to one or possibly two highly infectious persons. Five cases without multiple drug resistant organisms occurred in persons with previous positive tuberculin tests who had not received adequate therapy for prophylaxis of infection or treatment of disease. The remaining cases were in persons with a previous negative skin test or no history of ever receiving a skin test. A screening program using chest roentgenograms (CXR), skin tests, and sputum smears led to the identification of several cases. CXR, the most readily accepted test, was the mechanism by which all cases detected through screening were identified. Detection and therapy of TB in the homeless, a group at particular risk for disease, required intensive intervention and outreach efforts.</abstract><cop>United States</cop><pub>U.S. Department of Health and Human Services, Public Health Service, and Health Resources Administration</pub><pmid>3094079</pmid><tpages>8</tpages></addata></record> |
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| identifier | ISSN: 0033-3549 |
| ispartof | Public health reports (1974), 1986-09, Vol.101 (5), p.487-494 |
| issn | 0033-3549 1468-2877 |
| language | eng |
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| source | MEDLINE; JSTOR Archive Collection A-Z Listing; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adult Aged Boston Disease resistance Drug Resistance, Microbial Female Homeless Persons Homelessness Housing Humans Infections Isoniazid - pharmacology Male Mass Screening - methods Middle Aged Mycobacterium tuberculosis Mycobacterium tuberculosis - drug effects Public health Pulmonary tuberculosis Radiography, Thoracic Screening tests Skin tests Sputum Sputum - microbiology Streptomycin - pharmacology Tuberculin Test Tuberculosis Tuberculosis - diagnostic imaging Tuberculosis - epidemiology Tuberculosis - microbiology |
| title | Tuberculosis Screening in Boston's Homeless Shelters |
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