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. 1993 May-Jun;108(3):305–314.

Results of a 29-state survey of tuberculosis in nursing homes and correctional facilities.

M D Hutton 1, G M Cauthen 1, A B Bloch 1
PMCID: PMC1403381  PMID: 8497568

Abstract

A survey of the 15,379 cases of tuberculosis reported to the Centers for Disease Control and Prevention by 29 State health departments in 1984 and 1985 revealed that 7.7 percent of the victims older than age 64 were living in a nursing home at the time of diagnosis and 1.8 percent between the ages of 15 and 64 were living in a correctional institution at the time of diagnosis. Incidence rates of tuberculosis for residents of nursing homes and for inmates of Federal and State prisons and local jails were estimated using denominators derived from institutional population counts provided by the National Center for Health Statistics and by the Department of Justice, Bureau of Justice Statistics, and Bureau of Prisons. The aggregate tuberculosis incidence rate for nursing home residents in the 29 States was 1.8 times higher than the rate seen in elderly persons who were living in the community (95 percent confidence interval on the relative risk 1.64, 2.02). The aggregate tuberculosis incidence rate for inmates in correctional facilities was 3.9 times higher than the rate for persons of a similar age who were not incarcerated (95 percent confidence interval on the relative risk 3.35, 4.49). Strengths and limitations of the design and implications of the first survey of tuberculosis incidence, in a large number of States, among residents of nursing homes and correctional facilities are discussed.

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Selected References

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  1. Braun M. M., Truman B. I., Maguire B., DiFerdinando G. T., Jr, Wormser G., Broaddus R., Morse D. L. Increasing incidence of tuberculosis in a prison inmate population. Association with HIV infection. JAMA. 1989 Jan 20;261(3):393–397. [PubMed] [Google Scholar]
  2. Brennen C., Muder R. R., Muraca P. W. Occult endemic tuberculosis in a chronic care facility. Infect Control Hosp Epidemiol. 1988 Dec;9(12):548–552. doi: 10.1086/645774. [DOI] [PubMed] [Google Scholar]
  3. Friedman L. N., Sullivan G. M., Bevilaqua R. P., Loscos R. Tuberculosis screening in alcoholics and drug addicts. Am Rev Respir Dis. 1987 Nov;136(5):1188–1192. doi: 10.1164/ajrccm/136.5.1188. [DOI] [PubMed] [Google Scholar]
  4. GRZYBOWSKI S., ALLEN E. A. THE CHALLENGE OF TUBERCULOSIS IN DECLINE. A STUDY BASED ON THE EPIDEMIOLOGY OF TUBERCULOSIS IN ONTARIO, CANADA. Am Rev Respir Dis. 1964 Nov;90:707–720. doi: 10.1164/arrd.1964.90.5.707. [DOI] [PubMed] [Google Scholar]
  5. Jereb J. A., Kelly G. D., Dooley S. W., Jr, Cauthen G. M., Snider D. E., Jr Tuberculosis morbidity in the United States: final data, 1990. MMWR CDC Surveill Summ. 1991 Dec;40(3):23–27. [PubMed] [Google Scholar]
  6. King L., Geis G. Tuberculosis transmission in a large urban jail. JAMA. 1977 Feb 21;237(8):791–792. [PubMed] [Google Scholar]
  7. Morse D. L., Truman B. I., Hanrahan J. P., Mikl J., Broaddus R. K., Maguire B. H., Grabau J. C., Kain-Hyde S., Han Y., Lawrence C. E. AIDS behind bars. Epidemiology of New York State prison inmate cases, 1980-1988. N Y State J Med. 1990 Mar;90(3):133–138. [PubMed] [Google Scholar]
  8. Powell K. E., Farer L. S. The rising age of the tuberculosis patient: a sign of success and failure. J Infect Dis. 1980 Dec;142(6):946–948. doi: 10.1093/infdis/142.6.946. [DOI] [PubMed] [Google Scholar]
  9. Salive M. E., Vlahov D., Brewer T. F. Coinfection with tuberculosis and HIV-1 in male prison inmates. Public Health Rep. 1990 May-Jun;105(3):307–310. [PMC free article] [PubMed] [Google Scholar]
  10. Selwyn P. A., Hartel D., Lewis V. A., Schoenbaum E. E., Vermund S. H., Klein R. S., Walker A. T., Friedland G. H. A prospective study of the risk of tuberculosis among intravenous drug users with human immunodeficiency virus infection. N Engl J Med. 1989 Mar 2;320(9):545–550. doi: 10.1056/NEJM198903023200901. [DOI] [PubMed] [Google Scholar]
  11. Stead W. W., Lofgren J. P. Does the risk of tuberculosis increase in old age? J Infect Dis. 1983 May;147(5):951–955. doi: 10.1093/infdis/147.5.951. [DOI] [PubMed] [Google Scholar]
  12. Stead W. W., Lofgren J. P., Warren E., Thomas C. Tuberculosis as an endemic and nosocomial infection among the elderly in nursing homes. N Engl J Med. 1985 Jun 6;312(23):1483–1487. doi: 10.1056/NEJM198506063122304. [DOI] [PubMed] [Google Scholar]
  13. Stead W. W., To T. The significance of the tuberculin skin test in elderly persons. Ann Intern Med. 1987 Dec;107(6):837–842. doi: 10.7326/0003-4819-107-6-837. [DOI] [PubMed] [Google Scholar]
  14. Stead W. W. Tuberculosis among elderly persons: an outbreak in a nursing home. Ann Intern Med. 1981 May;94(5):606–610. doi: 10.7326/0003-4819-94-5-606. [DOI] [PubMed] [Google Scholar]
  15. Stead W. W. Undetected tuberculosis in prison. Source of infection for community at large. JAMA. 1978 Dec 1;240(23):2544–2547. doi: 10.1001/jama.240.23.2544. [DOI] [PubMed] [Google Scholar]
  16. Vladeck B. C. Sounding board. Understanding long-term care. N Engl J Med. 1982 Sep 30;307(14):889–890. doi: 10.1056/NEJM198209303071411. [DOI] [PubMed] [Google Scholar]

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