Unrecognized Tuberculosis in a Nursing Home Causing Death with Spread of Tuberculosis to the Community
dc.contributor.author | Ijaz, Kashef | en_US |
dc.contributor.author | Dillaha, Jennifer A. | en_US |
dc.contributor.author | Yang, Zhenhua | en_US |
dc.contributor.author | Cave, M. Donald | en_US |
dc.contributor.author | Bates, Joseph H. | en_US |
dc.date.accessioned | 2010-04-01T14:51:41Z | |
dc.date.available | 2010-04-01T14:51:41Z | |
dc.date.issued | 2002-07 | en_US |
dc.identifier.citation | Ijaz, Kashef; Dillaha, Jennifer A . ; Yang, Zhenhua; Cave, M. Donald; Bates, Joseph H . (2002). "Unrecognized Tuberculosis in a Nursing Home Causing Death with Spread of Tuberculosis to the Community." Journal of the American Geriatrics Society 50(7): 1213-1218. <http://hdl.handle.net/2027.42/65314> | en_US |
dc.identifier.issn | 0002-8614 | en_US |
dc.identifier.issn | 1532-5415 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/65314 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=12133015&dopt=citation | en_US |
dc.description.abstract | To determine the reason for an increase in tuberculin skin test (TST) conversion in employees in a nursing home and to determine the source case responsible for spread of tuberculosis (TB) in two nursing homes and a hospital in a rural part of Arkansas using molecular and traditional epidemiological methods. DESIGN: TB contact investigation of residents and employees of two nursing homes and a hospital. SETTING: Two nursing homes and a hospital in rural part of Arkansas. PARTICIPANTS: One hundred fifty-seven employees and 117 residents of two nursing homes and 211 employees of a hospital in rural part of Arkansas MEASUREMENTS: Tuberculin skin test. RESULTS: Analysis of room and work assignments of residents and employees who converted their TSTs in Nursing Home A showed that residents and employees in the same wing as the suspect source case were significantly more likely to have converted their TST than residents and employees in other wings ( P = .01). A nurse from the local hospital where the suspected source case had been sent developed a tuberculous cervical abscess, and one employee in Nursing Home A developed pulmonary TB. A visitor to Nursing Home A was diagnosed with culture-positive pulmonary TB 2 years later. Genotyping of the Mycobacterium tuberculosis isolates from the four secondary cases showed identical patterns. CONCLUSION: Molecular and traditional epidemiological studies revealed an outbreak of TB that began in a nursing home and spread to a second nursing home, a local hospital, and the community. | en_US |
dc.format.extent | 738387 bytes | |
dc.format.extent | 3110 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Blackwell Science Inc | en_US |
dc.rights | 2002 American Geriatrics Society | en_US |
dc.subject.other | Tuberculosis | en_US |
dc.subject.other | Epidemiology | en_US |
dc.subject.other | Nursing Home | en_US |
dc.subject.other | Genotyping | en_US |
dc.title | Unrecognized Tuberculosis in a Nursing Home Causing Death with Spread of Tuberculosis to the Community | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Geriatrics | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | School of Public Health, University of Michigan, Ann Arbor, Michigan. | en_US |
dc.contributor.affiliationother | * Division of Tuberculosis and | en_US |
dc.contributor.affiliationother | Departments of Internal Medicine, | en_US |
dc.contributor.affiliationother | Geriatrics, | en_US |
dc.contributor.affiliationother | Microbiology and Immunology, and | en_US |
dc.contributor.affiliationother | Anatomy, Arkansas Department of Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas; | en_US |
dc.identifier.pmid | 12133015 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/65314/1/j.1532-5415.2002.50307.x.pdf | |
dc.identifier.doi | 10.1046/j.1532-5415.2002.50307.x | en_US |
dc.identifier.source | Journal of the American Geriatrics Society | en_US |
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dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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