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Tuberculosis prevention and control ...

DeRiemer, Kathryn Lacey.

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Tuberculosis prevention and control strategies in areas of low and high incidence.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Tuberculosis prevention and control strategies in areas of low and high incidence./
作者:	DeRiemer, Kathryn Lacey.
面頁冊數:	182 p.
附註:	Source: Dissertation Abstracts International, Volume: 61-03, Section: B, page: 1352.
Contained By:	Dissertation Abstracts International61-03B.
標題:	Health Sciences, Public Health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9966354
ISBN:	9780599711297

Tuberculosis prevention and control strategies in areas of low and high incidence.
DeRiemer, Kathryn Lacey.

Tuberculosis prevention and control strategies in areas of low and high incidence. - 182 p.

Source: Dissertation Abstracts International, Volume: 61-03, Section: B, page: 1352.

Thesis (Ph.D.)--University of California, Berkeley, 1999.

Several studies that explore different approaches to tuberculosis prevention and control strategies in areas of low and high tuberculosis (TB) incidence, are the focus of this dissertation.

ISBN: 9780599711297Subjects--Topical Terms:

1017659
Health Sciences, Public Health.

Tuberculosis prevention and control strategies in areas of low and high incidence.
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502 $a Thesis (Ph.D.)--University of California, Berkeley, 1999.
520 $a Several studies that explore different approaches to tuberculosis prevention and control strategies in areas of low and high tuberculosis (TB) incidence, are the focus of this dissertation.
520 $a In areas of low TB incidence, such as the San Francisco Bay Area, California, cases of active TB are relatively uncommon in the general population and specific approaches targeted to high-incidence groups, such as persons with human immunodeficiency virus (HIV) infection and foreign-born persons, are used to find and treat cases caused by the etiologic agent, Mycobacterium tuberculosis. Tuberculosis can be prevented among HIV-infected persons by screening for latent TB infection and initiating chemoprophylaxis, if indicated. In a cross-sectional survey of physicians, we found that physician knowledge about and experience with TB screening among persons with HIV infection was low. In a retrospective cohort study, we found a high number of active TB cases and persons who would benefit from chemoprophylaxis among foreign-born immigrants and refugees who arrived in the United States with a referral for further medical evaluation of TB.
520 $a An additional study examined missed opportunities to prevent TB-related mortality in San Francisco, identifying the factors associated with a diagnosis of TB only after death. We determined that such cases were not major sources of TB transmission in the community.
520 $a The second series of studies describes work in an area of high incidence of TB disease and infection, Rio de Janeiro City, Brazil. First, we performed an assessment of the descriptive epidemiologic features of TB in this densely populated urban center. An ecological analysis of TB and AIDS cases examined the patterns and trends of HIV testing among TB patients. Our results show that HIV testing among persons with TB in Rio de Janeiro City is selective, and that opportunities for early detection and treatment of HIV disease among TB patients are being lost. Using a matched case-control study design, the factors associated with defaulting from treatment among sputum-smear positive, pulmonary TB patients were examined.
520 $a The studies highlight the need for increased integration between TB and HIV research efforts and public health programs, and indicate areas for additional research.
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