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Infection Control and Hospital Epidemiology Publication Info

Article DOI: 10.1086/502350
Stable URL: http://www.jstor.org/stable/10.1086/502350
Tuberculosis Prevention and Control in Long‐Term–Care Facilities for Older Adults • 
Lauri Thrupp , MD, Suzanne Bradley , MD, Philip Smith , MD, Andrew Simor , MD, Nelson Gantz , MD, Kent Crossley , MD, Mark Loeb , MD, Larry Strausbaugh , MD and Lindsay Nicolle , MD
Infection Control and Hospital Epidemiology , Vol. 25, No. 12 (December 2004), pp. 1097-1108
Article DOI: 10.1086/502350
Article Stable URL: http://www.jstor.org/stable/10.1086/502350
SHEA Position Paper

Tuberculosis Prevention and Control in Long‐Term–Care Facilities for Older Adults

Formats Available in JSTOR: PDF

Abstract(back to top)

In the United States, older adults comprise 22% of cases of tuberculous disease but only 12% of the population. Most cases of tuberculosis (TB) occur in community dwellers, but attack rates are highest among frail residents of long‐term–care facilities. The detection and treatment of latent TB infection and TB disease can pose special challenges in older adults. Rapid recognition of possible disease, diagnosis, and implementation of airborne precautions are essential to prevent spread. It is the intent of this evidence‐based guideline to assist healthcare providers in the prevention and control of TB, specifically in skilled nursing facilities for the elderly.

Bibliographic Information(back to top)

  • Tuberculosis Prevention and Control in Long‐Term–Care Facilities for Older Adults
  • Lauri Thrupp , MD, Suzanne Bradley , MD, Philip Smith , MD, Andrew Simor , MD, Nelson Gantz , MD, Kent Crossley , MD, Mark Loeb , MD, Larry Strausbaugh , MD and Lindsay Nicolle , MD
  • Infection Control and Hospital Epidemiology
  • Vol. 25, No. 12 (December 2004) (pp. 1097-1108)

Author Information(back to top)

Lauri Thrupp , MD; Suzanne Bradley , MD; Philip Smith , MD; Andrew Simor , MD; Nelson Gantz , MD; Kent Crossley , MD; Mark Loeb , MD; Larry Strausbaugh , MD; Lindsay Nicolle , MD; the

Notes and References(back to top)

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Notes

Dr. Thrupp is from the Infection Control Department, University of California Irvine Medical Center, Orange, California. Dr. Bradley is from the Department of Internal Medicine, University of Michigan Medical School & Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan. Dr. Smith is from the Department of Internal Medicine/Infectious Diseases, University of Nebraska Medical Center, Omaha, Nebraska. Dr. Simor is from the Department of Microbiology, Sunnybrook and Women’s College Health Sciences Centre, Toronto, Ontario, Canada. Dr. Gantz is from the Infectious Diseases Department, Boulder Community Hospital, Boulder, Colorado. Dr. Crossley is from the Departments of Education and Internal Medicine, Minneapolis VA Medical Center and the University of Minnesota Medical School, Minneapolis, Minnesota. Dr. Loeb is from the Department of Clinical Epidemiology and Biostatistics, McMaster University and Hamilton Regional Laboratory Program, Hamilton, Ontario, Canada. Dr. Strausbaugh is from the Portland VA Medical Center and Oregon Health Sciences University School of Medicine, Portland, Oregon. Dr. Nicolle is from the Department of Medicine, Health Sciences Centre, Winnipeg, Manitoba, Canada.*Members of the SHEA Long‐Term–Care Committee include Sky Blue, MD; Suzanne Bradley, MD; Kent Crossley, MD; R. Brooks Gainer, MD; Nelson Gantz, MD; Mark Loeb, MD; Lindsay Nicolle, MD; Rodolfo Quiros, MD: Andrew Simor, MD; Philip Smith, MD; Lynn Steele, MS, CIC; Kurt Stevenson, MD; Larry Strausbaugh, MD; and Lauri Thrupp, MD.Address reprint requests to Lauri D. Thrupp, MD, Chief Infection Control, University of California Irvine Medical Center, Bldg. 53, Rm. 220, 101 the City Drive, Orange, CA 92868.The authors thank the members of the SHEA Committee on Occupational Health for their careful review of this manuscript and thoughtful comments.

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© 2004 by The Society for Healthcare Epidemiology of America. All rights reserved.