Prevalence of tuberculin reacting and prevalence of risk factors for the development of active tuberculosis in a nursing home in Puerto Rico
P. R. health sci. j
;
15(1): 27-31, mar. 1996. tab
Article
in English
| LILACS
| ID: lil-212511
ABSTRACT
A total of 91 nursing home patients were evaluated to determine the prevalence of tuberculous infection and the prevalence of risk factors for active TB in those with positive tuberculin reactions. Overall prevalence rate for positive PPD was 42.9 percent No association was found between revalence of positive PPD and time since admission to the nursing home. The most prevalent risk factors for active TB among PPD positive patients were diabetes mellitus (38.5percent), being 10 percent below ideal body weight (25.6 percent), chest X ray with fibrotic changes (13.2 percent), and carcinoma of oropharynx (5.1 percent). Twenty-one patients (53.8 percent) of patients with positive test) met criteria for prophylactic treatment with isoniazid. This study detected a high prevalence of positive PPD reactions in this nursing home population and a high prevalence of risk factors for the development of active TB in the group with positive reaction to PPD. Due to the high risk for the development of active tuberculosis in this population, aggressive screening and preventive therapy are mandatory
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Index:
LILACS (Americas)
Main subject:
Tuberculosis, Pulmonary
/
Tuberculin Test
/
Mass Screening
/
Nursing Homes
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
/
Screening study
Limits:
Aged80
/
Female
/
Humans
/
Male
Country/Region as subject:
Caribbean
/
Puerto Rico
Language:
English
Journal:
P. R. health sci. j
Journal subject:
Medicine
Year:
1996
Type:
Article
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