Americans’ Knowledge and Perceived Risk of Tuberculosis

اختصاصی از فی دوو Americans’ Knowledge and Perceived Risk of Tuberculosis دانلود با لینک مستقیم و پر سرعت .

Abstract Tuberculosis (TB) has resurged as a major public
health problem in the United States, but there is minimal
information on the public’s knowledge of TB. The general
population must become aware of the seriousness of the
reemergence of TB. Using data from the National Health
Interview Survey Supplement, this study examined knowledge
and perceived risk of TB of 14,727 U.S. respondents. Results
demonstrated some general knowledge of TB, several misconceptions,
and low concern regarding their risk of contracting TB.
Only 10.2% of the respondents perceived risk for themselves.
Respondents reported perceived knowledge of TB at a high level,
while their actual knowledge was lower. Gender, education,
income, and ethnicity were associated with knowledge and
perceived risk. Older people responded correctly to questions
about TB knowledge more often than younger people. Conclusions
were that public health nursing efforts need to be redirected
toward health education regarding TB risk and spread, complementing
existing screening and therapy programs.

Screening of Immigrants and Refugees for Pulmonary Tuberculosis in San Diego County, California

اختصاصی از فی دوو Screening of Immigrants and Refugees for Pulmonary Tuberculosis in San Diego County, California دانلود با لینک مستقیم و پر سرعت .

Study objectives: To evaluate the outcomes of a tuberculosis (TB) screening program for recent
immigrants to San Diego County, CA, and to compare the demographic and clinical characteristics
of pulmonary TB cases occurring in recently arrived foreign-born persons detected through
this screening with those of similar cases found through routine surveillance.
Design: Retrospective review of computer databases and medical records.
Setting: Local public health department.
Patients: Recent immigrants and refugees classified as TB suspects in their country of departure
and foreign-born patients with active TB detected through routine surveillance.
Results: Five hundred seventy-one of 658 immigrants and refugees (87%) of completed screening.
Thirty-nine subjects (7%) were found to have active TB, and 433 subjects (76%) were found to
have latent TB. A diagnosis of active TB was associated with age of 25 to 44 years (odds ratio, 3.6;
95% confidence interval, 1.1 to 11.6) and A (odds ratio, 25.7; 95% confidence interval, 1.3 to
512.2) or B1 classifications (odds ratio, 4.3; 95% confidence interval, 1.5 to 12.5). Cases detected
through screening comprised 12% of all reported foreign-born persons with active TB. Compared
to other recently arrived foreign-born persons with active TB, those detected through
immigrant screening were more likely to be Asian and born in the Philippines and less likely to
have advanced disease.
Conclusions: Most immigrants and refugees classified as TB suspects by foreign screening
completed the US screening process, which had a high yield for detecting active and latent TB.
Only a minority of foreign-born persons (12%) with active TB were discovered through this
program, however, and additional measures are needed to facilitate early case finding in other
foreign-born populations. (CHEST 2004; 126:1777–1782)
Key words: immigrant; refugee; screening; tuberculosis

Tuberculosis in pregnancy – Case studies and a review of Australia’s screening process

اختصاصی از فی دوو Tuberculosis in pregnancy – Case studies and a review of Australia’s screening process دانلود با لینک مستقیم و پر سرعت .

Fergus P. McCARTHY,1 Shelley ROWLANDS1 and Michelle GILES2
1Obstetrics Department and 2Infectious Diseases, Royal Women’s Hospital, Carlton, Victoria, Australia
Abstract
Few changes have occurred in the management of tuberculosis over the past two decades and many of the recent
developments are in the area of diagnostics. The application of these to the pregnant population is not yet established.
Two cases recently managed at the Royal Women’s Hospital, Melbourne highlight the need for clinicians managing pregnant
women to rethink this condition and, with changes in migration and epidemiology, reconsider our screening practice.
Key words: pregnancy, screening, tuberculosis.