title: [Investigation on preventive measures of tuberculosis infection and onset of tuberculosis in nursing homes for the aged].
abstract: The need to strength on preventive measures of tuberculosis infection in Japanese medical institutions (include nursing homes) has been discussed in recent several years. The actual performance of measures to prevent the spread of tuberculosis infection among employees in hospitals has gradually become clearer, and various trials to improve the performance have simultaneously been made. However, actual performance of these preventive measures has not yet become clear in nursing homes for the aged. Therefore, we assessed actual status of preventive measures of infection and the incidence of tuberculosis among employees and residents in nursing homes for the aged where there are many elderly persons who are almost bed ridden, and we intended to solve problems in preventive measures for tuberculosis in welfare facilities for the aged. Measures to prevent infection were well considered in a few facilities, but these measures were in general not sufficient. The incidence of tuberculosis among employees and residents were lower compared with these in the age-matched general population, however, it could be possible that there was no responses from the welfare facilities where outbreak of tuberculosis was present. We outlined the essential points for concrete measures to prevent tuberculosis infection in nursing homes for the aged.
authors.affiliation: Research Institute of Tuberculosis, JATA, 3-1-24, Matsuyama, Kiyose-shi, Tokyo 204-8533, Japan. sshishido@jata.or.jp
authors.forename: Shinji
authors.initials: S
authors.lastname: Shishido
authors.forename: Toru
authors.initials: T
authors.lastname: Mori
mesh_terms: D000328:Adult; D000368:Aged; D003428:Cross Infection / Q000517:prevention & control*; D006707:Homes for the Aged; D006801:Humans; D008875:Middle Aged; D014376:Tuberculosis / Q000517:prevention & control*