title: Tuberculosis prevention and control in long-term-care facilities for older adults.
abstract: 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.
authors.affiliation: Infection Control Department, University of California Irvine Medical Center, Orange, California, USA.
authors.forename: Lauri
authors.initials: L
authors.lastname: Thrupp
authors.forename: Suzanne
authors.initials: S
authors.lastname: Bradley
authors.forename: Philip
authors.initials: P
authors.lastname: Smith
authors.forename: Andrew
authors.initials: A
authors.lastname: Simor
authors.forename: Nelson
authors.initials: N
authors.lastname: Gantz
authors.forename: Kent
authors.initials: K
authors.lastname: Crossley
authors.forename: Mark
authors.initials: M
authors.lastname: Loeb
authors.forename: Larry
authors.initials: L
authors.lastname: Strausbaugh
authors.forename: Lindsay
authors.initials: L
authors.lastname: Nicolle
mesh_terms: D000368:Aged; D000375:Aging; D000995:Antitubercular Agents / Q000627:therapeutic use*; D003937:Diagnosis, Differential; D019317:Evidence-Based Medicine; D006801:Humans; D015994:Incidence; D008134:Long-Term Care; D014374:Tuberculin Test; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control* / Q000635:transmission*; D014481:United States
chemical_list: D000995:Antitubercular Agents