Tuberculosis prevention and control in long-term-care facilities for older adults.
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.
Thrupp
Lauri
L
Infection Control Department, University of California Irvine Medical Center, Orange, California, USA.
Bradley
Suzanne
S
Smith
Philip
P
Simor
Andrew
A
Gantz
Nelson
N
Crossley
Kent
K
Loeb
Mark
M
Strausbaugh
Larry
L
Nicolle
Lindsay
L
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
D000995:Antitubercular Agents