Challenges to tuberculin screening and follow-up in an urban Aboriginal sample in Montreal, Canada.

Abstract:

:We sought to describe the prevalence and predictors of tuberculin skin test (TST) reactors in a high-risk sample of urban Aboriginal people, and to evaluate adherence to medical evaluation and latent tuberculosis infection (LTBI) treatment among those with TST reactivity. Of the 164 participants tested, 86% returned for TST reading. Positive TST reactions (>or=10 mm) were observed in 17.7% (25/141, 95% CI 11.4-24.0) of participants, and were associated with older age (OR per 10 year increase 1.8, 95% CI 1.2-2.7) and Inuit Aboriginal group (OR 2.8, 95% CI 1.1-7.3). Only four participants presented for evaluation, of whom one initiated and none completed LTBI treatment. Tuberculin screening in this population can be an effective strategy for identifying TST reactive individuals; however, screening efforts will have minimal impact without additional efforts in this high-risk group.

authors

Brassard P,Anderson KK,Schwartzman K,Macdonald ME,Menzies D

doi

10.1353/hpu.0.0029

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

369-79

issue

2

eissn

1049-2089

issn

1548-6869

pii

S1548686908200057

journal_volume

19

pub_type

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