Universal radiographic screening for tuberculosis among inmates upon admission to jail.

Abstract:

OBJECTIVES:This study evaluated the efficacy of radiographic screening for tuberculosis in correctional facilities. METHODS:Inmates at an admission facility in New York, NY, were screened for tuberculosis by registry cross-match, symptom interviews, tuberculin testing, and chest radiography. RESULTS:Thirty-two cases of tuberculosis were detected among 4172 inmate admissions (767 cases per 100,000). Twenty-five inmates (78%) were previously diagnosed but incompletely treated; all were identified by registry cross-match. Seven inmates (22%) were newly diagnosed, of whom four (57%) were asymptomatic, had negative skin tests, and were detected only by their abnormal radiographs. CONCLUSIONS:Screening strategies that limit radiographic testing to inmates with either positive skin tests or symptoms may result in missed opportunities for diagnosing active tuberculosis.

journal_name

Am J Public Health

authors

Layton MC,Henning KJ,Alexander TA,Gooding AL,Reid C,Heyman BM,Leung J,Gilmore DM,Frieden TR

doi

10.2105/ajph.87.8.1335

subject

Has Abstract

pub_date

1997-08-01 00:00:00

pages

1335-7

issue

8

eissn

0090-0036

issn

1541-0048

journal_volume

87

pub_type

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