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Tuberculosis Prevention and Control in Long-Term–Care Facilities for Older Adults

Published online by Cambridge University Press:  02 January 2015

Lauri Thrupp ,
Suzanne Bradley ,
Philip Smith ,
Andrew Simor ,
Nelson Gantz ,
Kent Crossley ,
Mark Loeb ,
Larry Strausbaugh ,
Lindsay Nicolle  and
SHEA Long-Term-Care Committee
Lauri Thrupp*
Affiliation:
Infection Control Department, University of California Irvine Medical Center, Orange, California
Suzanne Bradley
Affiliation:
Department of Internal Medicine, University of Michigan Medical School & Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan
Philip Smith
Affiliation:
Department of Internal Medicine/Infectious Diseases, University of Nebraska Medical Center, Omaha, Nebraska
Andrew Simor
Affiliation:
Department of Microbiology, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario, Canada
Nelson Gantz
Affiliation:
Infectious Diseases Department, Boulder Community Hospital, Boulder, Colorado
Kent Crossley
Affiliation:
Departments of Education and Internal Medicine, Minneapolis VA Medical Center and theUniversity of Minnesota Medical School, Minneapolis, Minnesota
Mark Loeb
Affiliation:
Department of Clinical Epidemiology and Biostatistics, McMaster University and Hamilton Regional Laboratory Program, Hamilton, Ontario, Canada
Larry Strausbaugh
Affiliation:
Portland VA Medical Center andOregon Health Sciences University School of Medicine, Portland, Oregon
Lindsay Nicolle
Affiliation:
Department of Medicine, Health Sciences Centre, Winnipeg, Manitoba, Canada
*
University of California Irvine Medical Center, Bldg. 53, Rm. 220, 101 the City Drive, Orange, CA 92868
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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.

Type
SHEA Position Paper
Information
Infection Control & Hospital Epidemiology , Volume 25 , Issue 12 , December 2004 , pp. 1097 - 1108
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2004

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