Tuberculosis control in a large urban jail: discordance between policy and reality.
J Public Health Manag Pract
; 14(5): 442-7, 2008.
Article
in En
| MEDLINE
| ID: mdl-18708887
ABSTRACT
OBJECTIVE:
This study evaluated adherence to tuberculosis control guidelines, published by the Centers for Disease Control and Prevention in 1996, in a large urban jail. Jails are a critical locale because of high risk for tuberculosis transmission in a congregate setting.METHODS:
Symptom screening at intake into the facility was systematically observed. Medical records were reviewed to measure timing of tuberculin skin testing (TST) and chest radiograph (CXR) screening. Isolation records were examined for airborne infectious isolation practices. Contact investigation practices were evaluated for ease of data retrieval and adherence to CDC guidelines.RESULTS:
A TB symptom screening question was asked correctly during 28/97 of intake health interviews. Median time from intake to TST was 3 days for men and 2 days for women. Median time from referral to CXR was 2 days for men and 7 days for women. Delays were noted in diagnostic testing of 51 detainees isolated for suspected TB. Contact investigations lacked comprehensive procedures, data collection forms, and databases for managing information.CONCLUSION:
Findings were used to refine protocols for TB control. This evaluation illustrated the need for ongoing assessment of adherence to TB control protocols in short-term correctional settings to prevent the spread of TB.
Full text:
1
Database:
MEDLINE
Main subject:
Prisons
/
Tuberculosis, Pulmonary
/
Communicable Disease Control
/
Mass Screening
/
Guideline Adherence
Type of study:
Diagnostic_studies
/
Evaluation_studies
/
Guideline
/
Prognostic_studies
/
Qualitative_research
/
Screening_studies
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
America do norte
Language:
En
Year:
2008
Type:
Article