Tuberculosis in the homeless.
Tuberculosis in the homeless.
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DOI：
10.1001/archfami.4.6.541
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发表时间：
1995-06-01
期刊：
影响因子：
--
通讯作者：
Fredman, L
中科院分区：
文献类型：
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作者：
Barclay, D M 3rd;Richardson, J P;Fredman, L
无家可归者中结核病的流行率正在上升。无家可归者中存在的人体免疫机能丧失病毒和耐多药结核病是造成这种高流行率的原因。几个因素，包括酗酒、滥用药物和精神疾病，联合收割机结合起来，使得无家可归者的结核病难以诊断和治疗。医疗服务提供者可能会在许多环境中遇到无家可归的人，包括急诊室，社区和免费诊所，公立医院和健康维护组织。应与当地卫生部门合作进行适当的筛查、预防和治疗。直接观察疗法和疾病控制和预防中心公布的治疗方案的使用改善了无家可归者的治疗效果。
The prevalence of tuberculosis in the homeless is on the rise. The presence of human immunodeficiency virus and multidrug-resistant tuberculosis in the homeless has contributed to this high prevalence. Several factors, including alcoholism, substance abuse, and psychiatric illness, combine to make it difficult to diagnose and treat tuberculosis in the homeless. Medical providers are likely to encounter homeless individuals in a number of settings, including emergency departments, community and free clinics, public hospitals, and health maintenance organizations. Appropriate screening, prevention, and treatment should be undertaken in collaboration with local health departments. The use of directly observed therapy and of the treatment regimens published by the Centers for Disease Control and Prevention improves treatment outcomes among the homeless.