Cultural case management of latent tuberculosis infection

Stefan V. Goldberg, J. Wallace, J. C. Jackson, C. P. Chaulk, C. M. Nolan

Research output: Contribution to journalArticlepeer-review

Abstract

SETTING: The proportion of tuberculosis (TB) among foreign-born individuals in the United States is steadily increasing. Treatment of latent TB infection can prevent future cases of disease, although generally only 60% of patients who start a 6-month regimen of isoniazid complete therapy. OBJECTIVE: Cultural case management-employing case manager cultural mediators who serve patient-defined needs in addition to performing TB control functions-may improve results of testing and treatment in one high-risk group, new refugees. DESIGN: A cultural case management approach was established for finding and treating latent TB infection among three groups of new refugees: from the former Soviet Union (FSU), former Yugoslavia (FY), and Somalia. RESULTS: From July 1999 through December 2000, treatment was offered to 442 refugees, of whom 389 (88%) started and 319 (82%) completed therapy. The completion rate among starters from the FSU was 76%, for those from FY it was 94% and for those from Somalia it was 88%. Among all refugees to whom treatment was offered, 319/442 (72%) completed therapy. CONCLUSION: Cultural case management may be a useful tool for expanding treatment of latent TB infection among foreign-born individuals.

Original languageEnglish (US)
Pages (from-to)76-82
Number of pages7
JournalInternational Journal of Tuberculosis and Lung Disease
Volume8
Issue number1
StatePublished - Jan 1 2004

Keywords

  • Case management
  • Refugees
  • Tuberculosis
  • Tuberculosis infection

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Infectious Diseases

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