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1996-03-30
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Document 0993
DOCN M9650993
TI Tuberculosis in drug users.
DT 9505
AU Perlman DC; Salomon N; Perkins MP; Yancovitz S; Paone D; Des Jarlais DC;
Department of Medicine, Beth Israel Medical Center, New York, New; York
10003, USA.
SO Clin Infect Dis. 1995 Nov;21(5):1253-64. Unique Identifier : AIDSLINE
MED/96126012
AB The rise in tuberculosis (TB) has disproportionately affected specific
populations. Historically, many patients with TB became iatrogenic
opiate addicts through therapeutic use of these drugs for symptom
control. Demographic trends reshaped the relationship between drug use
and TB into one in which drug use became a risk factor for tuberculosis
as a result of the overlap of epidemiological and social factors
associated with both drug use and TB. The spread of human
immunodeficiency virus infection has amplified the spread of TB among
drug users. We review the epidemiology of TB in drug users as well as
the factors relevant to screening and compliance in drug-using
populations. Drug users constitute a high-risk group for whom screening,
prevention of infection, diagnosis, and treatment pose particular
challenges. The development of TB services capable of engaging drug
users (those both in and out of drug treatment programs) has potential
for disrupting a significant chain of rapid TB transmission.
DE AIDS-Related Opportunistic Infections/COMPLICATIONS/EPIDEMIOLOGY
Epidemiologic Factors Female Human Male Mass Screening Risk Factors
Substance Abuse/*COMPLICATIONS Support, U.S. Gov't, P.H.S.
Tuberculosis, Multidrug-Resistant/COMPLICATIONS/EPIDEMIOLOGY
Tuberculosis, Pulmonary/*COMPLICATIONS/EPIDEMIOLOGY/PREVENTION &
CONTROL United States/EPIDEMIOLOGY JOURNAL ARTICLE REVIEW REVIEW,
ACADEMIC
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).