PMID- 32705451
OWN - NLM
STAT- MEDLINE
DCOM- 20210818
LR  - 20210818
IS  - 1557-1920 (Electronic)
IS  - 1557-1912 (Linking)
VI  - 23
IP  - 3
DP  - 2021 Jun
TI  - Programmatic Effectiveness of Latent Tuberculosis Care Cascade in a Community 
      Health Center.
PG  - 566-573
LID - 10.1007/s10903-020-01047-w [doi]
AB  - Our aim was to quantify successful completion of steps of the latent tuberculosis 
      (LTBI) care cascade in a community health center (CHC) with a large foreign-born 
      population. We conducted a retrospective cohort study of individuals with a 
      positive test for tuberculosis (TB) infection from 2015 to 2017 at Baltimore 
      Medical Systems (BMS). During the study period, 3,984 individuals were tested for 
      TB. Of the 418 individuals with positive tests, 152 (36%) were referred elsewhere 
      for care, whereas 266 (64%) were retained in care at BMS. Treatment was 
      prescribed for 157 of the 214 (73%) diagnosed with LTBI and retained in care at 
      BMS (125/157 [80%] four months of rifampin; 32/157 [20%] nine months of 
      isoniazid). One hundred forty-one patients (141/157, 90%) initiated treatment, of 
      which 119 completed therapy (119/141, 84%). Our study identified several gaps in 
      the LTBI care cascade in a CHC. Nonetheless, a large proportion of those treated 
      for LTBI at the CHC completed therapy.
FAU - Prater, Christopher
AU  - Prater C
AUID- ORCID: 0000-0002-4315-3766
AD  - Washington University School of Medicine, Department of Medicine, Division of 
      General Medicine, St. Louis, MO, USA. cwprater@wustl.edu.
FAU - Holzman, Samuel
AU  - Holzman S
AD  - Johns Hopkins University School of Medicine, Department of Medicine, Division of 
      Infectious Disease, Baltimore, MD, USA.
AD  - Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
FAU - Shah, Maunank
AU  - Shah M
AD  - Johns Hopkins University School of Medicine, Department of Medicine, Division of 
      Infectious Disease, Baltimore, MD, USA.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Immigr Minor Health
JT  - Journal of immigrant and minority health
JID - 101256527
RN  - 0 (Antitubercular Agents)
RN  - V83O1VOZ8L (Isoniazid)
SB  - IM
MH  - Antitubercular Agents/therapeutic use
MH  - Community Health Centers
MH  - Humans
MH  - Isoniazid
MH  - *Latent Tuberculosis/diagnosis/drug therapy/epidemiology
MH  - Retrospective Studies
OTO - NOTNLM
OT  - Community health center
OT  - Foreign-born population
OT  - TB care cascade
OT  - Tuberculosis
EDAT- 2020/07/25 06:00
MHDA- 2021/08/19 06:00
CRDT- 2020/07/25 06:00
PHST- 2020/07/25 06:00 [pubmed]
PHST- 2021/08/19 06:00 [medline]
PHST- 2020/07/25 06:00 [entrez]
AID - 10.1007/s10903-020-01047-w [pii]
AID - 10.1007/s10903-020-01047-w [doi]
PST - ppublish
SO  - J Immigr Minor Health. 2021 Jun;23(3):566-573. doi: 10.1007/s10903-020-01047-w.