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Tuberculosis in Long-Term–Care Facilities

Published online by Cambridge University Press:  02 January 2015

Philip W. Smith ,
Shobita Rajagopalan  and
Thomas T. Yoshikawa
Shobita Rajagopalan*
Affiliation:
Department of Internal Medicine, Charles R. Drew University of Medicineand Science, King-Drew Medical Center, Los Angeles, California Division of Infectious Diseases, Charles R. Drew University of Medicineand Science, King-Drew Medical Center, Los Angeles, California
Thomas T. Yoshikawa
Affiliation:
Department of Internal Medicine, Charles R. Drew University of Medicineand Science, King-Drew Medical Center, Los Angeles, California
*
Department of Internal Medicine, Division of Infectious Disease, Mailpoint 11, Room 4015, King-Drew Medical Center, 12021 South Wilmington Ave, Los Angeles, CA 90059
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Abstract

The geriatric population represents the largest reservoir of Mycobacterium tuberculosis infection in developed nations, including the United States. Tuberculosis (TB) case rates in the United States are highest for this age group compared with other age categories. The subtle clinical manifestations of TB in the elderly often can pose potential diagnostic dilemmas and therapeutic challenges, resulting in increased morbidity and mortality in this age group; this treatable infection unfortunately often is detected only at autopsy. Compared with their community-dwelling counterparts, the institutionalized elderly are at a greater risk both for reactivation of latent TB and for the acquisition of new TB infection. Prevention and control of TB in facilities providing long-term care to the elderly thus cannot be overemphasized.

Type
Topics in Long-Term Care
Information
Infection Control & Hospital Epidemiology , Volume 21 , Issue 9 , September 2000 , pp. 611 - 616
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2000

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