Trends in Tuberculosis Cases Among Nursing Home Residents, California, 2000 to 2009

摘要: Objectives To examine trends in tuberculosis (TB) incidence and to compare demographic clinical characteristics of nursing home (NH) residents community-dwelling older adults. Design Prospective TB surveillance. Setting TB cases reported California from 2000 2009. Participants TB patients aged 65 older. Measurements Trends per 100,000 population were assessed using Poisson regression. Demographic compared the chi-square or Wilcoxon rank-sum test. Among NH residents, risk factors for death during treatment identified logistic regression. Results From 2009, rates decreased significantly, 15.9/100,000 8.4/100,000 (−44%, 95% confidence interval (CI) = −66% −7%) 21.2/100,000 15.0/100,000 (−27%, CI = −29% −24%) adults. Overall, 211 among 6,518 adults reported. more likely than be (median age 81 vs 75, P < .001), have a negative acid-fast bacilli sputum smear positive culture (37% 28%, die while undergoing (44% 14%, less tuberculin skin test (TST) (28% 44%, P < .001) care provided by health department (20% 59%, P < .001). In multivariable analysis, who had TST (odds ratio = 0.39, CI = 0.16–0.96). Conclusion TB lower, reductions greater residents; higher smaller incidence. Interventions that promote timely detection infection disease may needed reduce morbidity mortality residents.