To evaluate the guidelines for Mantoux testing and isoniazid (INH) prophylaxis in various institutions and shelters for the homeless in Canada in light of research in Canada and other industrialized countries.
MEDLINE searches from January 1980 to June 1996 yielded 219 articles, some of which were case reports. The bibliographies of these articles were searched for relevant titles. A further search adding the words randomized, controlled trial and controlled clinical trial yielded two citations, neither of which was a randomized, controlled trial.
Studies were included if they described the incidence, screening, diagnosis, or prophylaxis of tuberculosis (TB), in institutions in Canada.
Studies of staff patients in institutions tend to be incomplete in reporting exposure to TB, extent of Mantoux testing, and whether INH prophylaxis was completed.
Institutions admitting patients with TB should follow the 1996 recommendations of the Canadian Thoracic Society (CTS). The best way to implement the recommendations is to have a TB control officer who administers protocols to identify staff and patients at risk for TB and a committee that regularly monitors implementation of CTS guidelines.
Notes
Cites: Am Rev Respir Dis. 1971 Dec;104(6):851-605125587
Cites: BMJ. 1993 Apr 17;306(6884):1041-28490499
Cites: Infect Control Hosp Epidemiol. 1995 Mar;16(3):148-517608501
Cites: Can Fam Physician. 1995 Jun;41:1030-67780315
Cites: Can Fam Physician. 1995 Jun;41:1025-97780314
Cites: Can Fam Physician. 1995 Jun;41:1014-237780313
Cites: Lancet. 1995 Jan 28;345(8944):235-407823719
Cites: Ann Intern Med. 1995 Jan 15;122(2):90-57993001
Cites: N Engl J Med. 1995 Jan 12;332(2):92-87990907
Cites: Infect Control Hosp Epidemiol. 1994 Aug;15(8):516-97983344
Cites: Infect Control Hosp Epidemiol. 1994 Feb;15(2):95-1008201241
Cites: Am Rev Respir Dis. 1993 Dec;148(6 Pt 1):1537-408256896
Cites: BMJ. 1993 May 15;306(6888):12868518567
Cites: Am Rev Respir Dis. 1985 Jul;132(1):133-64014857
Cites: Am Rev Respir Dis. 1987 Jan;135(1):3-93800155