Tuberculosis screening in a novel substance abuse treatment center in Malaysia: Implications for a comprehensive approach for integrated care
| Autor: | Kee Cheong Wong, Frederick L. Altice, Haider Abdulrazzaq Abed Al-Darraji, Christopher Paiji, Jeannia Jiani Fu, Kelsey B. Loeliger, David Gan Eng Yeow, Adeeba Kamarulzaman |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Tuberculosis Substance-Related Disorders Treatment entry Medicine (miscellaneous) Tuberculin HIV Infections Tuberculosis screening Article Heroin Risk groups Latent Tuberculosis Risk Factors Surveys and Questionnaires Prevalence medicine Humans Mass Screening Psychiatry Delivery of Health Care Integrated Tuberculin Test business.industry Malaysia Middle Aged bacterial infections and mycoses medicine.disease Integrated care Psychiatry and Mental health Clinical Psychology Cross-Sectional Studies Family medicine Female Substance Abuse Treatment Centers Pshychiatric Mental Health Substance abuse treatment business medicine.drug |
| Zdroj: | Journal of Substance Abuse Treatment. 46:144-149 |
| ISSN: | 0740-5472 |
| DOI: | 10.1016/j.jsat.2013.08.023 |
| Popis: | People who use drugs (PWUD) represent a key high risk group for tuberculosis (TB). The prevalence of both latent TB infection (LTBI) and active disease in drug treatment centers in Malaysia is unknown. A cross-sectional convenience survey was conducted to assess the prevalence and correlates of LTBI among attendees at a recently created voluntary drug treatment center using a standardized questionnaire and tuberculin skin testing (TST). Participants (N = 196) were mostly men (95%), under 40 (median age = 36 years) and reported heroin use immediately before treatment entry (75%). Positive TST prevalence was 86.7%. Nine (4.6%) participants were HIV-infected. Previous arrest/incarcerations (AOR = 1.1 for every entry, p < 0.05) and not being HIV-infected (AOR = 6.04, p = 0.03) were significantly associated with TST positivity. There is an urgent need to establish TB screening and treatment programs in substance abuse treatment centers and to tailor service delivery to the complex treatment needs of patients with multiple medical and psychiatric co-morbidities. |
| Databáze: | OpenAIRE |
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