Document 0556
 DOCN  M9590556
 TI    Tuberculosis in the homeless.
 DT    9509
 AU    Barclay DM 3rd; Richardson JP; Fredman L; Department of Family Medicine,
       University of Maryland School of; Medicine, Baltimore, USA.
 SO    Arch Fam Med. 1995 Jun;4(6):541-6. Unique Identifier : AIDSLINE
       MED/95291481
 AB    The prevalence of tuberculosis in the homeless is on the rise. The
       presence of human immunodeficiency virus and multidrug-resistant
       tuberculosis in the homeless has contributed to this high prevalence.
       Several factors, including alcoholism, substance abuse, and psychiatric
       illness, combine to make it difficult to diagnose and treat tuberculosis
       in the homeless. Medical providers are likely to encounter homeless
       individuals in a number of settings, including emergency departments,
       community and free clinics, public hospitals, and health maintenance
       organizations. Appropriate screening, prevention, and treatment should
       be undertaken in collaboration with local health departments. The use of
       directly observed therapy and of the treatment regimens published by the
       Centers for Disease Control and Prevention improves treatment outcomes
       among the homeless.
 DE    Drug Resistance, Microbial  Family Practice  Homeless
       Persons/*STATISTICS & NUMER DATA  Human  Mass Screening  Physician's
       Role  Prevalence  Tuberculosis, Pulmonary/*EPIDEMIOLOGY/PREVENTION &
       CONTROL/  *THERAPY  United States/EPIDEMIOLOGY  JOURNAL ARTICLE  REVIEW
       REVIEW, TUTORIAL

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).