Abstract

Contact investigation (CI) is one of the core elements of tuberculosis (TB) control. It is intended to achieve early identification of contacts who may have been exposed to a patient with infectious active TB and contacts who may benefit from treatment for latent tuberculosis infection (LTBI). LTBI is an infection in which the Mycobacterium tuberculosis organisms cause no signs and symptoms but the infection can be reactivated and develop into full-blown active TB disease. Failure to be identified as a contact is the primary reason for disease development in more than half of TB patients, thus a complete and timely CI is crucial for decreasing the transmission and incidence of TB. However, ensuring that contacts get tested and evaluated is challenging. A retrospective study of deidentified data extracted from the NYC TB registry was conducted to assess the demographic characteristics associated with 3008 household contacts' decision to undergo TB testing (n=2850), evaluation (n=1037), and treatment for LTBI (n=863) from 2010 to 2014. A secondary aim was to examine if there are differences in proportion of contacts tested and evaluated based on type of provider (nurse versus and public health advisors).

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 10808144; ProQuest document ID: 2042969081. The author still retains copyright.

Author Details

Elvy G. Barroso, PhD, MD, MSc, MPH, MS, BSN, RN

Sigma Membership

Alpha Pi

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Quasi-Experimental Study, Other

Research Approach

Secondary Data Analysis

Keywords:

Active Tuberculosis, Contact Investigations, Case Management, Treatment for Latent Tuberculosis Infection, Tuberculosis Testing

Advisor

Elizabeth Capezuti

Second Advisor

Donna Nickitas

Third Advisor

David Keepnews

Degree

PhD

Degree Grantor

The City University of New York

Degree Year

2018

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2022-04-21

Full Text of Presentation

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