       Document 0993
 DOCN  M9650993
 TI    Tuberculosis in drug users.
 DT    9505
 AU    Perlman DC; Salomon N; Perkins MP; Yancovitz S; Paone D; Des Jarlais DC;
       Department of Medicine, Beth Israel Medical Center, New York, New; York
       10003, USA.
 SO    Clin Infect Dis. 1995 Nov;21(5):1253-64. Unique Identifier : AIDSLINE
       MED/96126012
 AB    The rise in tuberculosis (TB) has disproportionately affected specific
       populations. Historically, many patients with TB became iatrogenic
       opiate addicts through therapeutic use of these drugs for symptom
       control. Demographic trends reshaped the relationship between drug use
       and TB into one in which drug use became a risk factor for tuberculosis
       as a result of the overlap of epidemiological and social factors
       associated with both drug use and TB. The spread of human
       immunodeficiency virus infection has amplified the spread of TB among
       drug users. We review the epidemiology of TB in drug users as well as
       the factors relevant to screening and compliance in drug-using
       populations. Drug users constitute a high-risk group for whom screening,
       prevention of infection, diagnosis, and treatment pose particular
       challenges. The development of TB services capable of engaging drug
       users (those both in and out of drug treatment programs) has potential
       for disrupting a significant chain of rapid TB transmission.
 DE    AIDS-Related Opportunistic Infections/COMPLICATIONS/EPIDEMIOLOGY
       Epidemiologic Factors  Female  Human  Male  Mass Screening  Risk Factors
       Substance Abuse/*COMPLICATIONS  Support, U.S. Gov't, P.H.S.
       Tuberculosis, Multidrug-Resistant/COMPLICATIONS/EPIDEMIOLOGY
       Tuberculosis, Pulmonary/*COMPLICATIONS/EPIDEMIOLOGY/PREVENTION &
       CONTROL  United States/EPIDEMIOLOGY  JOURNAL ARTICLE  REVIEW  REVIEW,
       ACADEMIC

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

