tailieunhanh - Recommendations from the American Thoracic Society, CDC, and the Infectious Diseases Society of America

During 1993–2003, incidence of tuberculosis (TB) in the United States decreased 44% and is now occurring at a historic low level (14,874 cases in 2003). The Advisory Council for the Elimination of Tuberculosis has called for a renewed commitment to eliminating TB in the United States, and the Institute of Medicine has published a detailed plan for achieving that goal. In this statement, the American Thoracic Society (ATS), CDC, and the Infectious Diseases Society of America (IDSA) propose recommendations to improve the control and prevention of TB in the United States and to progress toward its elimination. This statement is one in a series issued. | MMWR Morbidity and Mortality Weekly Report Recommendations and Reports November 4 2005 Vol. 54 No. RR-12 Controlling Tuberculosis in the United States Recommendations from the American Thoracic Society CDC and the Infectious Diseases Society of America department of health and human services centers for Disease Control and Prevention MMWR The MMWR series of publications is published by the Coordinating Center for Health Information and Service Centers for Disease Control and Prevention CDC . Department of Health and Human Services Atlanta GA 30333. SUGGESTED CITATION Centers for Disease Control and Prevention. Controlling tuberculosis in the United States recommendations from the American Thoracic Society CDC and the Infectious Diseases Society ofAmerica. MMWR 2005 54 No. RR-12 inclusive page numbers . Centers for Disease Control and Prevention Julie L. Gerberding MD MPH Director Dixie E. Snider MD MPH Chief Science Officer Tanja Popovic MD PhD Associate Director for Science Coordinating Center for Health Information and Service Steven L. Solomon MD Director National Center for Health Marketing Jay M. Bernhardt PhD MPH Director Division of Scientific Communications Maria S. Parker Acting Director Mary Lou Lindegren MD Editor MMWR Series Suzanne M. Hewitt MPA Managing Editor MMWR Series Teresa F. Rutledge Acting Lead Technical Writer-Editor Jeffrey D. Sokolow MA Project Editor Beverly J. Holland Lead Visual Information Specialist Lynda G. Cupell Malbea A. LaPete Visual Information Specialists Quang M. Doan MBA Erica R. Shaver Information Technology Specialists CONTENTS Introduction. 1 Scientific Basis of TB Control. 7 Principles and Practice of TB Control. 14 Recommended Roles and Responsibilities for TB Control . 20 Essential Components of TB Control in the United States . 32 Control of TB Among Populations at Risk. 42 Control of TB in Health-Care Facilities and Other High-Risk Environments . 56 Research Needs to Enhance TB Control. 59 Graded Recommendations for