QuantiFeron-TB Gold Versus Tuberculin Screening and Care Retention Among Persons Experiencing Homelessness

Georgia, 2015–2017

Bibliographic Data

ID11036896
AuthorsJeffrey M Collins (0000-0002-6574-0873, Jeffrey M. Collins and David P. Holland are with the School of Medicine, Emory University, Atlanta, GA. Udodirim Onwubiko and David P. Holland are with the Fulton County Board of Health, Atlanta.), Udodirim N Onwubiko (0000-0001-8223-5716, DeKalb County Board of Health), Udodirim Onwubiko (Jeffrey M. Collins and David P. Holland are with the School of Medicine, Emory University, Atlanta, GA. Udodirim Onwubiko and David P. Holland are with the Fulton County Board of Health, Atlanta.), David P Holland (0000-0002-5052-1563, Jeffrey M. Collins and David P. Holland are with the School of Medicine, Emory University, Atlanta, GA. Udodirim Onwubiko and David P. Holland are with the Fulton County Board of Health, Atlanta.)
Year2019
Volume109
Issue7
Pages1028-1033
Publication date2019-07-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2019.305069
PMID31095412
OpenAlexW2946145058
LanguageEN
References cited26

Objectives. To characterize the cascade of care for latent tuberculosis infection (LTBI) in persons experiencing homelessness (PEH) and evaluate the effect of screening by QuantiFERON-TB Gold (QFT) versus tuberculin skin test (TST). Methods. We performed a retrospective cohort study of all PEH screened for LTBI by QFT and TST from May 2015 to April 2017 in Fulton County, Georgia. Results. There were 3504 PEH screened by QFT and 5509 by TST, with 2925 TSTs administered on site at community shelters and 2584 at the health department. More valid test results were obtained in those screened by QFT (99.0% vs 69.0%; P Conclusions. A QFT-based screening strategy in PEH improved diagnosis and retention in care for new LTBI cases compared with TST and may be an effective strategy to limit progression to active tuberculosis

Cohort · Latent tuberculosis · Mycobacterium tuberculosis · Pathology · QuantiFERON · Retrospective cohort study · Tuberculin · Tuberculosis · Homelessness and Social Issues · Internal Medicine · Medicine · Pneumocystis jirovecii pneumonia detection and treatment · Tuberculosis Research and Epidemiology

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