The resurgence of tuberculosis (TB) in the United States has placed a substantial segment of the adolescent population at high risk, particularly those adolescents residing in metropolitan areas. Physicians providing health care to adolescents must be aware of the risk factors for TB and of the epidemiology of this insidious disease. Active alliances must be established among health-care professionals in the community to ensure effective screening, diagnosis, and treatment programs.
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References
1.
Rieder HL, Cauthen GM, Comstock GW, Snider DEEpidemiology of tuberculosis in the United States. Epidemiol Rev.1989;11:79-98.
2.
Buckner CB, Leithiser RE, Walker CW, Allison JWThe changing epidemiology of tuberculosis and other mycobacterial infections in the United States: Implications for the radiologist. Am J Roentgen.1991;156:255-264.
3.
Cdc.Tuberculosis among pregnant women - New York City, 1985-1992. MMWR.1993;42:605-612.
4.
Cdc.Tuberculosis morbidity - United States, 1992. MMWR.1993;42:696-704.
5.
Selwyn PA, Hartel D., Lewis VA, et al. A prospective study of the risk of tuberculosis among intravenous drug users with human immunodeficiency virus infection. N Engl J Med.1989;320:545-550.
6.
Barnes PF, Bloch AB, Davidson PT, Snider DE Jr.Tuberculosis in patients with human immunodeficiency virus infection . N Engl J Med.1991;324:1644-1650.
7.
Cdc.Tuberculosis among foreign-born persons entering the United States: recommendations of the Advisory Committee for Elimination of Tuberculosis. MMWR.1990 ;39(RR-18):1-21.
8.
Ellner JJ, Hinman AR, Dooley SW, et al. Tuberculosis symposium: Emerging problems and promise. J Infect Dis. 1993; 168:537-551.
9.
Jereb JA, Kelly GD, Dooley SW, et al. Tuberculosis morbidity in the United States: final data, 1990 . MMWR CDC Surveill Summ. 1991;40 (SS-3):23-27.
10.
Cdc.Initial therapy for tuberculosis in the era of multidrug resistance: recommendations of the Advisory Council for the Elimination of Tuberculosis. MMWR.1993;42 (RR-7): 1-8.
11.
Report of the Committee on Infectious Diseases. 22nd ed. Elk Grove Village, IL: American Academy of Pediatrics; 1991.
12.
Barry MA, Shirley L., Grady MT, et al. Tuberculosis infection in urban adolescents: Results of a school-based testing program. Am J Public Health.1990;80: 439-441.
13.
Comstock GW , Livesay VT, Woolpert SFThe prognosis of a positive tuberculin reaction in childhood and adolescence. Am J Epidemiol.1974;99:131-138.
14.
Smith Mhd.Tuberculosis in adolescents. Clin Pediatr. 1967;6:9-15.
15.
Nemir RL, Krasinski K.Tuberculosis in children and adolescents in the 1980's. Pediatr Infect Dis J.1988;7:375-379.
16.
Nemir RLPerspectives in adolescent tuberculosis: Three decades of experience . Pediatrics. 1986;78:399-405.
17.
Dubos R., Dubos J.The White Plague. Tuberculosis, Man and Society. New Brunswick, NJ: Rutgers University Press;1992 :188.
18.
Lincoln EMEpidemics of tuberculosis. Arch Environ Health. 1967;14:473-476.
19.
Snider DE, Rieder HL, Combs D., et al. Tuberculosis in children. Pediatr Infect Dis J.1988;7:271-278.
20.
Cdc.Prevention and control of tuberculosis in U.S. communities with at-risk minority populations and prevention and control of tuberculosis among homeless persons. MMMR1992;31 (RR-5) 1-11.
21.
Nemir RL, Teichner A.Management of tuberculin reactors in children and adolescents previously vaccinated with BCG. Pediatr Infect Dis J.1983;2:446-451.
22.
Enarson DA, Wang J., Dirks JMThe incidence of active tuberculosis in a large urban area. Am J Epidemiol.1989; 129:1268-1276.
23.
Hamburg DA, Nightingale EO, Takanishi R.Facilitating the transitions of adolescence. JAMA.1987;257:3405-3406.
24.
Newacheck PWImproving access to health services for adolescents from economically disadvantaged families. Pediatrics.1989;84:1056-1063.
25.
Mundinger MOHealth service funding cuts and the declining health of the poor. N Engl J Med.1985;313:44-47.
26.
Wise PH, Kotelchuck M., Wilson ML, Mills M.Racial and socioeconomic disparities in childhood mortality in Boston . N Engl J Med.1985;313:360-366.
27.
Oberg CNPediatrics and poverty. Pediatrics. 1987;799:567-569.
28.
Parcel G., Nader, Meyer M.Adolescent health concerns, problems and patterns of utilization in a tri-ethnic population. Pediatrics.1977;60:157-164.
29.
Newacheck PW , Halfon N.Preventive care use by school-aged children: differences by socioeconomic status. Pediatrics . 1988;82:462-468.
30.
Schuit KEMiliary tuberculosis in children. Am J Dis Child.1979;133:583-585.
31.
Iseman MDTreatment of multidrug-resistant tuberculosis. N Engl J Med.1993;329:784-791.
32.
Starke JR, Taylor-Watts KJTuberculosis in the pediatric population of Houston, Texas. Pediatrics. 1989;84:28-35.
33.
Wilcox WDRole of general pediatricians in adolescent health-care. J Pediatr.1991;118:156-159.
