TY - JOUR
T1 - Integrated screening for tuberculosis and HIV in tuberculosis contact investigations
T2 - Lessons learned in North Carolina
AU - Stout, Jason E.
AU - Katrak, Shereen
AU - Goswami, Neela D.
AU - Norton, Brianna L.
AU - Fortenberry, Ellen R.
AU - Foust, Evelyn
AU - Leone, Peter A.
PY - 2014
Y1 - 2014
N2 - Combating the syndemics of tuberculosis (TB) and HIV in the United States will require increasing efficiency as the incidence of TB declines. Fortunately, new tools such as the interferon gamma release assays can be combined with existing strategies such as opt-out HIV testing to facilitate simultaneous, integrated testing for both infections. We describe the lessons learned from our experience with integrated testing for TB and HIV in the setting of TB contact investigations in North Carolina. Integrated testing represents a unique opportunity to leverage TB and HIV program resources to enhance case detection and improve linkages to care. However, joint training in field investigations and diagnostics is critical prior to conducting contact investigations. Furthermore, integrated testing must be tightly coupled to treatment and prevention programs to reduce disease transmission and morbidity from untreated disease in communities.
AB - Combating the syndemics of tuberculosis (TB) and HIV in the United States will require increasing efficiency as the incidence of TB declines. Fortunately, new tools such as the interferon gamma release assays can be combined with existing strategies such as opt-out HIV testing to facilitate simultaneous, integrated testing for both infections. We describe the lessons learned from our experience with integrated testing for TB and HIV in the setting of TB contact investigations in North Carolina. Integrated testing represents a unique opportunity to leverage TB and HIV program resources to enhance case detection and improve linkages to care. However, joint training in field investigations and diagnostics is critical prior to conducting contact investigations. Furthermore, integrated testing must be tightly coupled to treatment and prevention programs to reduce disease transmission and morbidity from untreated disease in communities.
UR - http://www.scopus.com/inward/record.url?scp=84891059240&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84891059240&partnerID=8YFLogxK
U2 - 10.1177/00333549141291s104
DO - 10.1177/00333549141291s104
M3 - Article
C2 - 24385645
AN - SCOPUS:84891059240
SN - 0033-3549
VL - 129
SP - 21
EP - 25
JO - Public Health Reports
JF - Public Health Reports
IS - SUPPL. 1
ER -