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Tuberculosis and alcoholism. A partial solution through detection.

W C Bailey, C A Sellers, F D Sutton

    Chest
    |February 1, 1978
    PubMed
    Summary
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    Identifying alcoholism in tuberculosis patients using the brief MAST interview is crucial. Early detection aids in selecting patients for specialized therapies, improving treatment outcomes and preventing therapy failures.

    Area of Science:

    • Public Health
    • Infectious Diseases
    • Addiction Medicine

    Background:

    • Alcoholism and tuberculosis frequently co-occur, leading to higher rates of treatment failure.
    • Standard outpatient chemotherapy is often ineffective for patients with co-occurring alcoholism and tuberculosis.
    • Effective screening tools are needed to identify alcoholic patients within tuberculosis clinics.

    Purpose of the Study:

    • To evaluate the effectiveness of the brief Michigan Alcoholism Screening Test (MAST) in identifying alcoholism among tuberculosis patients.
    • To determine the prevalence of alcoholism in tuberculosis patient populations.
    • To advocate for early identification and specialized treatment for alcoholic tuberculosis patients.

    Main Methods:

    • The brief MAST interview was administered to patients in public health tuberculosis clinics.

    Related Experiment Videos

  • Patient data was collected and analyzed to determine alcoholism prevalence.
  • The feasibility of integrating the screening tool into routine clinic operations was assessed.

    • Main Results:

    • The brief MAST interview effectively identified alcoholic patients in tuberculosis clinics.
    • Alcoholism prevalence was found to be 25% in New Orleans and 28% in Birmingham.
    • The screening test could be administered without disrupting clinic workflow.

    Conclusions:

    • The brief MAST interview is a valuable tool for identifying alcoholism in tuberculosis patients.
    • Early identification facilitates the selection of patients for specialized therapies.
    • Addressing alcoholism concurrently with tuberculosis treatment can improve therapeutic success rates.