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Tuberculosis screening in medical students

E G Manusov1, R D Bradshaw, J P Fogarty

  • 1Department of Family Medicine, Uniformed Services University of the Health Sciences, Bethesda, Md, USA.

Family Medicine
|October 1, 1996
PubMed
Summary
This summary is machine-generated.

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A tuberculosis screening program at USUHS successfully identified and managed latent infections in medical students. The program demonstrated a low conversion rate and prevented active tuberculosis cases, highlighting the importance of proactive screening.

Area of Science:

  • Medical Education
  • Infectious Disease Prevention
  • Public Health

Background:

  • Recommendations for tuberculosis screening in medical students have been issued by major medical education bodies.
  • The F. Edward Hébert School of Medicine at USUHS implemented a tuberculosis screening program to comply with these guidelines.

Purpose of the Study:

  • To describe the implementation and outcomes of a tuberculosis screening program for medical students at USUHS.
  • To assess the effectiveness of screening methods, including the booster phenomenon and risk factor analysis.

Main Methods:

  • Instituted a screening program in 1993 utilizing intradermal purified protein derivative testing.
  • Addressed the "booster phenomenon" and inter-reader variability to ensure accurate results.
  • Implemented risk factor analysis and administrative policies to enhance compliance and program effectiveness.

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Main Results:

  • 501 students were screened, with an initial positive rate of 3.8%.
  • The "booster phenomenon" led to an additional 14 students testing positive upon re-testing.
  • A subsequent conversion rate of 2.5% was observed, with all positive students receiving isoniazid prevention therapy.
  • No active tuberculosis cases were identified during the study period.

Conclusions:

  • Emphasized the recent recognition of the importance of screening medical students for tuberculosis.
  • The USUHS program successfully incorporated elements for effective screening: compliance, standardization, and documentation.
  • The model can be adapted by other medical schools to establish efficient tuberculosis screening programs for students, faculty, and staff.