PHS 2101 Lecture Notes - Lecture 13: Mycobacterium Tuberculosis, Sputum Culture, Sputum
Document Summary
If there"s a disease that is a marker of poverty, it"s tuberculosis. : dr. jose felix oletta, a former venezuelan health minister, ny times - march 20, 2018. Tuberculosis: mycobacterium tuberculosis, respiratory transmission - airborne droplets, crowding and close contact facilitates transmission, latent and active transmission. 5: bacteria persist in body in tubercles. Immune system keeps bacteria in check: granuloma, tubercle. Tb diagnosis: tuberculin skin test, chest x-ray, sputum culture, latent infection is not contagious, active disease emerges when immune system is weakened, contagious when bacteria is in sputum, a single infectious person > 1 person/month. Tuberculosis control in nyc 1889: systematic surveillance, nursing follow-up of patients, public education. Isolation of infectious patients: laboratory testing of sputum samples by department of health. Resurgence of tb: 1985-1992: 20% increase in incidence in u. s, decline in surveillances and service, hiv epidemic a. Immune systems are targeted, high risk of tb. Increased immigration from countries where tb is endemic.