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Tuberculosis control in prisons: current situation and research gaps

Dara, Masoud and Acosta, Colleen D. and Melchers, Natalie V.S. Vinkeles and Al-Darraji, Haider Abdulrazzaq Abed and Chorgoliani, Dato and Reyes, Hernán and Centis, Rosella and Sotgiu, Giovanni and D'Ambrosio, Lia and Chadha, Sarabjit Singh and Migliori, Giovanni Battista (2015) Tuberculosis control in prisons: current situation and research gaps. International Journal of Infectious Diseases, Vol. 32 , p. 111-117. ISSN 1201-9712. Article.

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DOI: 10.1016/j.ijid.2014.12.029

Abstract

Background: Tuberculosis (TB) in penitentiary services (prisons) is a major challenge to TB control. This review article describes the challenges that prison systems encounter in TB control and provides solutions for the more efficient use of limited resources based on the three pillars of the post-2015 End TB Strategy. This paper also proposes research priorities for TB control in prisons based on current challenges.
Methods: Articles (published up to 2011) included in a recent systematic review on TB control in prisons were further reviewed. In addition, relevant articles in English (published 1990 to May 2014) were identified by searching keywords in PubMed and Google Scholar. Article bibliographies and conference abstracts were also hand-searched.
Results: Despite being a serious cause of morbidity and mortality among incarcerated populations, many prison systems encounter a variety of challenges that hinder TB control. These include, but are not limited to, insufficient laboratory capacity and diagnostic tools, interrupted supply of medicines, weak integration between civilian and prison TB services, inadequate infection control measures, and low policy priority for prison healthcare.
Conclusions: Governmental commitment, partnerships, and sustained financing are needed in order to facilitate improvements in TB control in prisons, which will translate to the wider community.

Item Type:Article
ID Code:10920
Status:Published
Refereed:Yes
Uncontrolled Keywords:Tuberculosis, prisons, MDR-TB, end TB strategy, xpert MTB/RIF, research
Subjects:Area 06 - Scienze mediche > MED/01 Statistica medica
Divisions:001 Università di Sassari > 01 Dipartimenti > Scienze biomediche
Publisher:Elsevier
ISSN:1201-9712
Copyright Holders:© 2015 International Society for Infectious Diseases
Additional Information:Special Issue: Commemorating World Tuberculosis Day 2015
Deposited On:25 May 2015 10:33

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