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Review Article
Medical Progress
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Volume 345:189-200 July 19, 2001 Number 3
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Management of Tuberculosis in the United States
Peter M. Small, M.D., and Paula I. Fujiwara, M.D., M.P.H.

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In the 1980s, after decades of steadily declining rates of tuberculosis, ambitious plans were made to eliminate the disease in the United States. Despite these plans, the control of tuberculosis was neglected, resulting in a resurgence of the disease.1 This resurgence has reminded us that the overall goal of public health programs must be not merely the provision of health care for marginalized persons, but a systematic commitment to protect the health of the general public in a time of increasing globalization. Regrettably, these lessons have come at considerable costs, in terms of both individual health and health care budgets.

. . . [Full Text of this Article]

Epidemiologic Features

Clinical Consequences of Infection

Treatment of Disease

Antituberculosis Drugs

Current Recommendations

Treatment in Special Situations

HIV-Infected Patients

Extrapulmonary Tuberculosis

Drug-Resistant Tuberculosis

Management of Latent Tuberculosis Infection

Candidates for Tuberculin Skin Testing

Interpreting Tuberculin Skin Test Results

Choosing a Treatment Regimen

New Research

Conclusions


Source Information

From the Division of Infectious Diseases and Geographic Medicine, Stanford University Medical Center, Stanford, Calif. (P.M.S.); the Tuberculosis Control Program, New York City Department of Health, New York (P.I.F.); and the Division of Tuberculosis Elimination, Centers for Disease Control and Prevention, Atlanta (P.I.F.).

Address reprint requests to Dr. Small at the Division of Infectious Diseases and Geographic Medicine, Stanford University Medical Center, Rm. S-156, Stanford, CA 94305, or at peter@molepi.stanford.edu.

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