Tuberculosis in sheltered homeless population of Rome: An integrated model of recruitment for risk management

Patrizia Laurenti, Stefania Bruno, Gianluigi Quaranta, Giuseppe La Torre, Antonio G. Cairo, Pierangela Nardella, Giovanni Delogu, Giovanni Fadda, Tommaso Pirronti, Salvatore Geraci, Salvatore Pelargonio, Francesco N. Lauria, Delia Goletti, Gualtiero Ricciardi

Research output: Contribution to journalArticle

Abstract

The authors show the results of an integrated model for risk management of tuberculosis in a sample of sheltered homeless in Rome. Tuberculin skin test (TST) was used for evaluating the prevalence of latent infection (LTBI). In TST positives, expectorate was collected and chest X-ray was achieved. Multiple logistic regression analysis was performed to investigate determinants of infection. Out of 288 recruited subjects, 259 returned for the TST reading; 45.56% were positive and referred to a specialized center; 70 accessed the health facility and completed the clinical pathway. The risk factors associated to LTBI were male gender (OR=3.72), age over 60 years (OR=3.59), immigrant status (OR=3.73), and obesity (OR=2.19). This approach, based on an integrated social network, guarantees high adherence to screening (89.93%), allowing patients testing positive for latent tuberculosis infection to be diagnosed and rapidly referred to a specialized center.

Original languageEnglish
Article number396302
JournalTheScientificWorldJournal
Volume2012
DOIs
Publication statusPublished - 2012

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Environmental Science(all)
  • Medicine(all)

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    Laurenti, P., Bruno, S., Quaranta, G., La Torre, G., Cairo, A. G., Nardella, P., Delogu, G., Fadda, G., Pirronti, T., Geraci, S., Pelargonio, S., Lauria, F. N., Goletti, D., & Ricciardi, G. (2012). Tuberculosis in sheltered homeless population of Rome: An integrated model of recruitment for risk management. TheScientificWorldJournal, 2012, [396302]. https://doi.org/10.1100/2012/396302