Tuberculosis screening among foreign-born persons applying for permanent US residence |
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| Authors: | Saraiya Mona Cookson Susan T Tribble Paul Silk Benjamin Cass Robert Poonja Shameer Walting Marva Howland Noelle Paz Edwin A Cochran Jennifer Moser Kathleen S Oxtoby Margaret J Binkin Nancy J |
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| Affiliation: | Division of Tuberculosis Elimination, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Ga, USA. yzs2@cdc.gov |
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| Abstract: | OBJECTIVES: This study sought to determine adherence of physicians to tuberculosis (TB) screening guidelines among foreign-born persons living in the United States who were applying for permanent residency. METHODS: Medical forms of applicants from 5 geographic areas were reviewed, along with information from a national physician database on attending physicians. Applicant and corresponding physician characteristics were compared among those who were and were not correctly screened. RESULTS: Of 5739 applicants eligible for screening via tuberculin skin test, 75% were appropriately screened. Except in San Diego, where 11% of the applicants received no screening, most of the inappropriate screening resulted from the use of chest x-rays as the initial screening tool. CONCLUSIONS: Focused physician education and periodic monitoring of adherence to screening guidelines are warranted. |
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