{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T14:39:59Z","timestamp":1778855999656,"version":"3.51.4"},"reference-count":40,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,5,3]],"date-time":"2017-05-03T00:00:00Z","timestamp":1493769600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000965","name":"American Federation for Aging Research","doi-asserted-by":"publisher","award":["T35AG038027\u201001"],"award-info":[{"award-number":["T35AG038027\u201001"]}],"id":[{"id":"10.13039\/100000965","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2017,6]]},"abstract":"\n Objectives<\/jats:title>\n \n To describe latent tuberculosis infection (\n LTBI<\/jats:styled-content>\n ) testing practices in long\u2010term care facilities (\n LTCF<\/jats:styled-content>\n s).\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Retrospective cohort study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n \n Three Boston\u2010area\n LTCF<\/jats:styled-content>\n s.\n <\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n Residents admitted between January 1 and December 31, 2011.<\/jats:p>\n <\/jats:sec>\n \n Measurements<\/jats:title>\n \n Resident demographic characteristics, comorbidities,\n LTCF<\/jats:styled-content>\n stay, and\n LTBI<\/jats:styled-content>\n testing and treatment.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Data for 291\n LTCF<\/jats:styled-content>\n residents admitted in 2011 were reviewed. Of the 257 without a history of\n LTBI<\/jats:styled-content>\n and with documentation of testing, 162 (63%) were tested; 114 of 186 (61%) with a stay less than 90 days and 48 of 71 (68%) with a stay of 90 days or longer were tested. Of 196 residents with data on prior\n LTBI<\/jats:styled-content>\n testing, 39 (19.9%) had\n LTBI<\/jats:styled-content>\n ; 12 of these (30.8%) were diagnosed at the\n LTCF<\/jats:styled-content>\n . Hispanic participants were more likely than black participants to undergo\n LTBI<\/jats:styled-content>\n testing (adjusted odds ratio (\n aOR<\/jats:styled-content>\n ) = 2.4,\n P<\/jats:italic>\n = .003). Having a length of stay of less than 90 days (\n aOR<\/jats:styled-content>\n = 0.7,\n P<\/jats:italic>\n < .001) and history of illicit drug use (\n aOR<\/jats:styled-content>\n = 0.7,\n P<\/jats:italic>\n < .001) were associated with lower odds of\n LTBI<\/jats:styled-content>\n testing.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n One\u2010fifth of\n LTCF<\/jats:styled-content>\n residents had\n LTBI<\/jats:styled-content>\n , but testing was not always performed. The high prevalence of\n LTBI<\/jats:styled-content>\n in older adults combined with the risk of an outbreak if a case of tuberculosis occurs in a\n LTCF<\/jats:styled-content>\n make\n LTBI<\/jats:styled-content>\n testing and treatment an important prevention opportunity. The importance of\n LTBI<\/jats:styled-content>\n testing in\n LTCF<\/jats:styled-content>\n s needs to be reinforced.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.14696","type":"journal-article","created":{"date-parts":[[2017,5,3]],"date-time":"2017-05-03T09:18:42Z","timestamp":1493803122000},"page":"1145-1151","source":"Crossref","is-referenced-by-count":12,"title":["Latent Tuberculosis Infection Testing Practices in Long\u2010Term Care Facilities, Boston, Massachusetts"],"prefix":"10.1111","volume":"65","author":[{"given":"Divya","family":"Reddy","sequence":"first","affiliation":[{"name":"Section of Pulmonary, Allergy, Sleep and Critical Care Department of Medicine School of Medicine Boston University Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob","family":"Walker","sequence":"additional","affiliation":[{"name":"School of Medicine Boston University Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura F.","family":"White","sequence":"additional","affiliation":[{"name":"Department of Biostatistics School of Public Health Boston University Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary H.","family":"Brandeis","sequence":"additional","affiliation":[{"name":"Section of Geriatric Medicine Department of Medicine School of Medicine Boston University Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew L.","family":"Russell","sequence":"additional","affiliation":[{"name":"Section of Geriatric Medicine Department of Medicine School of Medicine Boston University Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr","given":"Charles R.","family":"Horsburgh","sequence":"additional","affiliation":[{"name":"Department of Epidemiology School of Public Health Boston University Boston Massachusetts"},{"name":"Section of Infectious Diseases Department of Medicine School of Medicine Boston University Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natasha S.","family":"Hochberg","sequence":"additional","affiliation":[{"name":"Department of Epidemiology School of Public Health Boston University Boston Massachusetts"},{"name":"Section of Infectious Diseases Department of Medicine School of Medicine Boston University Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,5,3]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cit027"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-10-206"},{"issue":"9","key":"e_1_2_6_4_1","first-page":"S64","article-title":"Tuberculosis among elderly persons, as observed among nursing home residents","volume":"2","author":"Stead WW","year":"1998","journal-title":"Int J Tuberc Lung Dis"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2014.11.018"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13437"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0962-8479(05)80026-7"},{"issue":"10","key":"e_1_2_6_8_1","first-page":"7","article-title":"Prevention and control of tuberculosis in facilities providing long\u2010term care to the elderly. 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