{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T05:19:10Z","timestamp":1787635150977,"version":"build-2736575974"},"reference-count":0,"publisher":"International Union Against Tuberculosis and Lung Disease","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["int j tuberc lung dis"],"published-print":{"date-parts":[[2025,9,26]]},"abstract":"<jats:p>\n                    &lt;sec&gt;&lt;title&gt;BACKGROUND&lt;\/title&gt;Safety-net health systems and public health have a unique opportunity to collaborate and address\n                    <jats:italic>Mycobacterium tuberculosis<\/jats:italic>\n                    (MTB) in persons experiencing homelessness (PEH) in the United States (US).&lt;\/sec&gt;&lt;sec&gt;&lt;title&gt;METHODS&lt;\/title&gt;At\n a large academic safety-net health system in the US, from July 2013 to July 2015, we implemented a novel electronic health record (EHR) alert for physicians to identify, counsel, and order interferon-\u03b3 release assay screening tests for PEH potentially exposed to MTB in homeless shelters.\n Retrospectively, we collected socio-demographic, clinical, and genotyping data for all patients diagnosed with MTB disease from 2008 to 2017 and performed data analysis.&lt;\/sec&gt;&lt;sec&gt;&lt;title&gt;RESULTS&lt;\/title&gt;The EHR alert flagged 2,118 of 8,649 (24.5%) individuals;\n 1,117 (52.7%) were screened for MTB, and 313 (28%) tested positive. MTB disease was diagnosed in 531 patients from 2008 to 2017, of which 37 were among the potentially exposed 8,649 PEH. Housing instability was identified in 135 (25.4%) TB patients. Three genotypes were predominant: G10508\n (56, 14.2%), G01521 (23, 5.8%), and G10509 (19, 4.8%).&lt;\/sec&gt;&lt;sec&gt;&lt;title&gt;CONCLUSION&lt;\/title&gt;A novel EHR alert was useful in identifying and increasing testing among potentially TB-exposed PEH. Housing instability and genotypic clustering were prominent among patients\n with MTB diagnosis.&lt;\/sec&gt;\n                  <\/jats:p>","DOI":"10.5588\/ijtld.25.0104","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T16:34:05Z","timestamp":1766075645000},"page":"441-446","source":"Crossref","is-referenced-by-count":0,"title":["Identifying MTB-exposed homeless persons with an electronic health record alert: a safety-net health system\u2019s experience"],"prefix":"10.5588","volume":"29","author":[{"given":"L.M.","family":"Castellino","sequence":"first","affiliation":[{"name":"Division of Infectious Diseases and Geographic Medicine, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Parkland Health, Dallas, TX, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Cobb","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and Geographic Medicine, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.V.","family":"Sreeramoju","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and Geographic Medicine, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA;, Department of Infection Prevention, Parkland Health, Dallas, TX, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3554","container-title":["The International Journal of Tuberculosis and Lung Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ingentaconnect.com\/content\/iuatld\/ijtld\/2025\/00000029\/00000010\/art00003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T04:31:33Z","timestamp":1787632293000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ingentaconnect.com\/content\/10.5588\/ijtld.25.0104"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,26]]},"references-count":0,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,9,26]]}},"alternative-id":["1027-3719(20250926)29:10L.441;1-"],"URL":"https:\/\/doi.org\/10.5588\/ijtld.25.0104","relation":{},"ISSN":["1027-3719"],"issn-type":[{"value":"1027-3719","type":"print"}],"subject":[],"published":{"date-parts":[[2025,9,26]]}}}