Highlights
- •Mentally ill patients are at increased risk of tuberculosis.
- •Maintaining awareness of tuberculosis in psychiatric patients is necessary to avoid diagnostic delay.
- •Active approach is necessary in adopting infection control measures in psychiatric institutions.
As tuberculosis incidence decreases, the possibility of overlooking the disease increases,
especially in vulnerable populations. We describe here a major tuberculosis outbreak
among mentally ill patients in Croatia, focusing on 1 regional hospital where most
patients were hospitalized. The outbreak emphasizes the vulnerability of mentally
ill patients to tuberculosis infection and the complexity of infection control measures
in psychiatric institutions. The awareness of tuberculosis in these settings should
be maintained to interrupt prolonged exposure and avoid unnecessary infection.
Key Words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to American Journal of Infection ControlAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Epidemiology of tuberculosis.Croatian National Institute of Public Health, Zagreb, Croatia2015
- False-positive tuberculin skin tests: what is the absolute effect of BCG and non-tuberculous mycobacteria?.Int J Tuberc Lung Dis. 2006; 10: 1192-1204
- An outbreak of tuberculosis among adults with mental illness.Am J Psychiatry. 2012; 169: 569-575
- Incidence and outcome of newly-diagnosed tuberculosis in schizophrenics: a 12-year, nationwide, retrospective longitudinal study.BMC Infect Dis. 2013; 13: 351
- The epidemiological study of physical morbidity in schizophrenics—2. Association between schizophrenia and incidence of tuberculosis.Jpn J Psychiatry Neurol. 1988; 42: 41-47
- Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care.World Psychiatry. 2011; 10: 52-77
- Improving medical care for persons with serious mental illness: challenges and solutions.J Clin Psychiatry. 2007; 68: 40-44
- Smoking and mental illness.Pharmacol Biochem Behav. 2001; 70: 561-570
Article Info
Publication History
Published online: October 18, 2016
Footnotes
Conflicts of interest: None to report.
Identification
Copyright
© 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.