Drug-Resistant TB Continues to Plague Cities: Homeless Patients Who Fail to Conform to Their Course of Medication Compound Problem

By Price, Joyce | Insight on the News, November 28, 1994 | Go to article overview

Drug-Resistant TB Continues to Plague Cities: Homeless Patients Who Fail to Conform to Their Course of Medication Compound Problem


Price, Joyce, Insight on the News


Homeless patients who fail to adhere to their course of medication compound problem.

Federal health officials are pressing hospitals to adopt stricter guidelines and physicians in the field are seeking ways to improve patient compliance to contain the rise in drug-resistant TB cases in many U.S. cities.

Washington, for example, reported a total of 161 cases of TB to the federal Centers for Disease Control and Prevention, or CDC, in 1993, an increase of more than 10 percent. "Thirteen percent of the cases in that group were drug-resistant," says Dr. Thomas A. Cardella, director of the Infectious Disease Unit of the Georgetown University Medical Service at D.C. General Hospital. "That's a high level." Cardella expects D.C.'s high TB caseload to remain at current levels or rise. Nationally, TB cases declined 5.1 percent last year.

According to Cardella, the "leading cause" of drug-resistant TB has been the failure of patients to adhere to the required course of medication, which can be anywhere from six months to a year or longer. "I see a lot of failures," he says, mostly among the homeless population, with "proportionately more" alcoholics and drug abusers than the average patient population.

"Our patients often stay at the hospital," says Cardella. "It's expensive to keep patients in a hospital, but sometimes they have nowhere else to go."

After a 30-year decline in which TB all but disappeared in the United States, the caseload started rising in 1985. "From 1985 to 1992, there was a 20 percent increase in new cases," says CDC spokeswoman Kay Dolan.

Rifater, a new drug that combines the three main therapies for TB - rifampin, isoniazid and pyrazinamide - was approved in June by the Food and Drug Administration. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Note: primary sources have slightly different requirements for citation. Please see these guidelines for more information.

Cited article

Drug-Resistant TB Continues to Plague Cities: Homeless Patients Who Fail to Conform to Their Course of Medication Compound Problem
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen
Items saved from this article
  • Highlights & Notes
  • Citations
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Search by... Author
    Show... All Results Primary Sources Peer-reviewed

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.