Showing papers by "C. Robert Horsburgh published in 2003"

Detection of latent tuberculosis among hiv-infected patients after initiation of highly active antiretroviral therapy

Abstract: This cross-sectional study of 110 individuals examined skin testing for latent tuberculosis infection (LTBI) after the initiation of highly active antiretroviral therapy. Skin test reactivity to one or more of four antigens was found in 98 out of 110 subjects (89%), and was maximal in those whose CD4 cell counts recovered to ≥ 100 cells/ mm 3 . Skin testing is reliable for the identification or exclusion of LTBI once the CD4 cell count recovers to ≥ 100 cells/mm 3 .

Integration of a participatory research strategy into a rural health survey

Abstract: The Glades Health Survey, a population-based survey of tuberculosis and HIV infection, provides a model for building community-research partnerships with local health departments in ethnically diverse communities. The survey was initiated without broad community participation; a year and a half of organizing established community leadership of the project. Essential factors in the success of the project included a shared objective, direct confrontation of fears about research, inclusion of all socioeconomic and racial/ethnic groups, and community participation in performing the research. These activities led to establishment of a community-based organization that received funding for HIV counseling and testing and HIV prevention case management.