Abstract
Most individuals infected by Mycobacterium tuberculosis do not immediately develop disease, and the interval between infection and illness can range from months to decades. The development of infectious, pulmonary tuberculosis, epidemiologically the most important form of disease because it is the source transmission and new infections, is usually the result of the reactivation of such a latent infection. This period of latency provides an opportunity for secondary prevention of tuberculosis. This strategy takes on increasing importance as the risk of infection with M. tuberculosis in a community decreases and the proportion of incident cases resulting from reactivation of old infections increases. Secondary prevention also takes on an increasing clinical importance as evidence increases that the development of active tuberculosis in persons also infected with HIV increases the speed of progression of the HIV infection. The concept of preventive therapy for tuberculin-positive individuals developed along with isoniazid and preventive therapy with isoniazid has become a central part of the national tuberculosis control program in the United States.
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Geiter, L.J. (1998). Preventive Therapy for Tuberculosis. In: Gangadharam, P.R.J., Jenkins, P.A. (eds) Mycobacteria. Chapman & Hall Medical Microbiology Series. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-7511-5_11
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DOI: https://doi.org/10.1007/978-1-4615-7511-5_11
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