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               <mods:identifier type="citation">Emerg Infect Dis. 1996 Apr-Jun;2(2):125-9.</mods:identifier>
               <mods:identifier type="doi">10.3201/eid0202.960208</mods:identifier>
               <mods:identifier type="issn">1080-6040</mods:identifier>
               <mods:identifier type="journal">Emerging infectious diseases</mods:identifier>
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               <mods:identifier type="uri">http://hdl.handle.net/20.500.12105/9878</mods:identifier>
               <mods:abstract>Before 1990, outbreaks of multidrug-resistanttuberculosis (MDRTB) were uncommon (1); sincethen, more than 10 outbreaks have been reported,all in hospitals and prisons in the eastern UnitedStates  (2-7). Persons  traditionally  considered  atrisk  for  MDRTB  (foreign-born  TB  patients  andthose inadequately treated for TB) have not beenassociated with these outbreaks. Instead, the pres-ence of patients with active TB near immunocom-promised patients in HIV-dedicated wards has ledto MDRTB-infected HIV patients whose TB casesoften go unrecognized. The patients receive inade-quate treatment in facilities without effective pro-cedures  for  isolating  acid-fast  bacilli;  thesecircumstances  favor  nosocomial  transmission.Health officials in other geographic areas whereHIV and TB are major public health threats havebeen alerted to this emerging problem, and sur-veillance systems have been designed (8).</mods:abstract>
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