Imprisonment and tuberculosis in HIV-infected women.
The incidence of concomitant infections of tuberculosis (TB) and HIV in the same subject is on the increase, especially among inmates of jails and correctional institutions. The investigator examined the medical records of a sample of HIV-positive women prisoners for the presence of TB, and compared them to a sample of HIV-positive women who were not prisoners. Tuberculosis was found to be related to HIV-positive women prisoners (X2 (1, N = 56) = 4.62, p less than .04). The nosocomial spread of TB among HIV-positive women prisoners has an exponential potential for increase, not only to other prisoners, but to caretakers and to the overwhelmed communities to which they are released. Their infants and children are at risk for both infections. Nurses who work with HIV-positive patients, especially those with a recent prison history, drug addiction, or homelessness are at increased risk for contracting tuberculosis from their patients, often of the drug-resistant type.