ArticleJournal of the Formosan Medical Association = Taiwan yi zhi2009
Delayed suspicion, treatment and isolation of tuberculosis patients in pulmonology/infectious diseases and non-pulmonology/infectious diseases wards.
Article in Journal of the Formosan Medical Association = Taiwan yi zhi, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 20 citations in OpenAlex.
- Trial
- Predictive Factors and Clinical Impacts of Delayed Isolation of Tuberculosis during Hospital Admission.Journal of clinical medicine · 2023Article
- The Accuracy of Emergency Physicians' Suspicions of Active Pulmonary Tuberculosis.Journal of clinical medicine · 2021Article
- Delayed isolation of smear-positive pulmonary tuberculosis patients in a Japanese acute care hospital.BMC pulmonary medicine · 2018Article
- Distance Learning Course for Healthcare Professionals: Continuing Education in Tuberculosis.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2017Article
- A high-resolution computed tomography-based scoring system to differentiate the most infectious active pulmonary tuberculosis from community-acquired pneumonia in elderly and non-elderly patients.European radiology · 2014Article
- Prevalence and predictors of compliance with discontinuation of airborne isolation in patients with suspected pulmonary tuberculosis.Infection control and hospital epidemiology · 2013Article
- Factors associated with delayed diagnosis of tuberculosis in hospitalized patients in a high TB and HIV burden setting: a cross-sectional study.BMC infectious diseases · 2012Article
- High-resolution CT for identify patients with smear-positive, active pulmonary tuberculosis.European journal of radiology · 2012Article
- Identifying the most infectious lesions in pulmonary tuberculosis by high-resolution multi-detector computed tomography.European radiology · 2010Article
- "Cough officer screening" improves detection of pulmonary tuberculosis in hospital in-patients.BMC public health · 2010Article
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background/purposeDelayed diagnosis and isolation increases the risk of nosocomial transmission of tuberculosis (TB). To assess the risk of delayed management of TB, we analyzed the risk factors of prolonged delay in isolation of smear-positive TB patients in pulmonology/infectious diseases and other wards in a tertiary teaching hospital.
methodsWe enrolled smear-positive TB patients aged > 16 years with delayed respiratory isolation following hospitalization. Medical records were reviewed retrospectively. Time intervals between admission, order of sputum acid-fast staining, initiation of anti-tuberculous treatment and isolation were compared between pulmonology/infectious diseases wards (PIWs) and other wards. Risk factors were analyzed in patients with prolonged isolation delay of > 7 days in individual groups.
resultsIsolation was delayed in 191 (73.7%) of 259 hospitalized smear-positive TB patients. Median suspicion, treatment and isolation delays were 0, 3 and 4 days in PIWs and 1, 5 and 7 days in other wards. For patients admitted to non-PIWs, atypical chest radiographs, symptoms without dyspnea or not being admitted from the emergency department (ED) were risk factors for prolonged isolation delay exceeding 7 days. The only risk factor for delayed isolation in patients admitted to PIWs was age >or= 70 years.
conclusionDelays in suspicion, treatment and isolation of TB patients were longer in non-PIWs. Clinicians should be alert to those admitted to non-PIWs with atypical chest radiographs, atypical symptoms, or not admitted from the ED.
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