The Accuracy of Emergency Physicians' Suspicions of Active Pulmonary Tuberculosis.

delayed isolation emergency department pulmonary tuberculosis recognition

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
19 Feb 2021
Historique:
received: 04 02 2021
revised: 13 02 2021
accepted: 16 02 2021
entrez: 6 3 2021
pubmed: 7 3 2021
medline: 7 3 2021
Statut: epublish

Résumé

To investigate factors associated with recognition and delayed isolation of pulmonary tuberculosis (PTB). Precise identification of PTB in the emergency department (ED) remains challenging. Retrospectively reviewed PTB suspects admitted via the ED were divided into three groups based on the acid-fast bacilli culture report and whether they were isolated initially in the ED or general ward. Factors related to recognition and delayed isolation were statistically compared. Only 24.94% (100/401) of PTB suspects were truly active PTB and 33.77% (51/151) of active PTB were unrecognized in the ED. Weight loss ( Weight loss, absence of dyspnea, and left upper lobe field lesions on chest radiographs were related to truly active PTB. Malignancy, chronic kidney disease, absence of a history of PTB, and absence of right and/or left upper lung lesions on chest radiography were associated with isolation delay.

Sections du résumé

OBJECTIVE OBJECTIVE
To investigate factors associated with recognition and delayed isolation of pulmonary tuberculosis (PTB).
BACKGROUND BACKGROUND
Precise identification of PTB in the emergency department (ED) remains challenging.
METHODS METHODS
Retrospectively reviewed PTB suspects admitted via the ED were divided into three groups based on the acid-fast bacilli culture report and whether they were isolated initially in the ED or general ward. Factors related to recognition and delayed isolation were statistically compared.
RESULTS RESULTS
Only 24.94% (100/401) of PTB suspects were truly active PTB and 33.77% (51/151) of active PTB were unrecognized in the ED. Weight loss (
CONCLUSIONS CONCLUSIONS
Weight loss, absence of dyspnea, and left upper lobe field lesions on chest radiographs were related to truly active PTB. Malignancy, chronic kidney disease, absence of a history of PTB, and absence of right and/or left upper lung lesions on chest radiography were associated with isolation delay.

Identifiants

pubmed: 33669722
pii: jcm10040860
doi: 10.3390/jcm10040860
pmc: PMC7922231
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Shiang-Jin Chen (SJ)

Department of Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.

Chun-Yu Lin (CY)

Division of Infectious Diseases, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
Infection Control Center, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
Center for Tropical Medicine and Infectious Diseases Research, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.

Tzu-Ling Huang (TL)

Infection Control Center, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.

Ying-Chi Hsu (YC)

Infection Control Center, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.

Kuan-Ting Liu (KT)

Department of Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.

Classifications MeSH