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
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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