Predictive Factors and Clinical Impacts of Delayed Isolation of Tuberculosis during Hospital Admission.
contact investigation
health personnel
infection control
isolation
occupational exposure
tuberculosis
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
08 Feb 2023
08 Feb 2023
Historique:
received:
05
01
2023
revised:
04
02
2023
accepted:
07
02
2023
entrez:
25
2
2023
pubmed:
26
2
2023
medline:
26
2
2023
Statut:
epublish
Résumé
Delayed isolation of tuberculosis (TB) can cause unexpected exposure of healthcare workers (HCWs). This study identified the predictive factors and clinical impact of delayed isolation. We retrospectively reviewed the electronic medical records of index patients and HCWs who underwent contact investigation after TB exposure during hospitalization at the National Medical Center, between January 2018 and July 2021. Among the 25 index patients, 23 (92.0%) were diagnosed with TB based on the molecular assay, and 18 (72.0%) had a negative acid-fast bacilli smear. Sixteen (64.0%) patients were hospitalized via the emergency room, and 18 (72.0%) were admitted to a non-pulmonology/infectious disease department. According to the patterns of delayed isolation, patients were classified into five categories. Among 157 close-contact events in 125 HCWs, 75 (47.8%) occurred in Category A. Twenty-five (20%) HCWs had multiple TB exposures (
Identifiants
pubmed: 36835896
pii: jcm12041361
doi: 10.3390/jcm12041361
pmc: PMC9966369
pii:
doi:
Types de publication
Journal Article
Langues
eng
Subventions
Organisme : National Medical Center
ID : NMC2022-MS-06
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