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  1. Delayed recognition and infection control for tuberculosis patients in the emergency department.

    Article, Communication - En anglais

    Society for Academic Emergency Medicine. Annual meeting. San Francisco USA, 1993/05.

    Study objective 

    The recent increase in tuberculosis (TB) cases may have an important effect on emergency department infection-control measures.

    We describe infection-control interventions for TB patients admitted through the ED and hypothesize that ED suspicion of TB is associated with more rapid isolation and treatment.

    Design 

    Retrospective chart review.

    Setting 

    The ED of a 400-bed urban, university-affiliated county hospital.

    Participants 

    Fifty-five patients with TB culture-positive and acid-fast bacillus stain-positive respiratory specimens who were evaluated in the ED during 1991 and 1992.

    Results 

    We identified cases from the mycobacteriology log.

    Demographic and historical data and time elapsed before initiation of infection-control measures and TB therapy were recorded.

    We assessed the relationships of individual clinical findings and the ED presumptive diagnosis of TB (predictor variables) to time elapsed before isolation and therapy (outcome variables) with the log-rank test.

    The median time (interquartile range) from ED registration to isolation was 8 hours (range, 3 to 13 hours).

    Conclusion 

    Among patients with active pulmonary TB in the ED, TB is often unsuspected and isolation measures are often not used.

    ED suspicion of TB is associated with more rapid isolation and treatment.

    Mots-clés Pascal : Tuberculose, Service hospitalier, Urgence, Transmission homme homme, Etats Unis, Diagnostic, Précoce, Politique sanitaire, Homme, Infection Nosocomiale, Mycobactériose, Bactériose, Infection, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Tuberculosis, Hospital ward, Emergency, Transmission from man to man, United States, Diagnosis, Early, Health policy, Human, Nosocomial Infection, Mycobacterial infection, Bacteriosis, Infection, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0518252

    Code Inist : 002B30A04A. Création : 01/03/1996.