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  1. Fulltext. Controlling tuberculosis in an urban emergency department : A rapid decision instrument for patient isolation.

    Article - En anglais

    Fulltext.

    Objectives

    This study exam-ined whether data routinely available in emergency departments could be used to improve isolation decisions for tuberculosis patients.

    Methods

    In a large emergency department in New York City, we compared the exposure histories of tuberculosis culture-positive and culture-negative patients and used these data to develop a rapid decision instrument to predict culture-positive tuberculosis.

    The screen used only data that are routinely available to emergency physicians.

    Results

    The method had high sensitivity (.

    96) and moderate speci-ficity (. 54).

    Conclusions

    The method is easily adaptable for a broad range of settings and illustrates the potential benefits of applying basic epidemio-logic methods in a clinical setting.

    Mots-clés Pascal : Tuberculose, Mycobactériose, Bactériose, Infection, Service hospitalier, Urgence, Isolement, Prise décision, Epidémiologie, Facteur risque, Evaluation, Homme, Prévention, Etats Unis, Amérique du Nord, Amérique, Milieu hospitalier, Appareil respiratoire pathologie, Soin intensif, Service urgence, Emergency department

    Mots-clés Pascal anglais : Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Hospital ward, Emergency, Isolation, Decision making, Epidemiology, Risk factor, Evaluation, Human, Prevention, United States, North America, America, Hospital environment, Respiratory disease, Intensive care

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

    Cote : 97-0515017

    Code Inist : 002B05B02O. Création : 13/02/1998.