Base documentaire
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Controlling tuberculosis in an urban emergency department : A rapid decision instrument for patient isolation. 
AMERICAN JOURNAL OF PUBLIC HEALTH, vol. 87, n° 9, 1997, pages 1543-1547, 50 réf., ISSN 0090-0036, USA
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 BDSP : Tuberculose, Bactériose, Infection, Structure hospitalière, Epidémiologie, Facteur risque, Evaluation, Homme, Prévention, Etats Unis, Amérique du Nord, Amérique, Urgence hospitalière, Appareil respiratoire [pathologie], Soins intensifs, Service urgence
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et TechniqueCote : 97-0515017
Code Inist : 002B05B02O. Création : 13/02/1998.
Banque de données en santé publique - http://www.bdsp.ehesp.fr