Delays in the suspicion and treatment of tuberculosis among hospitalized patients.
Despite increased awareness of tuberculosis, delays in management are common.
To investigate management delays among hospitalized patients with tuberculosis.
Retrospective cohort study.
The Barnes-Jewish-Christian Health System, a network of eight community and tertiary-care facilities serving the St.
Louis, Missouri, metropolitan area.
All 203 patients with tuberculosis hospitalized in the Barnes-Jewish-Christian Health System from 1988 to 1996.
Time from admission to first consideration of the diagnosis (suspicion interval), first consideration and treatment initiation (treatment interval), and admission and treatment initiation (overall management interval) were determined.
Delays were defined as intervals longer than 24 hours.
The overall management interval (median, 6 days [5th and 95th percentiles, 1 and 52 days]) exceeded 24 hours in 152 patients (74.9% [95% Cl, 68.9% to 80.9% ]). The suspicion interval (median, 1 day [5th and 95th percentiles, 0 and 16 days]) exceeded 24 hours in 54 patients (26.6% [Cl, 20.5% to 32.7% ]), and the treatment interval (median, 3 days [5th and 95th percentiles, 0 and 51 days]) was prolonged in 130 patients (64.0% [Cl, 57.4% to 70.6% ]). Overall management delays of more than 10 and 25 days occurred in 33.5% (Cl, 27.0% to 40.0%) and 18.7% (Cl, 13.3% to 24.1%) of patients, respectively. (...)
Mots-clés Pascal : Tuberculose, Mycobactériose, Bactériose, Infection, Homme, Evaluation, Hospitalisation, Diagnostic, Traitement, Délai d'exécution, Recommandation, Missouri, Etats Unis, Amérique du Nord, Amérique, Epidémiologie
Mots-clés Pascal anglais : Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Human, Evaluation, Hospitalization, Diagnosis, Treatment, Time allowed, Recommendation, Missouri, United States, North America, America, Epidemiology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0172735
Code Inist : 002B05B02O. Création : 16/11/1999.