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Titolo:
GENDER DIFFERENCES IN EARLY SUSPICION OF TUBERCULOSIS IN HOSPITALIZED, HIGH-RISK PATIENTS DURING 4 EPIDEMIC YEARS, 1987 TO 1990
Autore:
CEGIELSKI JP; GOETZ MB; JACOBSON JM; COHN SE; WEINSTEIN RA; DEHOVITZ JA; BENNETT CL;
Indirizzi:
JOHNS HOPKINS UNIV,SCH HYG & PUBL HLTH,DEPT EPIDEMIOL,615 N WOLFE ST,ROOM E-7132 BALTIMORE MD 21205 UNIV TEXAS,CTR HLTH,CTR PULM INFECT DIS CONTROL TYLER TX 75710 UNIV TEXAS,CTR HLTH,DEPT MED TYLER TX 75710 VET ADM MED CTR,DEPT MED LOS ANGELES CA 00000 BRONX VET ADM MED CTR,DEPT MED NEW YORK NY 00000 MT SINAI SCH MED NEW YORK NY 00000 UNIV ROCHESTER,DEPT MED ROCHESTER NY 00000 RUSH MED COLL,DEPT MED CHICAGO IL 60612 COOK CTY HOSP CHICAGO IL 60612 SUNY HLTH SCI CTR,DEPT MED BROOKLYN NY 11203 LAKESIDE VET ADM MED CTR,DEPT MED CHICAGO IL 60611 NW UNIV CHICAGO IL 00000 RAND CORP SANTA MONICA CA 00000
Titolo Testata:
Infection control and hospital epidemiology
fascicolo: 4, volume: 18, anno: 1997,
pagine: 237 - 243
SICI:
0899-823X(1997)18:4<237:GDIESO>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
RESISTANT MYCOBACTERIUM-TUBERCULOSIS; ACQUIRED-IMMUNODEFICIENCY-SYNDROME; PNEUMOCYSTIS-CARINII PNEUMONIA; PULMONARY TUBERCULOSIS; DELAYED DIAGNOSIS; VIRUS INFECTION; HIV-INFECTION; UNITED-STATES; NEW-YORK; AIDS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
40
Recensione:
Indirizzi per estratti:
Citazione:
J.P. Cegielski et al., "GENDER DIFFERENCES IN EARLY SUSPICION OF TUBERCULOSIS IN HOSPITALIZED, HIGH-RISK PATIENTS DURING 4 EPIDEMIC YEARS, 1987 TO 1990", Infection control and hospital epidemiology, 18(4), 1997, pp. 237-243

Abstract

Objectives: To assess the degree to which, from 1987 to 1990, physicians suspected tuberculosis (TB) in the first 2 hospital days in human immunodeficiency virus (HIV)-infected patients with pulmonary disease. Design: Retrospective cohort study. Setting: 96 hospitals in five US cities. Patients: 2174 adult patients with acquired immunodeficiency syndrome discharged with a diagnosis of Pneumocystis carinii pneumonia from 1987 to 1990. The diagnosis generally was not known on admission. Results: Physicians suspected TB in the first 2 hospital days in 66% of these patients in 1987, a rate that increased steadily to 74% in 1990. However, the extent to which physicians considered TB among femalepatients decreased from 76% to 71% over the 4 years. Controlling for confounding variables by multiple logistic regression, the odds that TB would be suspected early increased 1.8-fold among men (odds ratio [OR], 1.8; 95% confidence interval [CI95], 1.4-2.4), but not in women (OR, 0.6; CI95, 0.2-1.9). Among the five cities, the odds of early suspicion of TB increased most in New York City (OR, 3.9; CI95, 2.0-7.9). Conclusions: Physicians considered TB in a timely manner in an increasing majority of male, but not female, high-risk patients during the first years of TB resurgence in the United States. Physicians must be aware of the changing epidemiology of HIV and TB, as well as their practice patterns, to prevent nosocomial transmission of this disease.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/09/20 alle ore 09:18:05