Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Delays in tuberculosis isolation and suspicion among persons hospitalized with HIV-related pneumonia
Autore:
Bennett, CL; Schwartz, DN; Parada, JP; Sipler, AM; Chmiel, JS; DeHovitz, JA; Goetz, MB; Weinstein, RA;
Indirizzi:
Chicago VA Hlth Care Syst, Lakeside Div, Chicago, IL USA Chicago VA Hlth Care Syst Chicago IL USA , Lakeside Div, Chicago, IL USA Chicago VA Hlth Care Syst, Westside Div, Chicago, IL USA Chicago VA Hlth Care Syst Chicago IL USA , Westside Div, Chicago, IL USA Loyola Univ, New Orleans, LA 70118 USA Loyola Univ New Orleans LA USA 70118 yola Univ, New Orleans, LA 70118 USA Loyola Univ, Med Ctr, New Orleans, LA 70118 USA Loyola Univ New Orleans LA USA 70118 , Med Ctr, New Orleans, LA 70118 USA Northwestern Univ, Sch Med, Dept Prevent Med, Evanston, IL USA Northwestern Univ Evanston IL USA ed, Dept Prevent Med, Evanston, IL USA Northwestern Univ, Sch Med, Dept Internal Med, Evanston, IL USA Northwestern Univ Evanston IL USA d, Dept Internal Med, Evanston, IL USA Cook Cty Hosp, Chicago, IL 60612 USA Cook Cty Hosp Chicago IL USA 60612Cook Cty Hosp, Chicago, IL 60612 USA W Los Angeles VA, Los Angeles, CA USA W Los Angeles VA Los Angeles CA USA Los Angeles VA, Los Angeles, CA USA SUNY Brooklyn, Allied Program, Brooklyn, NY USA SUNY Brooklyn Brooklyn NYUSA Brooklyn, Allied Program, Brooklyn, NY USA
Titolo Testata:
CHEST
fascicolo: 1, volume: 117, anno: 2000,
pagine: 110 - 116
SICI:
0012-3692(200001)117:1<110:DITIAS>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
RESISTANT MYCOBACTERIUM-TUBERCULOSIS; PULMONARY TUBERCULOSIS; HIGH-RISK; OUTBREAK; EPIDEMIOLOGY; TRANSMISSION; INFECTION;
Keywords:
nosocomial outbreak of tuberculosis; patterns of care; quality of care;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Bennett, CL Lakeside VA, 400 E Ontariao St,Suite 205, Chicago, IL 60611 USA Lakeside VA 400 E Ontariao St,Suite 205 Chicago IL USA 60611 A
Citazione:
C.L. Bennett et al., "Delays in tuberculosis isolation and suspicion among persons hospitalized with HIV-related pneumonia", CHEST, 117(1), 2000, pp. 110-116

Abstract

Background: Despite awareness of HIV-related tuberculosis (TB), nosocomialoutbreaks of multidrug-resistant TB among HIV-infected individuals occur. Objective: To investigate delays in TB isolation and suspicion among HIV-infected inpatients discharged with TB or Pneumocystis carinii pneumonia (PCP), common HIV-related pneumonias. Design: Cohort study during 1995 to 1997,Setting: For PCP, 1,227 persons who received care at 44 New York City, Chicago, and Los Angeles hospitals, For TB, 89 patients who reteived care at five Chicago hospitals,Measurements: Two-day rates of TB isolation/suspicion,Results: For HIV-related PCP, Los Angeles hospitals had the lon est 2-day rates of isolation/suspicion of TB (24.3%/26.6% vs 65.5%/66.4% for New YorkCity and 62.8%/58.3% for Chicago, respectively; p < 0.001 for overall comparison by chi(2) test for each outcome measure). within cities, hospital isolation/suspicion rates varied from < 35 to > 70% (p < 0.001 for interhospital comparisons in each city). The Chicago hospital with a nosocomial outbreak of multidrug-resistant TB from 1991 to 1995 isolated 60% of HIV-infected individuals who were discharged with a diagnosis of HIV-related TB and 52% discharged with HIV-related PCP, rates that were among the lowest of all Chicago hospitals in both data sets. Conclusion: Low 2-day races of TB isolation/suspicion among HIV-related PCP patients were frequent. One Chicago hospital with low 2-day rates of TB isolation/suspicion,among persons with. HIV-related PCP also had low 2-day rates of isolation/suspicion among confirmed TB patients. That hospital experienced a nosocomial multidrug-resistant TB outbreak. Educational efforts on the benefits of early TB suspicion/isolation among HIV-infected pneumoniapatients are needed.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 04:09:49