About: Delayed Suspicion, Treatment and Isolation of Tuberculosis Patients in Pulmonology/Infectious Diseases and Non-Pulmonology/Infectious Diseases Wards

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Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Delayed Suspicion, Treatment and Isolation of Tuberculosis Patients in Pulmonology/Infectious Diseases and Non-Pulmonology/Infectious Diseases Wards
Creator	Chen, Ning-Hung Chiang, Ping-Chern Hsieh, Meng-Jer Hsiung, Te-Chih Hu, Han-Chung Huang, Chung-Chi Liang, Huey-Wen Tsai, Ying-Huang
Source	Elsevier; Medline; PMC
abstract	Background/Purpose Delayed diagnosis and isolation increases the risk of nosocomial transmission of tuberculosis (TB). To assess the risk of delayed management of TB, we analyzed the risk factors of prolonged delay in isolation of smear-positive TB patients in pulmonology/infectious diseases and other wards in a tertiary teaching hospital. Methods We enrolled smear-positive TB patients aged > 16 years with delayed respiratory isolation following hospitalization. Medical records were reviewed retrospectively. Time intervals between admission, order of sputum acid-fast staining, initiation of anti-tuberculous treatment and isolation were compared between pulmonology/infectious diseases wards (PIWs) and other wards. Risk factors were analyzed in patients with prolonged isolation delay of > 7 days in individual groups. Results Isolation was delayed in 191 (73.7%) of 259 hospitalized smear-positive TB patients. Median suspicion, treatment and isolation delays were 0, 3 and 4 days in PIWs and 1, 5 and 7 days in other wards. For patients admitted to non-PIWs, atypical chest radiographs, symptoms without dyspnea or not being admitted from the emergency department (ED) were risk factors for prolonged isolation delay exceeding 7 days. The only risk factor for delayed isolation in patients admitted to PIWs was age ≥ 70 years. Conclusion Delays in suspicion, treatment and isolation of TB patients were longer in non-PIWs. Clinicians should be alert to those admitted to non-PIWs with atypical chest radiographs, atypical symptoms, or not admitted from the ED.
has issue date	2009-03-31(xsd:dateTime)
bibo:doi	10.1016/s0929-6646(09)60053-x
bibo:pmid	19293035
has license	els-covid
sha1sum (hex)	8ef99170acaf22a944558d25568e2f3339e09cd3
schema:url	https://doi.org/10.1016/s0929-6646%2809%2960053-x
resource representing a document's title	Delayed Suspicion, Treatment and Isolation of Tuberculosis Patients in Pulmonology/Infectious Diseases and Non-Pulmonology/Infectious Diseases Wards
has PubMed Central identifier	PMC7135255
has PubMed identifier	19293035
schema:publication	Journal of the Formosan Medical Association
resource representing a document's body	covid:8ef99170acaf22a944558d25568e2f3339e09cd3#body_text
is schema:about of	named entity 'patients' named entity 'isolation' named entity 'compared' named entity 'aged' named entity 'sputum' named entity 'patients' named entity 'atypical' named entity 'TUBERCULOSIS' named entity 'HEALTH CARE FACILITIES' named entity 'CONCLUSION' named entity 'FREQUENTLY' named entity 'HIGHER' named entity 'ED.' named entity 'RESPIRATORY ISOLATION' named entity 'DELAY' named entity 'ADMISSION' named entity 'HOSPITALIZATION' named entity 'PROLONGED' named entity 'RISK FACTOR' named entity 'INDIVIDUAL' covid:arg/8ef99170acaf22a944558d25568e2f3339e09cd3 named entity 'VITAL' named entity 'SYMPTOMS' named entity 'PATIENTS' named entity 'POPULATION' named entity 'UNITED STATES' named entity 'CASES' named entity 'MEDICAL RECORDS' named entity 'NON-' named entity 'PULMONOLOGY' named entity 'DAYS' named entity 'DELAYED DIAGNOSIS' named entity 'RELATED' named entity 'ENROLLED' named entity 'RADIOGRAPHS' named entity 'SPUTUM' named entity 'TREATMENT' named entity 'PATIENTS' named entity 'ISOLATION' named entity 'INFECTIOUS DISEASES' named entity 'SUSPICION' named entity 'MYCOBACTERIUM' named entity 'OUTBREAK' named entity 'INCREASES' named entity 'TIMES' named entity 'ACID-FAST STAINING' named entity 'TAIWAN' named entity 'POSITIVE' named entity '283' named entity 'DEATHS' named entity 'ASSESS' named entity 'DISEASES' named entity 'MANAGEMENT' named entity 'RISK FACTORS' named entity 'INITIATION' named entity 'HOSPITALIZED' named entity 'GROUPS' named entity 'COMPARED' named entity 'BEING' named entity 'YEARS' named entity 'TREATMENT' named entity 'ATYPICAL' named entity 'YEAR' named entity 'TIME' named entity 'ADMITTED FROM' named entity 'ANALYZED' named entity 'WARDS' named entity 'DELAYED' named entity 'TERTIARY' named entity 'ORDER' named entity 'ISOLATION' named entity '191' named entity 'MEDIAN' named entity 'NON-'

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