Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김유경 | * |
dc.contributor.author | 최희정 | * |
dc.contributor.author | 김충종 | * |
dc.contributor.author | 배지윤 | * |
dc.date.accessioned | 2020-08-13T16:30:12Z | - |
dc.date.available | 2020-08-13T16:30:12Z | - |
dc.date.issued | 2020 | * |
dc.identifier.issn | 1198-743X | * |
dc.identifier.other | OAK-27242 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/254946 | - |
dc.description.abstract | Objectives: The aim was to examine the rate of delayed or no isolation of hospitalized patients with pulmonary tuberculosis (TB) and the causes for isolation failure. Methods: This retrospective study included patients with pulmonary TB at a university-affiliated hospital in South Korea between January 2015 and June 2018 after excluding those with a stay ≤2 days and those who only visited the emergency department. Patients who were not isolated for ≥3 days were classified as the delayed or no isolation group. We compared the clinical findings and diagnostic test results, between patients managed with delayed or no isolation (D-isolation) and timely isolation (T-isolation). Results: Of 486 patients with pulmonary TB, 222 patients were included. In 106 cases (47.7%), isolation was delayed or not applied, while in 116 cases, isolation was applied in a timely manner. Typical findings of TB were seen on the chest X-rays of 87 (75.0%) patients in the T-isolation group versus 25 (23.6%) patients in the D-isolation group (p < 0.001). Other factors significantly associated with delayed or no isolation on univariate analyses were older age, admission route (emergency room vs. other), admitting department, negative acid-fast bacilli (AFB) stain, and negative MTB PCR. On multivariate analysis, admission through an outpatient clinic, admission to a department other than infectious diseases or pulmonology, an atypical chest X-ray finding and negative sputum AFB stains were risk factors for isolation failure. Discussion: Delayed or no isolation of patients with pulmonary TB was attributed mainly to atypical radiological findings and negative findings of direct TB diagnostic tests. © 2020 | * |
dc.language | English | * |
dc.publisher | Elsevier B.V. | * |
dc.subject | Health personnel | * |
dc.subject | Nosocomial | * |
dc.subject | Occupational exposure | * |
dc.subject | Risk factor tuberculosis | * |
dc.title | Risk factors of delayed isolation of patients with pulmonary tuberculosis | * |
dc.type | Article | * |
dc.relation.issue | 8 | * |
dc.relation.volume | 26 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 1058 | * |
dc.relation.lastpage | 1062 | * |
dc.relation.journaltitle | Clinical Microbiology and Infection | * |
dc.identifier.doi | 10.1016/j.cmi.2020.01.032 | * |
dc.identifier.wosid | WOS:000550762300016 | * |
dc.identifier.scopusid | 2-s2.0-85082427126 | * |
dc.author.google | Kim C.-J. | * |
dc.author.google | Kim Y. | * |
dc.author.google | Bae J.Y. | * |
dc.author.google | Kim A. | * |
dc.author.google | Kim J. | * |
dc.author.google | Son H.J. | * |
dc.author.google | Choi H.J. | * |
dc.contributor.scopusid | 김유경(55771213900;57226682807;57226682808) | * |
dc.contributor.scopusid | 최희정(57217262202) | * |
dc.contributor.scopusid | 김충종(45361165100) | * |
dc.contributor.scopusid | 배지윤(57195429959) | * |
dc.date.modifydate | 20240426113129 | * |