Tuberculosis (TB) is an infectious disease of great public health importance, particularly to institutions that provide health care to large numbers of TB patients such as Parkland Hospital in Dallas, TX. The purpose of this retrospective chart review was to analyze differences in TB positive and TB negative patients to better understand whether or not there were variables that could be utilized to develop a predictive model for use in the emergency department to reduce the overall number of suspected TB patients being sent to respiratory isolation for TB testing. This study included patients who presented to the Parkland Hospital emergency department between November 2006 and December 2007 and were isolated and tested for TB. Outcome of TB was defined as a positive sputum AFB test or a positive M. tuberculosis culture result. Data were collected utilizing the UT Southwestern Medical Center computerized database OACIS and included demographic information, TB risk factors, physical symptoms, and clinical results. Only two variables were significantly (PA strong suspicion was that HIV status had an effect on the patients of this study. It is known that HIV positive patients can be difficult to screen for TB due to issues such as atypical radiological results (Sokolove et al., 2000.b), invalid skin PPDanbsp;...
|Title||:||A Retrospective Analysis of Patients Referred for Tuberculosis Testing at Parkland Hospital, Dallas, TX.|
|Publisher||:||ProQuest - 2009|