Abstract
Setting: Public hospital emergency room (ER) in Porto Alegre, Brazil, a setting with high prevalence of tuberculosis (TB) and human immunodeficiency virus (HIV) infection. Objective: To determine the prevalence of PTB, using a symptom based active case finding (ACF) strategy in the ER of a public hospital in an area with high prevalence of TB and HIV, as well as variables associated with pulmonary TB diagnosis. Methods: Cross sectional study. All patients ≥18 years seeking care at the ER were screened for respiratory symptoms and those with cough ≥2 weeks were invited to provide a chest radiograph and two unsupervised samples of sputum for acidfast bacilli smear and culture. Results: Among 31,267 admissions, 6,273 (20.1%) reported respiratory symptoms; 197 reported cough ≥2 weeks, of which pulmonary TB was diagnosed in 30. In multivariate analysis, the variables associated with a pulmonary tuberculosis diagnosis were: Age (OR 0.94, 95% CI: 0.92-0.97; p
| Original language | English (US) |
|---|---|
| Article number | e107576 |
| Journal | PLoS One |
| Volume | 9 |
| Issue number | 9 |
| DOIs | |
| State | Published - Sep 1 2014 |
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ASJC Scopus subject areas
- Agricultural and Biological Sciences(all)
- Biochemistry, Genetics and Molecular Biology(all)
- Medicine(all)
Cite this
Active case finding of tuberculosis (TB) in an emergency room in a region with high prevalence of TB in Brazil. / Silva, Denise Rossato; Müller, Alice Manica; Da Silva Tomasini, Karina; De Tarso Roth Dalcin, Paulo; Golub, Jonathan E; Conde, Marcus Barreto.
In: PLoS One, Vol. 9, No. 9, e107576, 01.09.2014.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Active case finding of tuberculosis (TB) in an emergency room in a region with high prevalence of TB in Brazil
AU - Silva, Denise Rossato
AU - Müller, Alice Manica
AU - Da Silva Tomasini, Karina
AU - De Tarso Roth Dalcin, Paulo
AU - Golub, Jonathan E
AU - Conde, Marcus Barreto
PY - 2014/9/1
Y1 - 2014/9/1
N2 - Setting: Public hospital emergency room (ER) in Porto Alegre, Brazil, a setting with high prevalence of tuberculosis (TB) and human immunodeficiency virus (HIV) infection. Objective: To determine the prevalence of PTB, using a symptom based active case finding (ACF) strategy in the ER of a public hospital in an area with high prevalence of TB and HIV, as well as variables associated with pulmonary TB diagnosis. Methods: Cross sectional study. All patients ≥18 years seeking care at the ER were screened for respiratory symptoms and those with cough ≥2 weeks were invited to provide a chest radiograph and two unsupervised samples of sputum for acidfast bacilli smear and culture. Results: Among 31,267 admissions, 6,273 (20.1%) reported respiratory symptoms; 197 reported cough ≥2 weeks, of which pulmonary TB was diagnosed in 30. In multivariate analysis, the variables associated with a pulmonary tuberculosis diagnosis were: Age (OR 0.94, 95% CI: 0.92-0.97; p
AB - Setting: Public hospital emergency room (ER) in Porto Alegre, Brazil, a setting with high prevalence of tuberculosis (TB) and human immunodeficiency virus (HIV) infection. Objective: To determine the prevalence of PTB, using a symptom based active case finding (ACF) strategy in the ER of a public hospital in an area with high prevalence of TB and HIV, as well as variables associated with pulmonary TB diagnosis. Methods: Cross sectional study. All patients ≥18 years seeking care at the ER were screened for respiratory symptoms and those with cough ≥2 weeks were invited to provide a chest radiograph and two unsupervised samples of sputum for acidfast bacilli smear and culture. Results: Among 31,267 admissions, 6,273 (20.1%) reported respiratory symptoms; 197 reported cough ≥2 weeks, of which pulmonary TB was diagnosed in 30. In multivariate analysis, the variables associated with a pulmonary tuberculosis diagnosis were: Age (OR 0.94, 95% CI: 0.92-0.97; p
UR - http://www.scopus.com/inward/record.url?scp=84944929771&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84944929771&partnerID=8YFLogxK
U2 - 10.1371/journal.pone.0107576
DO - 10.1371/journal.pone.0107576
M3 - Article
C2 - 25211158
AN - SCOPUS:84944929771
VL - 9
JO - PLoS One
JF - PLoS One
SN - 1932-6203
IS - 9
M1 - e107576
ER -