Long-term Hospitalization for Tuberculosis Control

Singleton, L.

doi:10.1001/jama.1997.03550100064040

Cited by 32 publications

(17 citation statements)

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“…Poor compliance with the antimicrobial regimen has historically been cited as one of the most challenging problems for tuberculosis treatment [21]. It has become a focus of attention for national tuberculosis control programs in several countries, including Brazil, and has provoked the recent adoption of a strategy of establishing supervised treatment [22].…”

Section: Discussionmentioning

confidence: 99%

<![CDATA[<B>Noncompliance with tuberculosis treatment by patients at a tuberculosis and AIDS reference hospital in midwestern Brazil</B>]]>

Rabahi¹,

Rodrigues²,

Mello³

et al. 2002

Braz J Infect Dis

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Section: Discussionmentioning

confidence: 99%

<![CDATA[<B>Noncompliance with tuberculosis treatment by patients at a tuberculosis and AIDS reference hospital in midwestern Brazil</B>]]>

Rabahi¹,

Rodrigues²,

Mello³

et al. 2002

Braz J Infect Dis

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“…A diferença é que, nos mais desenvolvidos, a principal causa de internação é a falência do tratamento conseqüente à não adesão ao mesmo. Este fato ocorre principalmente entre os alcoólatras e os usuários de drogas (5) .…”

Section: Discussionunclassified

“…Porém, foi percebido que os pacientes com esse sintoma devem merecer um cuidado especial, pois neste grupo notou-se que ocorreu o mais alto percentual de óbitos e um dos A dependência ao álcool sempre foi causa importante de agravamento do quadro da tuberculose, não só pela desnutrição e pouco cuidado com a saúde geralmente observados nesses doentes e a conseqüente queda da sua imunidade, conforme referido por vários autores (5)(6)(7)(8)(9)(10)(11)(12) . Os etilistas, quando internados, são afastados da bebida, podendo desencadear uma crise de abstinência que poderia levar à fuga do hospital e ao conseqüente abandono ou à saída disciplinar por brigas internas.…”

Section: Discussionunclassified

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Motivos e tempo de internação e o tipo de saída em hospitais de tuberculose do Estado de São Paulo, Brasil -- 1981 a 1995

Nogueira¹

2001

J. Pneumologia

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Introdução: A partir de 1981, a Secretaria da Saúde assumiu o tratamento e a internação de todos os casos de tuberculose no Estado de São Paulo, na região Sudeste do Brasil. Nesses anos foi observada a diminuição da incidência e da percentagem de internações por essa doença. Objetivo: Analisar a evolução dos motivos que levaram os doentes de tuberculose a internação e correlacionar esses motivos com o tempo de internação e com o tipo de alta. Material e métodos: Uma amostra de 1.805 prontuários pertencentes a cinco hospitais de tisiologia, que tratam de tuberculosos, entre os anos de 1981 e 1995 foi analisada. Resultados: O principal motivo de internação foi o mau estado geral seguido pela caquexia, tendo sido registrado o crescimento do alcoolismo. Entre os que ficaram internados menos de uma semana, destacaram-se aqueles com "outras patologias" e "insuficiência respiratória". Os motivos que levaram ao maior tempo médio de internação foram o social e a falência do tratamento. Os pacientes com insuficiência respiratória apresentaram o maior abandono e óbito. Os internados devido à intolerância medicamentosa e motivo social apresentaram maior proporção de alta a pedido; o motivo social e o alcoolismo tiveram maior taxa de alta disciplinar. O hospital que internou pacientes do sexo feminino teve o maior número de altas a pedido e os do sexo masculino se destacaram por apresentar maior freqüência de alta disciplinar e abandono.

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“…Benefits of hospitalization include isolation of infectious patients, and medical stabilization of patients with or at-risk of complications of the disease or therapy [1]. For patients who are homeless or living in group settings, have psychiatric or substance abuse issues, or have difficulties with activities of daily living, extended inpatient treatment may be used to ensure completion of treatment [4, 5]. …”

Section: Introductionmentioning

confidence: 99%

Predictors of hospitalization of tuberculosis patients in Montreal, Canada: a retrospective cohort study

et al. 2016

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BackgroundHospitalization is the most costly health system component of tuberculosis (TB) control programs. Our objectives were to identify how frequently patients are hospitalized, and the factors associated with hospitalizations and length-of-stay (LOS) of TB patients in a large Canadian city.MethodsWe extracted data from the Montreal TB Resource database, a retrospective cohort of all active TB cases reported to the Montreal Public Health Department between January 1996 and May 2007. Data included patient demographics, clinical characteristics, and dates of treatment and hospitalization. Predictors of hospitalization and LOS were estimated using logistic regression and Cox proportional hazards regression, respectively.ResultsThere were 1852 active TB patients. Of these, 51% were hospitalized initially during the period of diagnosis and/or treatment initiation (median LOS 17.5 days), and 9.0% hospitalized later during treatment (median LOS 13 days). In adjusted models, patients were more likely to be hospitalized initially if they were children, had co-morbidities, smear-positive symptomatic pulmonary TB, cavitary or miliary TB, and multi- or poly-TB drug resistance. Factors predictive of longer initial LOS included having HIV, renal disease, symptomatic pulmonary smear-positive TB, multi- or poly-TB drug resistance, and being in a teaching hospital.ConclusionsWe found a high hospitalization rate during diagnosis and treatment of patients with TB. Diagnostic delay due to low index of suspicion may result in patients presenting with more severe disease at the time of diagnosis. Earlier identification and treatment, through interventions to increase TB awareness and more targeted prevention programs, might reduce costly TB-related hospital use.

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Long-term Hospitalization for Tuberculosis Control

Cited by 32 publications

References 0 publications

<![CDATA[<B>Noncompliance with tuberculosis treatment by patients at a tuberculosis and AIDS reference hospital in midwestern Brazil</B>]]>

<![CDATA[<B>Noncompliance with tuberculosis treatment by patients at a tuberculosis and AIDS reference hospital in midwestern Brazil</B>]]>

Motivos e tempo de internação e o tipo de saída em hospitais de tuberculose do Estado de São Paulo, Brasil -- 1981 a 1995

Predictors of hospitalization of tuberculosis patients in Montreal, Canada: a retrospective cohort study

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