Inaccuracy of Death Certificate Diagnosis of Tuberculosis and Potential Underdiagnosis of TB in a Region of High HIV Prevalence
المؤلفون المشاركون
Liu, Theresa T.
Dawood, Halima
Alvarez, Gonzalo G.
Wilson, Douglas
Cameron, D. William
المصدر
Clinical and Developmental Immunology
العدد
المجلد 2012، العدد 2012 (31 ديسمبر/كانون الأول 2012)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2012-03-19
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Despite the South African antiretroviral therapy rollout, which should reduce the incidence of HIV-associated tuberculosis (TB), the number of TB-attributable deaths in KwaZuluNatal (KZN) remains high.
TB is often diagnosed clinically, without microbiologic confirmation, leading to inaccurate estimates of TB-attributed deaths.
This may contribute to avoidable deaths, and impact population-based TB mortality estimates.
Objectives.
(1) To measure the number of cases with microbiologically confirmed TB in a retrospective cohort of deceased inpatients with TB-attributed hospital deaths.
(2) To estimate the rates of multi-drug resistant (MDR) and extensively drug resistant (XDR) TB in this cohort.
Results.
Of 2752 deaths at EDH between September 2006 and March 2007, 403 (15%) were attributed to TB on the death certificate.
176 of the TB-attributed deaths (44%) had a specimen sent for smear or culture; only 64 (36%) had a TB diagnosis confirmed by either test.
Of the 39 culture-confirmed cases, 27/39 (69%) had fully susceptible TB and 27/39 (69%) had smear-negative culture-positive TB (SNTB).
Two patients had drug monoresistance, three patients had MDR-TB, and one had XDR-TB.
Conclusions.
Most TB-attributed deaths in this cohort were not microbiologically confirmed.
Of confirmed cases, most were smear-negative, culture positive and were susceptible to all first line drugs.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Liu, Theresa T.& Wilson, Douglas& Dawood, Halima& Cameron, D. William& Alvarez, Gonzalo G.. 2012. Inaccuracy of Death Certificate Diagnosis of Tuberculosis and Potential Underdiagnosis of TB in a Region of High HIV Prevalence. Clinical and Developmental Immunology،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-509623
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Liu, Theresa T.…[et al.]. Inaccuracy of Death Certificate Diagnosis of Tuberculosis and Potential Underdiagnosis of TB in a Region of High HIV Prevalence. Clinical and Developmental Immunology No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-509623
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Liu, Theresa T.& Wilson, Douglas& Dawood, Halima& Cameron, D. William& Alvarez, Gonzalo G.. Inaccuracy of Death Certificate Diagnosis of Tuberculosis and Potential Underdiagnosis of TB in a Region of High HIV Prevalence. Clinical and Developmental Immunology. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-509623
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-509623
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر