tailieunhanh - R"eCseoarcuh garthicl eofficer screening" improves detection of pulmonary tuberculosis in hospital in-patients

Current tuberculosis (TB) reporting protocols are insufficient to achieve the goals established by the Stop TB partnership. Some countries have recommended implementation of active case finding program. We assessed the effect of Cough Officer Screening (an active screening system) on the rate of TB detection and health care system delays over the course of four years. Methods: Patients who were hospitalized at the Changhua Christian Hospital (Changhua, Taiwan) were enrolled from September 2004 to July 2006 (Stage I) and August 2006 to August 2008 (Stage II). Stage II was implemented after a Plan-Do-Check-Act (PDCA) cycle analysis indicated that we should exclude ICU and paediatric patients | Lin et al. BMC Public Health 2010 10 238 http 1471-2458 10 238 BMC Public Health RESEARCH ARTICLE Open Access Codghiofficer screening improves detection of pulmonary tuberculosis in hospital in-patients Ching-Hsiung Lin1 Cheng-Hung Tsai 1 Chun-Eng Liu2 Mei-Li Huang3 Shu-Chen Chang4 Jen-Ho Wen1 and Woei- Horng Chai1 Abstract Background Current tuberculosis TB reporting protocols are insufficient to achieve the goals established by the Stop TB partnership. Some countries have recommended implementation of active case finding program. We assessed the effect of Cough Officer Screening an active screening system on the rate of TB detection and health care system delays over the course of four years. Methods Patients who were hospitalized at the Changhua Christian Hospital Changhua Taiwan were enrolled from September 2004 to July 2006 Stage I and August 2006 to August 2008 Stage II . Stage II was implemented after a Plan-Do-Check-Act PDCA cycle analysis indicated that we should exclude ICU and paediatric patients. Results In Stage I our COS system alerted physicians to 19 836 patients and 7 998 were examined. 184 of these 7 998 patients had TB. Among these 184 patients 142 were examined for TB before COS alarming and 42 were diagnosed after COS alarming. In Stage II a total of 1 1 323 patients were alerted by the COS system. Among them 6 221 patients were examined by physicians and 125 of these patients had TB. Among these 125 patients 113 were examined for TB before COS alarming and 12 were diagnosed after COS alarming. The median time from COS alarm to clinical action was significantly less p for Stage I 1 day range 0-16 days than for Stage II 2 days range 0-10 days . Conclusion Our COS system improves detection of TB by reducing the delay from infection to diagnosis. Modifications of scope may be needed to improve cost-effectiveness. Background The 2006 Stop TB partnership which is advocated by the World Health .

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