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Int J Tuberc Lung Dis. 2002 Mar;6(3):238-45.

Yield of continued monthly sputum evaluation among tuberculosis patients after culture conversion.

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  • 1New York City Department of Health, Tuberculosis Control Program, New York 10007, USA.

Abstract

SETTING:

New York City.

OBJECTIVE:

To evaluate the yield of continued monthly sputum monitoring after culture conversion.

DESIGN:

A retrospective review of tuberculosis patients verified between 1 January 1995 and 31 December 1996 who had: 1) pulmonary tuberculosis with organisms susceptible to isoniazid and rifampin; 2) culture conversion; and 3) completed therapy. We assessed time to smear and culture conversion and number of persons who developed a positive culture after culture conversion (culture reversion).

RESULTS:

Of 1440 patients, 379 were cared for by tuberculosis control program providers and 1061 were cared for by other providers; 813 (56%) were initially smear-positive. After the fifth month, 44 (5.3%) were smear-positive; four of these were culture-positive. Eighteen (1.3%) had culture reversions; eight were smear-positive. Excluding one specimen per patient collected at treatment completion, 7967 sputum samples were collected after culture conversion. The minimum estimated cost per culture reversion detected was $26,557.

CONCLUSION:

Continued monthly monitoring of sputum after culture conversion identified a very small number of patients who had culture reversion. However, patients who cannot tolerate or adhere to a standard regimen may need continued monitoring to assess response to treatment. For all patients a specimen should be collected at the end of treatment to document cure.

PMID:
11934142
[PubMed - indexed for MEDLINE]
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