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Am J Public Health. 1997 Sep;87(9):1543-7.

Controlling tuberculosis in an urban emergency department: a rapid decision instrument for patient isolation.

Author information

1
Columbia University School of Public Health, New York, NY, USA.

Abstract

OBJECTIVES:

This study examined whether data routinely available in emergency departments could be used to improve isolation decisions for tuberculosis patients.

METHODS:

In a large emergency department in New York City, we compared the exposure histories of tuberculosis culture-positive and culture-negative patients and used these data to develop a rapid decision instrument to predict culture-positive tuberculosis. The screen used only data that are routinely available to emergency physicians.

RESULTS:

The method had high sensitivity (.96) and moderate specificity (.54).

CONCLUSIONS:

The method is easily adaptable for a broad range of settings and illustrates the potential benefits of applying basic epidemiologic methods in a clinical setting.

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PMID:
9314813
PMCID:
PMC1380987
DOI:
10.2105/ajph.87.9.1543
[Indexed for MEDLINE]
Free PMC Article

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