Hospital control and multidrug-resistant pulmonary tuberculosis in female patients, Lima, Peru

被引:23
作者
Willingham, FF
Schmitz, TL
Contreras, M
Kalangi, SE
Vivar, AM
Caviedes, L
Schiantarelli, E
Neumann, PM
Bern, C
Gilman, RH
机构
[1] Johns Hopkins Univ, Sch Hyg & Publ Hlth, Dept Int Hlth, Baltimore, MD 21205 USA
[2] Univ Maryland, Sch Med, Baltimore, MD 21201 USA
[3] Proyectos Informat Salud Med & Agr, Lima, Peru
[4] Tufts Univ, Sch Med, Boston, MA 02111 USA
[5] Univ Peruana Cayetano Heredia, Lima, Peru
[6] Arzobispo Loayza Hosp, Lima, Peru
[7] Ctr Dis Control & Prevent, Atlanta, GA USA
关键词
D O I
10.3201/eid0701.010117
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We examined the prevalence of tuberculosis (TB), rate of multidrug-resistant (MDR) TB, and characteristics of TB on a female general medicine ward in Peru. Of 250 patients, 40 (16%) were positive by sputum culture and 27 (11%) by smear, and 8 (3%) had MDRTB. Thirteen (33%) of 40 culture-positive patients had not been suspected of having TB on admission. Six (46%) of 13 patients whose TB was unsuspected on admission had MDRTB, compared with 2 (7%) of 27 suspected cases (p=0.009). Five (63%) of 8 MDRTB patients were smear positive and therefore highly infective. In developing countries, hospital control, a simple method of reducing the spread of MDRTB, is neglected.
引用
收藏
页码:123 / 127
页数:5
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