지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 1 - 8 (8page)
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Background: In-hospital detection of newly diagnosed active pulmonary tuberculosis (TB) is important for prevention of potential outbreaks. Here, we report our experience of the aggressive contact investigation strategy in a university hospital in the Republic of Korea after healthcare workers (HCWs), patients, and visitors experience an in-hospital exposure to active pulmonary TB. Methods: A contact investigation after the unexpected detection of newly diagnosed active pulmonary TB (index patients) was performed in a university hospital from August 2016 to April 2017. Initial and 3-month-post-exposure chest radiographs were advised for all patients, visitors, and HCWs in close contact with the index patients. An additional tuberculous skin test or interferon gamma releasing assay was performed at the time of exposure and 3 months post-exposure in HCWs in close contact with the index patients. Results: Twenty-four index patients were unexpectedly diagnosed with active pulmonary TB after admission to the hospital with unassociated diseases. The median time from admission to TB diagnosis was 5 days (range, 1–22 days). In total, 1,057 people were investigated because of contact with the index patients, 528 of which had close contact (206 events in 157 HCWs, 322 patients or visitors). Three months post exposure, 9 (9.2%) among 98 TB-naïve close contact HCWs developed latent tuberculosis infections (LTBIs). Among the 65 close contact patients or visitors, there was no radiological or clinical evidence of active pulmonary TB. Conclusion: An aggressive contact investigation after an unexpected in-hospital diagnosis of active pulmonary TB revealed a high incidence of LTBI among TB-naïve HCWs who had contact with the index patients.
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참고문헌 (17)
참고문헌 신청
Kim JH / 2015 / Achievements in and challenges of tuberculosis control in South Korea / Emerg Infect Dis 21(11):1913~1920
World Health Organization / 2017 / Global Tuberculosis Report 2017
Korea Centers for Diseases Control and Prevention / 2018 / 2017 Annual Report on the Notified Tuberculosis in Korea
Jarvis WR / 2011 / Hospital Epidemiology and Infection Control / Wolters Kluwer Health
이지은 / 2011 / What Strategy Can be Applied to the Patients with Culture Positive Tuberculosis to Reduce Treatment Delay in a Private Tertiary Healthcare Center? / Infection and Chemotherapy 43(1):42~47
World Health Organization / 2017 / Global Tuberculosis Report 2017
Korea Centers for Diseases Control and Prevention / 2018 / 2017 Annual Report on the Notified Tuberculosis in Korea
Jarvis WR / 2011 / Hospital Epidemiology and Infection Control / Wolters Kluwer Health
이지은 / 2011 / What Strategy Can be Applied to the Patients with Culture Positive Tuberculosis to Reduce Treatment Delay in a Private Tertiary Healthcare Center? / Infection and Chemotherapy 43(1):42~47
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