Article Contents
- 2023 (Vol.86)
- 2022 (Vol.85)
- 2021 (Vol.84)
- 2020 (Vol.83)
- 2019 (Vol.82)
- 2018 (Vol.81)
- 2017 (Vol.80)
- 2016 (Vol.79)
- 2015 (Vol.78)
- 2014 (Vol.76)
- 2013 (Vol.74)
- 2012 (Vol.72)
- 2011 (Vol.70)
- 2010 (Vol.68)
- 2009 (Vol.66)
- 2008 (Vol.64)
- 2007 (Vol.62)
- 2006 (Vol.60)
- 2005 (Vol.58)
- 2004 (Vol.56)
- 2003 (Vol.54)
- 2002 (Vol.52)
The Clinical Characteristics, Diagnosis, Treatment, and Outcomes of Patients with Tuberculosis at a Private University Hospital in Korea
- Downloaded
- Viewed
Abstract
Background : Even though tuberculosis (TB) is still a major public concern in Korea, there is little data on the management of TB patients and its outcomes in the private sector. This study evaluated the status of TB treatment in the private sector.Methods : Sixteen-hundred-sixty-six TB patients who were notified in a private university hospital from 2001 to 2002 were enrolled in this study. The patients were divided into pulmonary (TBP), extrapulmonary (TBE), and combined (TBP+E) groups, and were also divided into initial and retreatment groups. The clinical characteristics, diagnostic methods, treatment regimens, and outcomes were analyzed and compared.Results : The mean age of the 1,666 patients was 48.9 years and the male-to-female ratio was 1.3:1. The number of patients in the initial and retreatment groups of TBP, and those of (TBE + TBP+E) were 809, 276, 480, 101, respectively. A bacteriological study was performed in 92.0% of cases, and a positive culture was confirmed in 58.1% and 31.7% of patients with TBP and (TBE + TBP+E), respectively (p<0.05). The AFB smear was positive in 45.4 % of the TBP patients. PCR was carried out in 60.4% of the (TBE + TBP+E) group. The MDR was detected in 14.0% of isolates. Overall, the treatment completion, default, and death rates were 70.2%, 13.5% and 1.9%, respectively.Conclusion : Even though the management of TB patients in a private hospital was satisfactory in terms of the national guidelines, the high default rate was is still a problem. Efforts to decrease the default rate either independently or in cooperation with the public sector will be needed.(Tuberc Respir Dis 2006; 60: 194-204)
- keywords
- Tuberculosis, Private Sector, Korea, Diagnosis, Treatment, Treatment outcome., Tuberculosis, Private Sector, Korea, Diagnosis, Treatment, Treatment outcome.
Reference
(1996) Report on the 7th tuberculosis prevalence survey in Korea, Ministry of Health and Welfare, Korean National Tuberculosis Association
(2000) Tuberculosis surveillance system in Korea,
(2003) Situation of incidence of tuberculosis in Korea,
(2005) Anti-tuberculosis drug resistance in Korea,
(2005) Annual statistics of causes of mortality 2004, Korea National Statistical Office
(2005) Annual report on the notified tuberculosis patients in Korea, Korea Center for Disease Control and Prevention, Korean Institute of Tuberculosis
(2003) Clinical characteristics and treatment outcomes of patients with pulmonary tuberclosis at a private general hospital,
(2002) Tuberculosis management of private health care institution:current situation and task,
(1990) An analysis of tuberculosis management in private sector,
(1999) Treatment of bacillary pulmonary tuberculosis at the chest clinics in the private sector in Korea,1993,
(2000) Diagnostic standards and classification of tuberculosis in adults and children,
(2003) Treatment of tuberculosis guidelines for national programmes, WHO
(1997) Guideline for the management of pulmonary tuberculosis,1997,
(2003) The accuracy of tuberculosis notification reports at a private general hospital after enforcement of new Korean Tuberculosis Surveillance System,
(1993) The sixth Nationwide Tuberculosis Prevalence Survey in Korea,1990,
(1995) Survey of knowledge,attitudes and practices for tuberculosis among general practitioners,
(2003.) Guideline of the control of tuberculosis, National Institution of Health
(2005) Guideline for the management of tuberculosis, Korean Academy of Tuberculosis and Respiratory Diseases
(1994) Treatment of tuberculosis and tuberculosis infection in adults and children,
(2003) American Thoracic Society/Centers for Disease Control and Prevention/ Infectious Diseases Society of America:treatment of tuberculosis,
(2001) The treatment outcomes of 'defaulted' or 'transferred out' tuberculosis patients in Korea,
(1998) Cohort analyses of the treatment of smear-positive pulmonary tuberculosis patients under programme conditions in Korea,1983-1994,
(1995) The incidence of drug resistant tuberculosis in 1279 Korean patients,
(2001) Drug-resistant tuberculosis in a tertiary referral teaching hospital of Korea,
(1999) Drug-resistant pulmonary tuberculosis in a tertiary referral hospital in Korea,
(1996) Treatment results of multidrug resistant tuberculosis in a university hospital in Korea,
(1998) Outcome of chemotherapy in 107 patients with pulmonary tuberculosis resistant to isoniazid and rifampin,
(2004) Self-administered,standardized regimens for multidrug-resistant tuberculosis in South Korea,
(2001) Ambulatory treatment of multidrug-resistant pulmonary tuberculosis patients at a chest clinic,
(2004) Treatment and outcome analysis of 205 patients with multidrug-resistant tuberculosis,
- Downloaded
- Viewed
- 0KCI Citations
- 0WOS Citations