1. Latent Tuberculosis Infection Testing and Treatment at a Federally Qualified Health Center in Southern California: A Quality Improvement Project.
- Author
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Truax, Fayette Nguyen, Low, Julie, Mochizuki, Tessa, Asfaha, Setie, Nguyen, Tu Ngoc DNP, Carson, Michael MSPM, Katrak, Shereen, Shah, Neha, and Nguyen, Duc DO
- Subjects
EDUCATION of physicians ,TUBERCULOSIS diagnosis ,TUBERCULOSIS prevention ,DRUG therapy for tuberculosis ,TUBERCULOSIS risk factors ,INTERFERON gamma release tests ,ACQUISITION of data methodology ,PROFESSIONS ,HEALTH services accessibility ,ATTITUDES of medical personnel ,MEDICAL screening ,COMMUNITY health services ,RETROSPECTIVE studies ,TREATMENT duration ,BLOOD collection ,RISK assessment ,ISONIAZID ,PRE-tests & post-tests ,ANTITUBERCULAR agents ,PSYCHOSOCIAL factors ,QUALITY assurance ,MEDICAL records ,DESCRIPTIVE statistics ,TUBERCULOSIS ,QUESTIONNAIRES ,HEALTH attitudes ,VIETNAMESE people ,RIFAMPIN ,DATA analysis software ,PSYCHOLOGY of immigrants ,LONGITUDINAL method - Abstract
Background: A key strategy to eliminate tuberculosis (TB) in the United States is to increase latent tuberculosis infection (LTBI) screening, testing, and treatment among non-US-born Asian populations. Purpose: The purpose was to increase LTBI screening, testing, and treatment at a community clinic. Methods: Retrospective baseline LTBI data were retrieved through electronic medical record review. Interventions included adoption of standardized TB risk assessment, training providers to use shorter LTBI treatment regimens, and use of a care coordinator. Chart abstraction to examine outcomes was conducted postintervention at 4 months. Results: In 2017, only 3 patients (7%) with LTBI were started on treatment. At 4 months postintervention, 28 (72%) patients with LTBI were started on treatment, of which 27 (96%) were placed on 3- to 4-month regimens. Conclusions: Training for providers and changes to clinic workflow, including use of a care coordinator, can help increase LTBI screening, testing, and treatment in community clinics. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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