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Survey of French physician practices in treatment and control of transmission of smear-positive tuberculosis.
- Source :
-
The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease [Int J Tuberc Lung Dis] 2015 Feb; Vol. 19 (2), pp. 205-9. - Publication Year :
- 2015
-
Abstract
- Objectives: To evaluate isolation practices and management of sputum smear-positive tuberculosis (TB) in France.<br />Methods: A survey was conducted using a questionnaire e-mailed in 2011 and 2012 to physicians of the French Society of Infectious Diseases, the French Respiratory Society and the French National Society of Internal Medicine.<br />Results: Of 311 responders, a quarter stated they treated more than 25 TB cases per year. A total of 87.8% declared they routinely used a four-drug regimen in the initial intensive phase. Of the 311 physicians who responded, 31.9% removed isolation precautions after three negative acid-fast bacilli (AFB) sputum results, 19.0% after 15 days of treatment and 34.1% only in case of clinical improvement. According to 71% of the responders, discharge from hospital despite positive AFB sputum smear results was 'possible'. A routine AFB sputum smear was performed after 2 months of treatment by only 21% of the responders.<br />Conclusion: Despite recent national guidelines, the management of isolation precautions for sputum smear-positive TB remains heterogeneous, and a significant proportion of physicians use a three-drug regimen. Further efforts should be made to implement TB guidelines, mainly by raising awareness through national scientific institutions, but also by obtaining better evidence.
- Subjects :
- Drug Therapy, Combination
France
Health Care Surveys
Humans
Practice Guidelines as Topic
Surveys and Questionnaires
Tuberculosis prevention & control
Antitubercular Agents administration & dosage
Practice Patterns, Physicians' statistics & numerical data
Sputum microbiology
Tuberculosis drug therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1815-7920
- Volume :
- 19
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease
- Publication Type :
- Academic Journal
- Accession number :
- 25574920
- Full Text :
- https://doi.org/10.5588/ijtld.14.0470