Universal tuberculosis screening in pregnancy
| Autor: | Aaron B. Caughey, Sean M. Keeler, Nadav Schwartz, David E. Seubert, Sarah A. Wagner, Julian Mierlak |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
medicine.medical_specialty Tuberculosis Adolescent Population Tuberculin Emigrants and Immigrants Cohort Studies Young Adult Age Distribution Tuberculosis diagnosis Pregnancy Internal medicine medicine Ethnicity Humans Mass Screening Pregnancy Complications Infectious education Retrospective Studies education.field_of_study Latent tuberculosis business.industry Sputum Obstetrics and Gynecology Odds ratio Middle Aged medicine.disease Confidence interval Surgery Pediatrics Perinatology and Child Health Educational Status Patient Compliance Female New York City medicine.symptom business |
| Zdroj: | American journal of perinatology. 26(6) |
| ISSN: | 1098-8785 |
| Popis: | We reviewed our practice of universal tuberculosis (TB) screening in an at-risk pregnant population with regards to utility and patient compliance. The Gouverneur Healthcare Services prenatal database was analyzed for compliance with TB screening. Age, ethnicity, country of origin, and education level were also analyzed. Of 4049 patients, 95.0% were compliant with their purified protein derivative (PPD) testing. Universal screening identified 1935 (50.4%) PPD+ patients, with chest X-rays (CXR) available for 95.1%. Only one patient had a CXR consistent with active TB, although sputum testing was negative for acid-fast bacilli. Asian women were more likely to be PPD-compliant (adjusted odds ratio [aOR]: 4.94, 95% confidence interval [CI]: 2.34 to 10.45). Similarly, PPD+ Asian women were more likely to be compliant with CXR (aOR: 12.67, 95% CI: 3.44 to 46.7). U.S.-born women were significantly less likely to be compliant with PPD (aOR: 0.44, 95% CI: 0.30 to 0.64) or with CXR (aOR: 0.22, 95% CI: 0.08 to 0.61). Universal prenatal TB screening is associated with excellent compliance rates and is an effective way to identify a high prevalence of latent TB, but not active disease. |
| Databáze: | OpenAIRE |
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