• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of public health management and practice: JPHMP >Tuberculosis control in a large urban jail: discordance between policy and reality.
【24h】

Tuberculosis control in a large urban jail: discordance between policy and reality.

机译：大型城市监狱中的结核病控制：政策与现实之间的矛盾。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVE: This study evaluated adherence to tuberculosis control guidelines, published by the Centers for Disease Control and Prevention in 1996, in a large urban jail. Jails are a critical locale because of high risk for tuberculosis transmission in a congregate setting. METHODS: Symptom screening at intake into the facility was systematically observed. Medical records were reviewed to measure timing of tuberculin skin testing (TST) and chest radiograph (CXR) screening. Isolation records were examined for airborne infectious isolation practices. Contact investigation practices were evaluated for ease of data retrieval and adherence to CDC guidelines. RESULTS: A TB symptom screening question was asked correctly during 28/97 of intake health interviews. Median time from intake to TST was 3 days for men and 2 days for women. Median time from referral to CXR was 2 days for men and 7 days for women. Delays were noted in diagnostic testing of 51 detainees isolated for suspected TB. Contact investigations lacked comprehensive procedures, data collection forms, and databases for managing information. CONCLUSION: Findings were used to refine protocols for TB control. This evaluation illustrated the need for ongoing assessment of adherence to TB control protocols in short-term correctional settings to prevent the spread of TB.
机译：目的：本研究评估了疾病预防控制中心于1996年在一个大型城市监狱中发布的结核病控制指南的遵守情况。监狱是一个关键场所，因为在聚集环境中结核病传播的风险很高。方法：系统观察摄入该设施时的症状。审查医疗记录以测量结核菌素皮肤测试（TST）和胸部X光片（CXR）筛查的时机。检查隔离记录中是否存在空中传染性隔离措施。为了简化数据检索和遵守CDC指南，对联系调查实践进行了评估。结果：在28/97的摄入量健康访谈中正确提出了结核病症状筛查问题。从摄入量到TST的中位时间，男性为3天，女性为2天。从转诊到CXR的中位时间，男性为2​​天，女性为7天。在对51名因疑似结核病而被隔离的被拘留者的诊断测试中发现了延迟。联络人调查缺乏综合的程序，数据收集表和用于管理信息的数据库。结论：研究结果被用于完善结核病控制方案。该评估表明，需要在短期矫正环境中持续评估对结核病控制方案的依从性，以防止结核病扩散。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号