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首页> 外文期刊>Annals of epidemiology >What are the costs of suspected but not reported tuberculosis?
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What are the costs of suspected but not reported tuberculosis?

机译：怀疑但未报告结核病的费用是多少？

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PURPOSE: Little is known regarding patients suspected, but not proven, to have tuberculosis before meeting reporting requirements. These patients generate unmeasured tuberculosis costs to the health care system. Elimination efforts are undervalued without fully quantifying the burden of tuberculosis. This may lead to decreased support and resurgence of this disease. This report provides a preliminary quantification of these costs. METHODS: We used acid-fast bacillus (AFB) cultures completed as a proxy to estimate the number of patients with suspected tuberculosis who are never reported. We collected data on the number of AFB tests conducted in Tarrant County, TX, for calendar year 2002. We excluded all tests positive for Mycobacterium tuberculosis or secondary to growth of mycobacteria not M tuberculosis. We considered all AFBs conducted on an individual within 90 days to be single diagnostic episodes. We measured the number of diagnostic episodes, number of AFBs, number of AFBs meeting inclusion criteria, estimated cost incurred by testing, and individuals affected. RESULTS: The Tarrant County hospitals sampled completed 6935 AFB cultures on an inpatient volume of 142,356 patients. One hundred ninety-three cultures confirmed tuberculosis or other mycobacteria, and 6742 AFBs were collected on persons suspected, but not proved, to have tuberculosis at an estimated Dollars 114.06 per culture. The total cost of eliminating tuberculosis as a cause of illness was Dollars 768,993. Laboratory costs for each patient with suspected, but not confirmed, tuberculosis averaged Dollars 364.11. One hundred forty-eight AFB cultures costing Dollars 16,830 were needed to confirm one case of tuberculosis. CONCLUSIONS: The suspicion of tuberculosis incurs significant burdens and cost in the US health care system. More fully valuing tuberculosis elimination is important for tuberculosis management and will help maintain support for tuberculosis elimination.
机译：目的：对于怀疑但尚未证实患有结核病的患者，在达到报告要求之前知之甚少。这些患者为卫生保健系统带来了不可估量的结核病费用。在没有完全量化结核病负担的情况下，消除工作的价值被低估了。这可能导致这种疾病的支持率降低和复发。本报告对这些费用进行了初步量化。方法：我们使用完成的抗酸杆菌（AFB）培养作为代理，以评估从未报告过的疑似结核病患者人数。我们收集了2002日历年在德克萨斯州塔兰特县进行的AFB测试数量的数据。我们排除了所有结核分枝杆菌呈阳性或继发于分枝杆菌而非结核分枝杆菌生长的阳性测试。我们认为在90天内对一个人进行的所有AFB都是一次诊断性发作。我们测量了诊断发作的次数，AFB的数量，满足纳入标准的AFB的数量，测试产生的估计成本以及受影响的个体。结果：塔兰特县医院对142,356例患者的住院量进行了6935例AFB培养。一百九十三种培养物证实了结核病或其他分枝杆菌，对怀疑但未证实患有结核病的人收集了6742种AFB，估计每种培养物为114.06美元。消除结核病所致的总费用为768,993美元。每个疑似但未确诊结核病患者的化验费用平均为364.11美元。确认一例结核病需要148次AFB培养，费用为16,830美元。结论：对结核病的怀疑在美国卫生保健系统中造成了沉重的负担和费用。更充分地评估结核病的消除对结核病管理很重要，并将有助于维持对消除结核病的支持。

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