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dc.contributor.authorSilva, Denise Rossatopt_BR
dc.contributor.authorMüller, Alice Mânicapt_BR
dc.contributor.authorTomasini, Karina da Silvapt_BR
dc.contributor.authorDalcin, Paulo de Tarso Rothpt_BR
dc.contributor.authorGolub, Jonathan E.pt_BR
dc.contributor.authorConde, Marcus Barretopt_BR
dc.date.accessioned2015-04-15T01:58:15Zpt_BR
dc.date.issued2014pt_BR
dc.identifier.issn1932-6203pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/115346pt_BR
dc.description.abstractSetting: Public hospital emergency room (ER) in Porto Alegre, Brazil, a setting with high prevalence of tuberculosis (TB) and human immunodeficiency virus (HIV) infection. Objective: To determine the prevalence of PTB, using a symptom based active case finding (ACF) strategy in the ER of a public hospital in an area with high prevalence of TB and HIV, as well as variables associated with pulmonary TB diagnosis. Methods: Cross sectional study. All patients $18 years seeking care at the ER were screened for respiratory symptoms and those with cough $2 weeks were invited to provide a chest radiograph and two unsupervised samples of sputum for acidfast bacilli smear and culture. Results: Among 31,267 admissions, 6,273 (20.1%) reported respiratory symptoms; 197 reported cough $2 weeks, of which pulmonary TB was diagnosed in 30. In multivariate analysis, the variables associated with a pulmonary tuberculosis diagnosis were: age (OR 0.94, 95% CI: 0.92–0.97; p,0.0001), sputum production (OR 0.18, 95% CI 0.06–0.56; p = 0.003), and radiographic findings typical of TB (OR 12.11, 95% CI 4.45–32.93; p,0.0001). Conclusions: This study identified a high prevalence of pulmonary TB among patients who sought care at the emergency department of a tertiary hospital, emphasizing the importance of regular screening of all comers for active TB in this setting.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofPloS one. San Francisco. Vol. 9, no. 9 (Sept. 2014), e107576, 5 p.pt_BR
dc.rightsOpen Accessen
dc.subjectTuberculosept_BR
dc.subjectPrevalênciapt_BR
dc.subjectBrasilpt_BR
dc.titleActive case finding of tuberculosis (TB) in an emergency room in a region with high prevalence of TB in Brazilpt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb000963379pt_BR
dc.type.originEstrangeiropt_BR


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