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Recurrent tuberculosis

Why do patients develop disease again? A United States Public Health Service cooperative survey

Bibliographic Data

ID11040148
AuthorsDonald E Kopanoff (Centers for Disease Control and Prevention), Dixie E Snider, M Johnson (0000-0002-3841-5717), Michelle N Johnson
Year1988
Volume78
Issue1
Pages30-33
Publication date1988-01-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.78.1.30
PMID2827534
OpenAlexW2162813303
LanguageEN
Citations received2
References cited3

In October 1983, a retrospective survey was initiated to determine if patients reported to the Centers for Disease Control as having recurrent tuberculosis truly had recurrent disease and, if so, why they had developed tuberculosis again. Twenty-three health jurisdictions provided information on 800 patients diagnosed as having recurrent tuberculosis during 1981 and 1982. We found that 199 (25 per cent) of the cases did not meet the criteria for recurrent disease. Of the remaining 601 recurrent cases, 20 per cent had no chemotherapy prescribed for their previous episodes of tuberculosis, 20 per cent were prescribed inadequate or inappropriate therapy, and 33 per cent were not compliant with their prescribed therapy regimens. Patients who, during their original episode of tuberculosis, received the major portion of their medical care from physicians in private practice were more compliant than those treated by other health care providers. However, those same patients were more likely to have received inappropriate therapy than patients treated by other providers. Better patient and physician education, closer monitoring, and greater use of preventive therapy and directly observed therapy are necessary to resolve these problems

Directly Observed Therapy · Disease · Family medicine · Health care · Medical record · Private practice · Public health · Retrospective cohort study · Tuberculosis · Internal Medicine · Medicine · Nursing · Surgery · Tuberculosis Research and Epidemiology · Pediatrics

  • Recidivas em tuberculose e seus fatores de risco

    Open Access•Helenice Bosco De Oliveira, Djalma De Carvalho Moreira Filho•Revista Panamericana de Salud…•2000

  • Sociocultural Aspects of Tuberculosis Control in Ethiopia

    Open Access•Norbert L Vecchiato•Medical Anthropology Quarterly•1997

Citations per year0.07
Citation span1997 - 2000 (4)
Highly citedNo

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