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'If at first you don't succeed, try again'. Looking beyond the initial results of a failed tuberculosis diagnosis


von Braun, A; Sekaggya, C; Henning, L; Nakijoba, R; Kambugu, A; Fehr, J; Castelnuovo, B (2015). 'If at first you don't succeed, try again'. Looking beyond the initial results of a failed tuberculosis diagnosis. Public Health Action, 5(3):170-172.

Abstract

We report the outcome of investigations conducted in 73 human immunodeficiency virus (HIV) infected Ugandan adults presumed to have pulmonary tuberculosis (PTB). Following initial investigations, 32 of 73 patients were diagnosed with PTB. Of the remaining 41 patients initially classified as 'non-PTB', six had a delayed PTB diagnosis after a median of 6 weeks. Of the six patients lost to follow-up, four (66%) were reported to have died. Active tracking and close monitoring of HIV-infected patients presumed to have PTB independently of initial investigation results may reduce morbidity and mortality among this vulnerable patient group.

We report the outcome of investigations conducted in 73 human immunodeficiency virus (HIV) infected Ugandan adults presumed to have pulmonary tuberculosis (PTB). Following initial investigations, 32 of 73 patients were diagnosed with PTB. Of the remaining 41 patients initially classified as 'non-PTB', six had a delayed PTB diagnosis after a median of 6 weeks. Of the six patients lost to follow-up, four (66%) were reported to have died. Active tracking and close monitoring of HIV-infected patients presumed to have PTB independently of initial investigation results may reduce morbidity and mortality among this vulnerable patient group.

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Additional indexing

Item Type:Journal Article, not refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Infectious Diseases
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:21 September 2015
Deposited On:25 Nov 2015 09:24
Last Modified:20 May 2016 21:06
Publisher:International Union of Tuberculosis and Lung Disease
ISSN:2220-8372
Publisher DOI:https://doi.org/10.5588/pha.15.0029
PubMed ID:26399286
Permanent URL: https://doi.org/10.5167/uzh-114680

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