Category: Tuberculosis

The Tuberculosis Clinic: conclusion

The experience in this clinic, like that in developing countries and in recalcitrant patients, was highly successful in treating tuberculosis. In the general clinics, physicians only rarely used incorrect drug combinations. The problem was inconsistent follow-up and insufficient attention to compliance. These problems were solved more effectively at our medical center by nurse specialists than […]

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The Tuberculosis Clinic: Discussion

The Tuberculosis Clinic: Discussion

This study was an attempt to compare the compliance aspects of the treatment and care of patients with tuberculosis in a specialty clinic with their treatment and care in general clinics in a teaching hospital. Although not a randomized prospective trial we felt there may be important lessons for those caring for patients with tuberculosis. […]

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The Tuberculosis Clinic: Results

From 1978 to 1987, 290 episodes of tuberculosis in 260 patients were identified. Excluded from the study were six who had not completed therapy by the beginning of 1987, 34 whose treatment started before 1978, 65 who either died in the hospital or were referred to another treatment source after discharge from the hospital, and […]

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The Tuberculosis Clinic: Methods

The Tuberculosis Clinic: Methods

Methods The medical records from 1978 to 1987 for all patients with a documented diagnosis of pulmonary tuberculosis were reviewed. The diagnosis was made by either a report from the laboratory of Mycobacterium tuberculosis growing in culture or a physicians note of a positive sputum smear or culture. The following were compiled from the medical […]

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The Tuberculosis Clinic: Outpatients

The patients were evaluated initially by a pulmonary fellow and the clinic attending pulmonary physician and thereafter monthly by the same nurse specialist. The pulmonologist saw all patients to start, stop or change therapy, to review radiographs and abnormal clinical data and to evaluate other medical problems. Documentation was standardized by use of printed progress […]

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The Tuberculosis Clinic

The Tuberculosis Clinic

Treatment of tuberculosis is more than 95 percent effective for patients who complete a course of medication as recommended by the American Thoracic Society. However, success often is not attained because of patient noncompliance which is the greatest obstacle to the successful treatment and elimination of tuberculosis. At our medical center, treatment of patients with […]

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