Completeness of pediatric TB reporting in New York City.
OBJECTIVE: Accurate surveillance of tuberculosis (TB) in children is critical because such cases represent recent transmission, but surveillance is difficult as only 10% to 50% of cases are culture-confirmed. Hospital-based sources were used to develop alternative surveillance to assess completeness...
| Publicado en: | Public Health Reports Vol. 118; no. 2; pp. 144 - 154 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Mar/Apr2003
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106657283&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106657283 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00333549 PHR jtl: Public Health Reports issn: 00333549 maglogo: Y pubinfo: dt: Mar/Apr2003 vid: 118 iid: 2 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 106657283 9681350 2004171979 10.1093/phr/118.2.144 NLM12690068 106657283 ppf: 144 ppct: 10 formats: tig: atl: Completeness of pediatric TB reporting in New York City. aug: au: San Gabriel P Saiman L Kaye K Silin M Onorato I Schulte J affil: Division of Infectious Diseases, Department of Pediatrics, College of Physicians & Surgeons of Columbia University, 630 West 168th St., PH4W-472, New York, NY 10032; pas58@columbia.edu sug: subj: Disease Surveillance Evaluation Mandatory Reporting Evaluation Tuberculosis Epidemiology Tuberculosis In Infancy and Childhood Adolescence Child Child, Preschool Daily Logs Data Analysis Software Descriptive Statistics Gastric Juice Microbiology Hospitals Infant International Classification of Diseases Medical Records Microbial Culture and Sensitivity Tests New York P-Value Record Review Retrospective Design Tuberculosis Classification Human Adolescent: 13-18 years Child: 6-12 years Child, Preschool: 2-5 years Infant: 1-23 months ab: OBJECTIVE: Accurate surveillance of tuberculosis (TB) in children is critical because such cases represent recent transmission, but surveillance is difficult as only 10% to 50% of cases are culture-confirmed. Hospital-based sources were used to develop alternative surveillance to assess completeness of reporting for pediatric TB in northern Manhattan and Harlem from 1993 through 1995. METHODS: Alternative surveillance sources included ICD-9-CM hospital discharge codes for active TB and gastric aspirate reports. Cases identified by alternative surveillance were compared with cases previously reported to the New York City Department of Health (NYC DOH). RESULTS: Alternative surveillance detected 25 cases of possible pediatric TB, of which four (16%) had never been reported to the NYC DOH and three (12%) had been reported as suspect cases, but had not fulfilled the criteria for a reportable case of pediatric TB. Of these seven newly counted cases, three were detected by ICD-9-CM codes, three by a gastric aspirate log book, and one by both. In contrast, 13 other cases had been reported to the NYC DOH, but were undetected by our alternative surveillance; eight of these could be verified with available medical records. Thus, the demographic and clinical characteristics of the 25 detected and the eight undetected cases with available medical records were evaluated in this study. CONCLUSION: Alternative surveillance proved effective, was complementary to the NYC DOH surveillance efforts, and increased the number of pediatric TB cases identified during the study period by 21%. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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