Article Text

other Versions

PDF
Tuberculosis: a missed opportunity for early diagnosis at the front line?
  1. Tanuj S Lad,
  2. Geoffrey E Packe
  1. Newham University Hospital, Bart's NHS Trust, London, UK
  1. Correspondence to Dr Tanuj S Lad, Newham University Hospital Chest Clinic, Bart's NHS Trust, Shrewsbury Road, Forest Gate, London E7 8QP, UK; tanujlad{at}yahoo.com

Abstract

Introduction The incidence of tuberculosis (TB) has increased over the last two decades. Many patients with TB preferentially access healthcare via the emergency department (ED) prediagnosis, presenting an early opportunity for diagnosis.

Methods We looked at the number of patients who presented to ED in the 3 months prior to TB notification, and their outcomes.

Results 42% of all notifications had accessed ED prior to notification. The majority were hospitalised, with a proportion of these patients previously attending ED only to be discharged. 37% of patients were discharged from ED with many having TB symptoms, and only a minority referred onto TB clinic.

Conclusions The ED is often the first contact that urban TB patients have with healthcare. Healthcare professionals should ensure this diagnosis is not missed in high incidence areas as it has significant clinical and infection control consequences.

  • infectious diseases, bacterial
  • respiratory
  • emergency department

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.