Clinical Characteristics of Nursing- and Healthcare-Associated Tuberculosis
AbstractTuberculosis remains a serious health problem worldwide. Patients with tuberculosis who also require nursing care due to aging and underlying diseases are considered to have a high mortality rate; however, there are few studies describing detailed examinations of such disease conditions. Objective: The present study was conducted to investigate differences in clinical features of elderly tuberculosis patients according to the levels of nursing and healthcare required. Design: The study participants included 146 elderly (≥65 years) patients diagnosed with active tuberculosis among patients hospitalized with tuberculosis at a single center. The patients were classified into two groups: a nursing- and healthcare-associated tuberculosis group (n = 71) and a community-acquired tuberculosis group (n = 75). Results: The nursing- and healthcare-associated tuberculosis patients were older and had a higher frequency of comorbidities compared with the community-acquired tuberculosis group. Patients in the nursing- and healthcare-associated tuberculosis group had markedly lower levels of serum albumin and hemoglobin, and higher levels of C-reactive protein. The rate of in-hospital death was significantly higher in the nursing- and healthcare-associated tuberculosis group. This was attributed to malnutrition and comorbid conditions rather than the severity of tuberculosis. Conclusion: The prognosis was poor in elderly tuberculosis patients receiving nursing and healthcare. View Full-Text
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Suzuki, T.; Kato, T.; Ohnishi, R.; Yasuda, S.; Sano, K.; Shirakami, Y.; Shimizu, M.; Murakami, N. Clinical Characteristics of Nursing- and Healthcare-Associated Tuberculosis. Diseases 2018, 6, 101.
Suzuki T, Kato T, Ohnishi R, Yasuda S, Sano K, Shirakami Y, Shimizu M, Murakami N. Clinical Characteristics of Nursing- and Healthcare-Associated Tuberculosis. Diseases. 2018; 6(4):101.Chicago/Turabian Style
Suzuki, Toshitaka; Kato, Tatsuo; Ohnishi, Ryoko; Yasuda, Shigeo; Sano, Kimiyasu; Shirakami, Yohei; Shimizu, Masahito; Murakami, Nobuo. 2018. "Clinical Characteristics of Nursing- and Healthcare-Associated Tuberculosis." Diseases 6, no. 4: 101.
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