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Diseases 2018, 6(4), 101; https://doi.org/10.3390/diseases6040101 (registering DOI)

Clinical Characteristics of Nursing- and Healthcare-Associated Tuberculosis

1
Department of Respiratory Medicine, National Hospital Organization Nagara Medical Center, 1300-7 Nagara, Gifu 502-8558, Japan
2
Department of Informative Clinical Medicine, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu 501-1194, Japan
3
Department of Gastroenterology/Internal Medicine, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu 501-1194, Japan
4
Biological Support Center, Gifu University Hospital, 1-1 Yanagido, Gifu 501-1194, Japan
*
Author to whom correspondence should be addressed.
Received: 11 October 2018 / Revised: 6 November 2018 / Accepted: 7 November 2018 / Published: 11 November 2018
(This article belongs to the Special Issue Chronic Inflammatory and Infectious Diseases)
Full-Text   |   PDF [198 KB, uploaded 11 November 2018]

Abstract

Tuberculosis 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
Keywords: elderly tuberculosis patients; community-acquired tuberculosis; NHCAP elderly tuberculosis patients; community-acquired tuberculosis; NHCAP
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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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.

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