American journal of public health · 2002
Tuberculosis screening among foreign-born persons applying for permanent US residence.
СтатьяНазвание и аннотация: Перевод в очереди
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Saraiya Mona, Cookson Susan T, Tribble Paul, Silk Benjamin, Cass Robert, Poonja Shameer, Walting Marva, Howland Noelle, Paz Edwin A, Cochran Jennifer, Moser Kathleen S, Oxtoby Margaret J, Binkin Nancy J
Аннотация
OBJECTIVES: This study sought to determine adherence of physicians to tuberculosis (TB) screening guidelines among foreign-born persons living in the United States who were applying for permanent residency.
METHODS: Medical forms of applicants from 5 geographic areas were reviewed, along with information from a national physician database on attending physicians. Applicant and corresponding physician characteristics were compared among those who were and were not correctly screened.
RESULTS: Of 5739 applicants eligible for screening via tuberculin skin test, 75% were appropriately screened. Except in San Diego, where 11% of the applicants received no screening, most of the inappropriate screening resulted from the use of chest x-rays as the initial screening tool.
CONCLUSIONS: Focused physician education and periodic monitoring of adherence to screening guidelines are warranted.
METHODS: Medical forms of applicants from 5 geographic areas were reviewed, along with information from a national physician database on attending physicians. Applicant and corresponding physician characteristics were compared among those who were and were not correctly screened.
RESULTS: Of 5739 applicants eligible for screening via tuberculin skin test, 75% were appropriately screened. Except in San Diego, where 11% of the applicants received no screening, most of the inappropriate screening resulted from the use of chest x-rays as the initial screening tool.
CONCLUSIONS: Focused physician education and periodic monitoring of adherence to screening guidelines are warranted.