Evaluation of Sputum-Culture Results for Tuberculosis Patients in the United States-Affiliated Pacific Islands

被引：1

作者：

Ghosh, Smita ^{[1
]}

Felix, Derrick ^{[1
]}

Kammerer, J. Steve ^{[1
]}

Talarico, Sarah ^{[1
]}

Brostrom, Richard ^{[1
]}

Starks, Angela ^{[1
]}

Silk, Benjamin ^{[1
]}

机构：

[1] Ctr Dis Control & Prevent, Natl Ctr HIV Viral Hepatitis STD & TB Prevent, 1600 Clifton Rd, Atlanta, GA 30329 USA

来源：

ASIA-PACIFIC JOURNAL OF PUBLIC HEALTH | 2022年 / 34卷 / 2-3期

关键词：

clinical laboratory techniques; public health surveillance; sputum specimen tuberculosis;

D O I：

10.1177/10105395211060119

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Sputum-culture confirmation guides tuberculosis (TB) diagnosis and patient management but has previously been reported to be low in the US-Affiliated Pacific Islands (USAPI). We evaluated factors associated with positive sputum-culture results by analyzing TB case surveillance and laboratory data, including sputa quality and quantity for diagnostic specimens from the USAPI. A lower proportion of sputum specimens were reported as culture positive from the USAPI (42%), compared with Hawaii (58%) and the United States (55%). Few (3%) sputa collected from TB patients in the USAPI had both optimal quality and quantity; 40% had optimal quality (mucoid), and 7% had optimal quantity (>5 mL). Suboptimal sputum specimen quality and quantity contributed to fewer sputum-culture positive results in the USAPI. Improving sputum collection and handling might lead to more culture positive results and ultimately improve patient care and TB control in USAPI.

引用

页码：258 / 261

页数：4