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155 records – page 1 of 16.

Acceptance and safety of directly observed versus self-administered isoniazid preventive therapy in aboriginal peoples in British Columbia.

https://arctichealth.org/en/permalink/ahliterature203522
Source
Int J Tuberc Lung Dis. 1998 Dec;2(12):979-83
Publication Type
Article
Date
Dec-1998
Author
G. Heal
R K Elwood
J M FitzGerald
Author Affiliation
BC Centre for Disease Control Society, Ministry of Health and Respiratory Medicine, University of British Columbia, Vancouver, Canada.
Source
Int J Tuberc Lung Dis. 1998 Dec;2(12):979-83
Date
Dec-1998
Language
English
Publication Type
Article
Keywords
Adult
Antitubercular Agents - administration & dosage
British Columbia
Female
Humans
Indians, North American
Isoniazid - administration & dosage
Male
Middle Aged
Patient Acceptance of Health Care
Retrospective Studies
Self Administration
Tuberculosis, Pulmonary - prevention & control
Abstract
To document experience with directly observed chemoprophylaxis (DOPT) compared to self-administered isoniazid (INH) among aboriginal persons in British Columbia.
DOPT was compared to self-administered delivery (SAD) over a 3-year period. All aboriginal persons who received INH chemoprophylaxis in British Columbia between 1992 and 1994 were evaluated. Therapy completion rates and adverse outcomes associated with SAD were compared with DOPT. Treatment allocation was by patient choice.
Of 608 people who received INH prophylaxis, 443 received SAD (mean age 31.6 years) and 165 received DOPT (mean age 23.9 years). Two hundred and seventy (60.9%) SAD compared to 124 (75.2%) in the DOPT group completed 6 months of INH (P = 0.0011). The 12-month completion rates were 162/443 (36.6%) for the SAD group and 84/165 (50.9%) for the DOPT group (P = 0.0014). Adverse reactions requiring discontinuation of medication occurred in 13.5% of the patients on SAD and 9.7% of those receiving DOPT (P = 0.202). The most common reason cited for failure to complete therapy was non-cooperation in both groups. There were three deaths in the SAD group, one of which was due to suicide by self-ingestion of INH.
These data demonstrate that in aboriginal people compliance with preventive therapy can be improved by DOPT. Non random allocation to treatment groups might have influenced our findings, and further prospective randomized trials and cost-effectiveness analyses are required.
PubMed ID
9869112 View in PubMed
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[Activities of an antituberculosis dispensary and medical sanitary unit with regard to the detection of patients with chronic nonspecific lung diseases].

https://arctichealth.org/en/permalink/ahliterature239651
Source
Probl Tuberk. 1985;(1):17-9
Publication Type
Article
Date
1985

[Alternative variant of rendering phthisio-pulmonological services to the population at the inter-regional level].

https://arctichealth.org/en/permalink/ahliterature227374
Source
Sov Zdravookhr. 1991;(9):15-9
Publication Type
Article
Date
1991
Author
A V Karpov
T M Golubeva
A N Karachevtsev
Source
Sov Zdravookhr. 1991;(9):15-9
Date
1991
Language
Russian
Publication Type
Article
Keywords
Academies and Institutes - organization & administration
Health Services Research - organization & administration - trends
Hospitals, District - organization & administration - trends
Hospitals, Special - organization & administration - trends
Humans
Interinstitutional Relations
Lung Diseases - prevention & control - therapy
Pulmonary Medicine - trends
Russia
Tuberculosis, Pulmonary - prevention & control - therapy
Urban Population
Abstract
An account is given of the work done by scientists and practical workers in establishing and putting into operation an interregional research and practical complex of phthisio-pulmonology on the basis of three regional antituberculosis services of North-Western region of the Russian Federation (Novgorod, Pskov and Leningrad regions) and Leningrad Research Institute of Phthisio-pulmonology on the basis of economic mechanism of their interrelationships.
PubMed ID
1838440 View in PubMed
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[Assessment of work quality in active detection of pulmonary tuberculosis in the adult population of Extreme North].

https://arctichealth.org/en/permalink/ahliterature103787
Source
Probl Tuberk. 1990;(2):17-20
Publication Type
Article
Date
1990
Author
A Z Tutik
Source
Probl Tuberk. 1990;(2):17-20
Date
1990
Language
Russian
Publication Type
Article
Keywords
Adult
Female
Fluoroscopy
Humans
Male
Mass Screening
Quality of Health Care
Russia
Tuberculosis, Pulmonary - prevention & control - radiography
Abstract
Analysis of the work quality in an active detection of pulmonary tuberculosis in 295 patients is presented. It was found out that in 62.7% of the cases a preventive screening had not guaranteed a timely detection of tuberculosis. It is resulted from a wrong interpretation of the lung pathology shown in an X-ray picture or its complete ignorance, absence of a regular double reading of fluorographic images, constant shortage of fluorographic films and presence of risk factors. The obtained information suggests that it should exercise a strict quality control over fluorographic examinations and their regularity.
PubMed ID
2140604 View in PubMed
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[BCG vaccination--controversy and compromise]

https://arctichealth.org/en/permalink/ahliterature32368
Source
Lakartidningen. 2000 Nov 29;97(48):5618-20
Publication Type
Article
Date
Nov-29-2000
Author
B. Petrini
Author Affiliation
Avdelningen för klinisk mikrobiologi, Karolinska institutet och Karolinska sjukhuset, Stockholm. bjornp@ks.se
Source
Lakartidningen. 2000 Nov 29;97(48):5618-20
Date
Nov-29-2000
Language
Swedish
Publication Type
Article
Keywords
BCG Vaccine - administration & dosage - adverse effects
Communicable disease control
Emigration and Immigration
English Abstract
Health Personnel
Humans
Practice Guidelines
Refugees
Risk factors
Sweden - ethnology
Travel
Tuberculosis - prevention & control
Tuberculosis, Pulmonary - prevention & control - transmission
Abstract
In Sweden, BCG-vaccination is recommended to certain risk groups only, as the incidence of TB is very low. Children from high-endemic areas, as well as health care personnel, especially those working in risk areas, are the most important target groups. The efficacy of BCG vaccination has varied in different investigations, but early Nordic studies have shown approximately 80 percent protection. Vaccination prevents disseminated but not localized pulmonary disease. There are no data supporting revaccination. Today some Swedish children are vaccinated without a clear indication, due to caretakers' fear of TB. The risk of new infection is very low in Sweden today, and is for all practical purposes limited to the closest family members of affected individuals. If large numbers of refugees from high-endemic countries arrive in Sweden, the epidemiological situation must be closely monitored.
PubMed ID
11187378 View in PubMed
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[Centralized monitoring of contingents of children registered at tuberculosis dispensaries]

https://arctichealth.org/en/permalink/ahliterature40044
Source
Probl Tuberk. 1983 Oct;(10):17-9
Publication Type
Article
Date
Oct-1983

[Centralized preventive examinations of the population].

https://arctichealth.org/en/permalink/ahliterature248659
Source
Probl Tuberk. 1978 May;(5):14-7
Publication Type
Article
Date
May-1978

Chemoprophylaxis in inactive tuberculosis: long-term evaluation of a Canadian trial.

https://arctichealth.org/en/permalink/ahliterature251161
Source
Can Med Assoc J. 1976 Apr 3;114(7):607-11
Publication Type
Article
Date
Apr-3-1976
Author
S. Grzybowski
M J Ashley
G. Pinkus
Source
Can Med Assoc J. 1976 Apr 3;114(7):607-11
Date
Apr-3-1976
Language
English
Publication Type
Article
Keywords
Aminosalicylic Acids - therapeutic use
Canada
Cost-Benefit Analysis
Drug Therapy, Combination
Female
Follow-Up Studies
Humans
Isoniazid - therapeutic use
Male
Middle Aged
Risk
Tuberculosis, Pulmonary - prevention & control
Abstract
A trial of chemoprophylaxis to prevent reactivation of tuberculosis in persons with inactive disease who had never had adequate chemotherapy was conducted in Canada in the mid-1960s. Preventive drug treatment consisted of either isoniazid (INH) alone or INH plus para-aminosalicylic acid (PAS), for a maximum of 18 months. Long-term evaluation in 1974 of 1571 treated patients and 834 control patients demonstrated clearly the substantial and sustained value of adequate chemoprophylaxis in reducing the risk of reactivation. Among those who took INH alone for 6 months or more the annual reactivation rate was 1.2 per 1000 persons, while among those who took INH plus PAS the rate was 0.38/1000. These rates were, respectively, 70 and 90% less than the average rate in the controls, 3.9/1000. Among those who underwent chemoprophylaxis for less than 6 months the annual reactivation rate was 3.7/1000, similar to that in the controls. Cost-benefit analysis showed chemoprophylaxis to be economically sound. Despite the recent increasing application of this preventive measure, there are still many persons living in Canada who could benefit substantially from a course of chemoprophylaxis.
Notes
Cites: Am Rev Respir Dis. 1973 Nov;108(5):1239-414746585
Cites: Am Rev Respir Dis. 1973 May;107(5):850-34695637
Cites: Ann Intern Med. 1971 May;74(5):761-705314806
Cites: Am Rev Respir Dis. 1975 Dec;112(6):765-72812398
Cites: Am Rev Respir Dis. 1975 May;111(5):573-71130750
PubMed ID
816447 View in PubMed
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155 records – page 1 of 16.