DOCTORS DELAY IN ENDOBRONCHIAL TUBERCULOSIS

DOI Web Site 参考文献19件
  • TAMURA Atsuhisa
    Departments of Respiratory Diseases, National Hospital Organization Tokyo National Hospital
  • HIGAKI Naoko
    Departments of Respiratory Diseases, National Hospital Organization Tokyo National Hospital
  • KUSAKA Kei
    Departments of Respiratory Diseases, National Hospital Organization Tokyo National Hospital
  • AKASHI Shunsuke
    Departments of Respiratory Diseases, National Hospital Organization Tokyo National Hospital
  • SUZUKI Junichi
    Departments of Respiratory Diseases, National Hospital Organization Tokyo National Hospital
  • SHIMADA Masahiro
    Departments of Respiratory Diseases, National Hospital Organization Tokyo National Hospital
  • SUZUKI Jun
    Departments of Respiratory Diseases, National Hospital Organization Tokyo National Hospital
  • KAWASHIMA Masahiro
    Departments of Respiratory Diseases, National Hospital Organization Tokyo National Hospital
  • SUZUKI Junko
    Departments of Respiratory Diseases, National Hospital Organization Tokyo National Hospital
  • OSHIMA Nobuhiro
    Departments of Respiratory Diseases, National Hospital Organization Tokyo National Hospital
  • MASUDA Kimihiko
    Departments of Respiratory Diseases, National Hospital Organization Tokyo National Hospital
  • MATSUI Hirotoshi
    Departments of Respiratory Diseases, National Hospital Organization Tokyo National Hospital
  • YAMANE Akira
    Departments of Respiratory Diseases, National Hospital Organization Tokyo National Hospital
  • NAGAI Hideaki
    Departments of Respiratory Diseases, National Hospital Organization Tokyo National Hospital
  • NAGAYAMA Naohiro
    Departments of Respiratory Diseases, National Hospital Organization Tokyo National Hospital
  • TOYOTA Emiko
    Departments of Respiratory Diseases, National Hospital Organization Tokyo National Hospital
  • AKAGAWA Shinobu
    Departments of Respiratory Diseases, National Hospital Organization Tokyo National Hospital
  • HEBISAWA Akira
    Departments of Pathology, National Hospital Organization Tokyo National Hospital
  • SHOJI Shunsuke
    Departments of Allergy, National Hospital Organization Tokyo National Hospital
  • OHTA Ken
    Departments of Respiratory Diseases, National Hospital Organization Tokyo National Hospital

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<p> [Objective] The aim of this study was to investigate the current status of doctor's delay in diagnosing endobronchial tuberculosis (EBTB) and to elucidate the risk factors contributing to the delay. [Methods] Retrospective clinicopathological analysis. [Patients] Sixty-two patients with EBTB were admitted at our hospital between 1999 and 2010. Their backgrounds, symptoms, diagnoses at initial consultation, delay in diagnosis, and clinical examination results were analyzed. [Results] Of the 62 patients, 59 had acid-fast, bacilli-positive sputum smear test results at admission. Among the 40 patients with total diagnostic delay of more than 2 months, only 11 experienced long patients delay exceeding 2 months. However, 22 patients experienced long doctors delay of more than 2 months (28％ vs. 55％, respectively, p＜0.05), suggesting that doctors delay contributes more to total delay than patients delay. Fever was less frequent in patients with long doctors delays than in those without (0％ vs. 18％, respectively), at the initial consultation. In addition, radiographs showed that patients with long doctors delays more frequently presented with shadows in the lower lung field (50％ vs. 23％, p＜0.05), and most of these patients had noncavitary shadows on admission. All 7 patients diagnosed with bronchial asthma at the initial consultation had long doctors delays. [Conclusion] These findings demonstrate that long doctors delays in diagnosing EBTB remain an issue. The clinical features of EBTB with long doctors delays were confirmed to be quite different from those of pulmonary tuberculosis.</p>

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  • 結核

    結核 88 (1), 9-13, 2013

    一般社団法人 日本結核病学会

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