加利福尼亚南部一家联邦合格健康中心的潜伏性结核病感染检测与治疗：一项质量改进项目。
Latent Tuberculosis Infection Testing and Treatment at a Federally Qualified Health Center in Southern California: A Quality Improvement Project.
机构信息
School of Nursing, Loma Linda University, Loma Linda, California (Drs Truax and T. N. Nguyen); County of Orange Health Care Agency, Santa Ana, California (Dr Low and Mr Carson); Tuberculosis Control Branch, California Department of Public Health, Sacramento (Mss Mochizuki and Asfaha and Drs Katrak and Shah); and Nhan Hoa Community Clinic, Orange County, California (Dr D. Nguyen).
出版信息
J Nurs Care Qual. 2022;37(2):155-161. doi: 10.1097/NCQ.0000000000000579.
BACKGROUND
A key strategy to eliminate tuberculosis (TB) in the United States is to increase latent tuberculosis infection (LTBI) screening, testing, and treatment among non-US-born Asian populations.
PURPOSE
The purpose was to increase LTBI screening, testing, and treatment at a community clinic.
METHODS
Retrospective baseline LTBI data were retrieved through electronic medical record review. Interventions included adoption of standardized TB risk assessment, training providers to use shorter LTBI treatment regimens, and use of a care coordinator. Chart abstraction to examine outcomes was conducted postintervention at 4 months.
RESULTS
In 2017, only 3 patients (7%) with LTBI were started on treatment. At 4 months postintervention, 28 (72%) patients with LTBI were started on treatment, of which 27 (96%) were placed on 3- to 4-month regimens.
CONCLUSIONS
Training for providers and changes to clinic workflow, including use of a care coordinator, can help increase LTBI screening, testing, and treatment in community clinics.
背景
消除美国结核病（TB）的一个关键策略是增加非美国出生的亚洲人群中的潜伏性结核感染（LTBI）筛查、检测和治疗。
目的
目的是在社区诊所增加 LTBI 的筛查、检测和治疗。
方法
通过电子病历回顾检索回顾性基线 LTBI 数据。干预措施包括采用标准化的结核病风险评估、培训提供者使用更短的 LTBI 治疗方案以及使用护理协调员。在干预后 4 个月进行图表摘要以检查结果。
结果
2017 年，仅有 3 名（7%）LTBI 患者开始接受治疗。在干预后 4 个月，28 名（72%）LTBI 患者开始接受治疗，其中 27 名（96%）接受了 3 至 4 个月的治疗方案。
结论
为提供者提供培训以及改变诊所的工作流程，包括使用护理协调员，可以帮助增加社区诊所的 LTBI 筛查、检测和治疗。
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