Switching from expectorated to induced sputum cultures for tuberculosis diagnosis reduces cost without increasing risk.

Am J Infect Control

Tuberculosis Clinic, Toronto Western Hospital, Toronto, ON, Canada; University of Toronto, Toronto, ON, Canada.

Published: August 2019

Active pulmonary tuberculosis testing with 3 expectorated sputa can increase isolation days and expenditures compared with 1 induced sputum. Six-month retrospective and prospective chart reviews were conducted, and a screening algorithm was phased into 2 hospital sites. With induced sputum testing, isolation decreased from 7 to 4 days (interquartile range, 4-3, P = .0135), and there was a cost savings of $7,275 per case, with no added harm.

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Source
http://dx.doi.org/10.1016/j.ajic.2019.01.005DOI Listing

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