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Free Content Management of tuberculosis in San Diego County: a survey of physicians’ knowledge, attitudes and practices

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SETTING: A survey conducted in San Diego County.

OBJECTIVE: To assess local physicians' knowledge, attitudes and practices regarding tuberculosis (TB).

METHODS: The survey consisted of questions covering diagnosis and treatment of active disease, diagnosis and treatment of latent infection, and infection control. The survey was sent to physicians who reported a TB case or suspect to the local health department in the years 1995–1997.

RESULTS: Of the 384 physicians in this group, 150 (39%) returned the survey form. The percentage of physicians whose response conformed to health department guidelines varied widely from question to question (51%–94%, median 83%). Pulmonary medicine and infectious diseases specialists, physicians educated completely in the United States (US), and physicians who treated six or more TB patients in the past 2 years were more likely to give answers in agreement with health department policies.

CONCLUSIONS: Because the response rate to the survey was low, these findings may not be completely representative of the targeted group of physicians. Nevertheless, they may indicate that health care provider education about TB management standards is needed.
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Keywords: community; guidelines; physicians; practices; survey; tuberculosis

Document Type: Regular Paper

Affiliations: 1: Centers for Disease Control and Prevention, National Center for HIV, STD and TB Prevention, Division of Tuberculosis Elimination, Field Services Branch, San Diego, California, USA and Tuberculosis Control Program, County of San Diego, Health and H 2: Tuberculosis Control Program, County of San Diego, Health and Human Services Agency, San Diego, California, USA 3: Division of Pulmonary and Critical Care Medicine, University of California-San Diego School of Medicine, San Diego, California, USA

Publication date: 2001-10-01

More about this publication?
  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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