Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-15T03:58:19.556Z Has data issue: false hasContentIssue false

Temporal Trends in Tuberculosis Hospitalization Rates Before and After Implementation of Directly Observed Therapy: New York City, 1988–1995

Published online by Cambridge University Press:  02 January 2015

Mary Beth Terry
Affiliation:
Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York
Moïse Desvarieux*
Affiliation:
Department of Epidemiology, University of Minnesota School of Public Health, Minneapolis, Minnesota
Margaret Short
Affiliation:
Department of Biostatistics, University of Minnesota School of Public Health, Minneapolis, Minnesota
*
Division of Epidemiology, University of Minnesota School of Public Health, 1300 South 2nd St., Suite 300, Minneapolis, MN 55454

Abstract

New York City hospitalization rates were analyzed to investigate whether tuberculosis (TB) hospitalizations declined after implementation of directly observed therapy QOOT) for TB. TB hospitalization rates mirrored incidence rates in pattern but not in magnitude. Rates have declined significantly following widespread implementation of DOT in 1993.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2002

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.New York City Department of Health. Tuberculosis in New York City, 1999: Information Summary. New York: New York City Department of Health; 2000.Google Scholar
2.General Accounting Office, Health, Education and Human Services Division. Tuberculosis: Costly and Preventable Cases Continue in Five Cities. Gaithersburg, MD: General Accounting Office, Health, Education and Human Services Division; 1995. GAO/HEHS-95-11.Google Scholar
3.Frieden, TR, Fujiwara, PI, Washko, RM, Hamburg, MA. Tuberculosis in New York City: turning the tide. N Engl J Med 1995;333;229233.CrossRefGoogle ScholarPubMed
4.Bayer, R, Stayton, C, Desvarieux, M, Healton, C, Landesman, S. Directly observed therapy and treatment completion for tuberculosis in the United States, 1990-1994. Am J Public Health 1998;88:10521058.CrossRefGoogle Scholar
5.Lehmann, EL. Elements of Large-Sample Theory. New York: Springer-Verlag; 1999:813.CrossRefGoogle Scholar
6.Weis, SE, Slocum, PC, Blais, FX, et al. The effect of directly observed therapy on the rates of drug resistance and relapse in tuberculosis. N Engl J Med 1994;330:11791184.CrossRefGoogle ScholarPubMed
7.Centers for Disease Control and Prevention. Expanded tuberculosis surveillance and tuberculosis morbidity—United States, 1993. MMWR 1994;43:361365.Google Scholar
8.Blower, SM, McLean, AR, Porco, TC, et al. The intrinsic transmission dynamics of tuberculosis epidemics. Nat Med 1995;1:815821.CrossRefGoogle ScholarPubMed