Difficulty of isolating recalcitrant patients with infectious TB
SETTING: Hospitals in Japan with more than five TB isolation beds. OBJECTIVES: Approximately 4,000 cases of sputum smear-positive TB were reported in 2022, who were isolated in a TB ward at least until they became sputum smear-negative. However, some recalcitrant patients are difficult to isolate be...
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The Union
2025-06-01
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| Series: | Public Health Action |
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| author | Y. Nagata T. Zama S. Hirao M. Urakawa M. Ota |
| author_facet | Y. Nagata T. Zama S. Hirao M. Urakawa M. Ota |
| author_sort | Y. Nagata |
| collection | DOAJ |
| description | SETTING: Hospitals in Japan with more than five TB isolation beds. OBJECTIVES: Approximately 4,000 cases of sputum smear-positive TB were reported in 2022, who were isolated in a TB ward at least until they became sputum smear-negative. However, some recalcitrant patients are difficult to isolate because of their behaviour. This study aims to characterise recalcitrant patients with TB and determine why they left the hospitals. DESIGN: This was a descriptive study. We sent a self-administered questionnaire to the hospitals asking about recalcitrant inpatients with TB from April 2022 through March 2023. RESULTS: A total of 12 recalcitrant patients were identified, of whom 8 (66.7%) self-discharged, and the other 4 (33.3%) were discharged by the hospital. All were male with an average age of 58.9 years. The main reason why the patients were considered recalcitrant was related to psychiatric problems (41.7%), including 2 with possible dementia (16.7%). However, 3 (25.0%) patients verbally insulted or physically assaulted staff members and other patients. CONCLUSION: Although the number of recalcitrant patients was small, we recommend that there should be one or two TB facilities readily available for law enforcement officials to enforce isolation. |
| format | Article |
| id | doaj-art-0672c3dd309948c59096768f47e3f4d2 |
| institution | OA Journals |
| issn | 2220-8372 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | The Union |
| record_format | Article |
| series | Public Health Action |
| spelling | doaj-art-0672c3dd309948c59096768f47e3f4d22025-08-20T02:33:35ZengThe UnionPublic Health Action2220-83722025-06-01152717510.5588/pha.24.00485Difficulty of isolating recalcitrant patients with infectious TBY. NagataT. ZamaS. HiraoM. UrakawaM. OtaSETTING: Hospitals in Japan with more than five TB isolation beds. OBJECTIVES: Approximately 4,000 cases of sputum smear-positive TB were reported in 2022, who were isolated in a TB ward at least until they became sputum smear-negative. However, some recalcitrant patients are difficult to isolate because of their behaviour. This study aims to characterise recalcitrant patients with TB and determine why they left the hospitals. DESIGN: This was a descriptive study. We sent a self-administered questionnaire to the hospitals asking about recalcitrant inpatients with TB from April 2022 through March 2023. RESULTS: A total of 12 recalcitrant patients were identified, of whom 8 (66.7%) self-discharged, and the other 4 (33.3%) were discharged by the hospital. All were male with an average age of 58.9 years. The main reason why the patients were considered recalcitrant was related to psychiatric problems (41.7%), including 2 with possible dementia (16.7%). However, 3 (25.0%) patients verbally insulted or physically assaulted staff members and other patients. CONCLUSION: Although the number of recalcitrant patients was small, we recommend that there should be one or two TB facilities readily available for law enforcement officials to enforce isolation.https://www.ingentaconnect.com/contentone/iuatld/pha/2025/00000015/00000002/art00005epidemiologytuberculosisjapan |
| spellingShingle | Y. Nagata T. Zama S. Hirao M. Urakawa M. Ota Difficulty of isolating recalcitrant patients with infectious TB Public Health Action epidemiology tuberculosis japan |
| title | Difficulty of isolating recalcitrant patients with infectious TB |
| title_full | Difficulty of isolating recalcitrant patients with infectious TB |
| title_fullStr | Difficulty of isolating recalcitrant patients with infectious TB |
| title_full_unstemmed | Difficulty of isolating recalcitrant patients with infectious TB |
| title_short | Difficulty of isolating recalcitrant patients with infectious TB |
| title_sort | difficulty of isolating recalcitrant patients with infectious tb |
| topic | epidemiology tuberculosis japan |
| url | https://www.ingentaconnect.com/contentone/iuatld/pha/2025/00000015/00000002/art00005 |
| work_keys_str_mv | AT ynagata difficultyofisolatingrecalcitrantpatientswithinfectioustb AT tzama difficultyofisolatingrecalcitrantpatientswithinfectioustb AT shirao difficultyofisolatingrecalcitrantpatientswithinfectioustb AT murakawa difficultyofisolatingrecalcitrantpatientswithinfectioustb AT mota difficultyofisolatingrecalcitrantpatientswithinfectioustb |