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Tuberculosis in the ICU: A Retrospective Study in a Low Burden Setting

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Total Posts: 16

Joined 2014-04-02

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What is the typical profile of the patients admitted into the ICU for tuberculosis?  Based on this data, can we improve outcomes for these patients?

     
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Total Posts: 21

Joined 2014-05-04

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As rightly mentioned there is nothing specific about TB admissions in ICU. At the end of the day the conclusion is same as before - Treat with -  both anti -bacterial and anti - TB drugs!  With us it is a clinical approach in decision making as confirmation of TB diagnosis is not possible in a short time in the ICU unless Gene expert facility is available at all ICU’s.  The study does not seem to add anything new than what is already known.

     
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Total Posts: 24

Joined 2014-05-05

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i agree with Nayana , Genexpert has to be performed in case of Tb in ICU,
Series of routine biochemical investigations to assess other organ function included

     
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Total Posts: 8

Joined 2014-05-05

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I think your research question could be-
What are the risk factors for bad outcome for TB patients admitted in ICU? OR
Can SAPS score be used as prognostic algorithm in TB patients admitted in ICU?

I was wondering if you could use SAPS score for admitting patients in ICU rather than using it as a predictor for death, like in your study another infection especially pneumonia is a risk factor with OR of 17, so like we could admit all patients with pneumonia and treat them and prevent organ failure.

Your comment that HARRT is not protective – totally disagree with you, as these were patients having very low CD4 count, this could be due to – may be they were started late on HARRT, could have been less compliant or were not responding to HARRT

Sangita Shelke

     
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Total Posts: 14

Joined 2014-05-07

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Out of those who died and were alive, how many were HIV Positive? This data is not shown even for univariate analysis.