Postpartum follow-up of a positive purified protein derivative (PPD) among an indigent population

Carolyn A. Cruz, Aaron Caughey, Robert Jasmer

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objective: This study was undertaken to investigate the rates and predictors of follow-up and treatment for postpartum patients with a positive purified protein derivative (PPD). Study design: Retrospective cohort study of all women delivered at San Francisco General Hospital in 2000. All patients with a positive PPD were identified and their demographic and PPD follow-up and treatment data were collected and analyzed. Results: Among the 1331 patients delivered, the prevalence of a positive PPD was 32% (n= 425). Of the 393 patients who had not been previously treated, 42% (n = 167) attended a follow-up visit with 42% of these (n = 71) actually completing 6 months of therapy. Among different ethnicities, Asian patients were more likely to follow-up at a rate of 52% (P = .03). Patients who received care from the same physician both antepartum and postpartum were more likely to attend and complete therapy at rates of 67% (P <.001) and 62% (P = .01), respectively. Conclusion: We found that despite the opportunity given by the interaction with the medical system during pregnancy, only 18% of patients with a positive PPD actually completed therapy.

Original languageEnglish (US)
Pages (from-to)1455-1457
Number of pages3
JournalAmerican Journal of Obstetrics and Gynecology
Volume192
Issue number5 SPEC. ISS.
DOIs
StatePublished - May 2005
Externally publishedYes

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Poverty
Postpartum Period
Population
Proteins
Therapeutics
San Francisco
General Hospitals
Cohort Studies
Retrospective Studies
Demography
Physicians
Pregnancy

Keywords

  • Latent tuberculosis infection
  • Pregnancy
  • Purified protein derivative
  • Tuberculosis

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Medicine(all)

Cite this

Postpartum follow-up of a positive purified protein derivative (PPD) among an indigent population. / Cruz, Carolyn A.; Caughey, Aaron; Jasmer, Robert.

In: American Journal of Obstetrics and Gynecology, Vol. 192, No. 5 SPEC. ISS., 05.2005, p. 1455-1457.

Research output: Contribution to journalArticle

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