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March 2, 1940

PROBLEMS IN THE TREATMENT OF ADVANCED TUBERCULOSIS IN A MUNICIPAL HOSPITAL: BASED ON AN ANALYSIS OF THE COURSE OF DISEASE AND RESULTS OF PNEUMOTHORAX TREATMENT

JAMA. 1940;114(9):723-726. doi:10.1001/jama.1940.02810090001001
Abstract

From the point of view of the public health, isolation and treatment of patients with clinical disease constitute important factors in the control of tuberculosis. Many patients prefer to remain at home under the care of private physicians or clinics, a procedure that may be justified if sputum can be kept negative for tubercle bacilli or if adequate measures are taken for the protection of persons in contact. For the majority of patients, however, institutional care is advised. Most communities provide sanatorium facilities for patients with more favorable prognosis. Infectious patients with advanced disease and less favorable prognosis are usually cared for in special wards of local hospitals, the major objective being the removal of these individuals from contact with the community.

In some municipalities, collapse therapy is employed as a partial solution of the lack of sanatorium facilities. Suitable patients are admitted to an institution until collapse is established.

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