Colleen D Acosta

Learn More
SETTING Tuberculosis (TB) affected households in impoverished shantytowns, Lima, Peru. OBJECTIVE To evaluate socio-economic interventions for strengthening TB control by improving uptake of TB care and prevention services. DESIGN Barriers to TB control were characterised by interviews with TB-affected families. To reduce these barriers, a(More)
BACKGROUND There is evidence that female gender is associated with reduced likelihood of tuberculosis diagnosis and successful treatment. This study aimed to characterize gender-related barriers to tuberculosis control in Peruvian shantytowns. METHODS We investigated attitudes and experiences relating gender to tuberculosis using the grounded theory(More)
STUDY OBJECTIVE We describe the availability of preventive health services in US emergency departments (EDs), as well as ED directors' preferred service and perceptions of barriers to offering preventive services. METHODS Using the 2007 National Emergency Department Inventory (NEDI)-USA, we randomly sampled 350 (7%) of 4,874 EDs. We surveyed directors of(More)
This study aimed to determine the psychosocial factors associated with delayed test-seeking among tuberculosis patients. The duration of symptoms before seeking medical care was assessed by interview for 108 newly diagnosed pulmonary tuberculosis patients in the city of Iquitos in the Peruvian Amazon, which has high tuberculosis incidence. Beliefs(More)
SETTING Drug-resistant tuberculosis (TB) is an important public health problem in Latvia. OBJECTIVE To document trends, characteristics and treatment outcomes of registered patients with multi-drug-resistant (MDR-) and extensively drug-resistant (XDR-) TB in Latvia from 2000 to 2010. DESIGN A retrospective national cohort study. RESULTS Of 1779(More)
A shift in commercially insured patients to publicly insured or uninsured status has caused an increase in emergency department (ED) visits for routine and nonemergent care. Meanwhile, hospitals struggle to compensate for decreasing reimbursements across all payer groups and increasing underwritten costs of care for the uninsured. Children represent a(More)
BACKGROUND since California lacks a statewide trauma system, there are no uniform interfacility pediatric trauma transfer guidelines across local emergency medical services (EMS) agencies in California. This may result in delays in obtaining optimal care for injured children. OBJECTIVES this study sought to understand patterns of pediatric trauma patient(More)
SETTING Civilian population of the Republic of Azerbaijan. OBJECTIVES To determine patterns of anti-tuberculosis drug resistance among new and previously treated pulmonary tuberculosis (TB) cases, and explore their association with socio-demographic and clinical characteristics. DESIGN National cross-sectional survey conducted in 2012-2013. RESULTS Of(More)
SETTING Tuberculosis (TB), including drug-resistant TB, is a serious problem in Belarus. OBJECTIVES To determine the prevalence of TB among health care workers (HCWs) along with patient characteristics, treatment outcomes and drug resistance patterns between 2008 and 2012. DESIGN A retrospective national record review. RESULTS There were 116 HCWs with(More)