Quality of diagnosis and monitoring of tuberculosis in Northern Ethiopia: medical records-based retrospective study.

Autor:	Mala G; MSc, Department of Medicine, Mekelle University, Mek'ele, Ethiopia MSc, Department of Family Medicine, Maastricht University/CAPHRI School for Public Health and Primary Care, Maastricht, The Netherlands george.mala@maastrichtuniversity.nl., Spigt MG; PhD, Department of Family Medicine, Maastricht University/CAPHRI School for Public Health and Primary Care, Maastricht, The Netherlands PhD, Department of General Practice, Tromsø University, Tromsø, Norway., Gidding LG; MD, Department of Family Medicine, Maastricht University/CAPHRI School for Public Health and Primary Care, Maastricht, The Netherlands., Blanco R; MD, Department of Surgery, Universidad de Alcala, Alcala, Spain., Dinant GJ; MD, PhD, Department of Family Medicine, Maastricht University/CAPHRI School for Public Health and Primary Care, Maastricht, The Netherlands.
Jazyk:	angličtina
Zdroj:	Tropical doctor [Trop Doct] 2015 Oct; Vol. 45 (4), pp. 214-20. Date of Electronic Publication: 2015 Apr 15.
DOI:	10.1177/0049475515581126
Abstrakt:	Objectives: To determine quality of diagnosis and monitoring of treatment response of patients with smear-negative pulmonary tuberculosis (TB) compared with smear-positive cases in Ethiopia. Methods: A retrospective analysis of medical records of newly diagnosed pulmonary TB cases that were registered for taking anti-TB medication and had completed treatment between 2010 and 2012. We evaluated the percentage of cases that were managed according to the International Standards of Tuberculosis Care (ISTC) and compared smear-negative with smear-positive cases. Results: We analysed 1168 cases of which 742 (64%) were sputum smear-negative cases. Chest radiography examination at diagnosis and microbiological testing at the end of the intensive phase of treatment was performed in a smaller proportion than in smear-positive TB cases (70% vs. 79%, P value <0.001) and (70% vs. 95%, P value <0.001), respectively. Conclusions: Clinical actions recommended in the ISTC are of greatest importance in minimising pitfalls in care of smear-negative TB yet were performed less often in smear-negative than smear-positive TB cases. (© The Author(s) 2015.)
Databáze:	MEDLINE
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