Remote monitoring of Xpert® MTB/RIF testing in Mozambique: results of programmatic implementation of GxAlert
| Autor: | J. Beste, A. J. Codlin, Jacob Creswell, Cathy Michel, Stephen Gloyd, James Cowan, C. Monivo, C. Mutaquiha, D. Saize, I. Manhiça |
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| Rok vydání: | 2016 |
| Předmět: |
Pulmonary and Respiratory Medicine
030231 tropical medicine Interoperability Data security Pilot Projects 03 medical and health sciences 0302 clinical medicine Drug Resistance Multiple Bacterial Tuberculosis Multidrug-Resistant eHealth medicine Humans 030212 general & internal medicine mHealth Antibiotics Antitubercular Developing Countries Mozambique Remote Consultation Internet business.industry Environmental resource management Online database Sputum Monitoring and evaluation Mycobacterium tuberculosis medicine.disease Infectious Diseases Feasibility Studies The Internet Medical emergency Rifampin business Software |
| Zdroj: | The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease. 20(3) |
| ISSN: | 1815-7920 |
| Popis: | Setting Electronic diagnostic tests, such as the Xpert® MTB/RIF assay, are being implemented in low- and middle-income countries (LMICs). However, timely information from these tests available via remote monitoring is underutilized. The failure to transmit real-time, actionable data to key individuals such as clinicians, patients, and national monitoring and evaluation teams may negatively impact patient care. Objective To describe recently developed applications that allow for real-time, remote monitoring of Xpert results, and initial implementation of one of these products in central Mozambique. Design In partnership with the Mozambican National Tuberculosis Program, we compared three different remote monitoring tools for Xpert and selected one, GxAlert, to pilot and evaluate at five public health centers in Mozambique. Results GxAlert software was successfully installed on all five Xpert computers, and test results are now uploaded daily via a USB internet modem to a secure online database. A password-protected web-based interface allows real-time analysis of test results, and 1200 positive tests for tuberculosis generated 8000 SMS result notifications to key individuals. Conclusion Remote monitoring of diagnostic platforms is feasible in LMICs. While promising, this effort needs to address issues around patient data ownership, confidentiality, interoperability, unique patient identifiers, and data security. |
| Databáze: | OpenAIRE |
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