| Autor: |
A D, Harries, A, Kamenya, M A, Schoevers, M J, Boeree, P, Nunn, F M, Salaniponi, D S, Nyangulu |
| Rok vydání: |
1998 |
| Předmět: |
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| Zdroj: |
The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease. 1(6) |
| ISSN: |
1027-3719 |
| Popis: |
Queen Elizabeth Central Hospital, Malawi.To evaluate the investigation of patients with cough who attend out-patient services and the adherence to recommended diagnostic protocols.Two operational studies in 1995: 1) an audit of management of patients presenting to non-fee-paying out-patient services (OPD) with cough, and 2) an audit of the laboratory sputum register and the OPD cough register. The annual number of out-patient attendances was also recorded.Of 2381 patients seen by OPD medical assistants, 438 (18.4%) complained of cough: 303 for3 weeks and 135 foror = 3 weeks. Sputum smear examinations were requested in 97 patients, 79 (58.5%) with long duration and 18 (5.9%) with short duration of cough. Between May and December 1995, of the 1668 OPD patients who had sputum results in the laboratory register, 1392 (83%) had sputum results in the cough register. Of patients listed in the cough register, 98% collected their sputum smear results. In 1995, there were 395,439 OPD attendances; data extrapolation suggests that about 15,000 patients should have had sputum examined instead of the 2337 listed in the laboratory register.A large burden is imposed on out-patient services by patients with cough. Despite recommended protocols, this investigation suggests deficiencies in case detection which require further study. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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