Abstract
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
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.
| Original language | English |
|---|---|
| Pages (from-to) | 214-220 |
| Number of pages | 7 |
| Journal | Tropical Doctor |
| Volume | 45 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Oct 2015 |
Keywords
- Quality deficits
- performance indicators
- healthcare facility
- standards
- NEGATIVE PULMONARY TUBERCULOSIS
- HIV-INFECTION
- RECOMMENDATIONS
- EPIDEMIOLOGY
- IMPROVEMENT
- INDIA
- NEED