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

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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.

    Research areas

  • Quality deficits, performance indicators, healthcare facility, standards, NEGATIVE PULMONARY TUBERCULOSIS, HIV-INFECTION, RECOMMENDATIONS, EPIDEMIOLOGY, IMPROVEMENT, INDIA, NEED
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Details

Original languageEnglish
Pages (from-to)214-220
Number of pages7
JournalTropical Doctor
Volume45
Issue number4
DOIs
Publication statusPublished - Oct 2015