Are patients with pulmonary tuberculosis who are identified through active case finding in the community different than those identified in healthcare facilities?
: New Microbes and New Infections OUTPUT TYPE
: Journal Article PUBLICATION YEAR
: S.T.Abdurrahman, L.Lawson, M.Blakiston, J.Obasanya, M.A.Yassin, R.M.Anderson, O.Oladimeji, A.Ramsay, L.E.CuevasKEYWORDS
: Human and Social Capabilities (HSC)
: HSRC Library: shelf number 9584
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at firstname.lastname@example.org.
The lack of healthcare access contributes to large numbers of tuberculosis (TB) cases being missed and has led to renewed interest in outreach approaches to increase detection. It is however unclear whether outreach activities increase case detection or merely identify patients before they attend health facilities. We compared adults with cough of >2 weeks??? duration recruited in health facilities (1202 participants) or in urban slums (2828 participants) in Nigeria. Participants provided demographic and clinical information and were screened using smear microscopy. The characteristics of smear-positive and smear-negative individuals were compared stratified by place of enrolment. Two hundred nine health facility participants (17.4%) and 485 community-based participants (16.9%) were smear positive for pulmonary TB. Community-based smear-positive cases were older (mean age, 36.3 vs. 31.8 years), had longer cough duration (10.3 vs. 6.8 weeks) and longer duration of weight loss (4.6 vs. 3.6 weeks) than facility-based cases; and they complained more of fever (87.4% vs. 74.6%), chest pain (89.0% vs. 67.0%) and anorexia (79.5% vs. 55.5%). Community smear-negative participants were older (mean, 39.4 vs. 34.0 years), were more likely to have symptoms and were more likely to have symptoms of longer duration than smear-negative
facility-based participants. Patients with pulmonary TB identified in the community had more symptoms and longer duration of illness than facility-based patients, which appeared to be due to factors differentially affecting access to healthcare. Community-based activities targeted at urban slum populations may identify a different TB case population than that accessing stationary services.
Related Research Outputs:
- Psychosocial wellbeing of patients with multidrug resistant tuberculosis voluntarily confined to long-term hospitalisation in Nigeria
- Tuberculosis and diabetes in Nigerian patients with and without HIV
- Assessment of barriers and strategies to improve tuberculosis care services in Oyo state South West Nigeria: views from patients and key stakeholders
- Perception of quality of care among multidrug-resistant patients in Nigeria?
- Mycobacterium tuberculosis complex genotypes circulating in Nigeria based on spoligotyping obtained from Ziehl-Neelsen stained slides extracted DNA
- Knowledge, attitude and perception of tuberculosis management among tuberculosis-infected patients in resource constraint setting: field experience from Oyo state, South-West, Nigeria
- Patients and health system-related factors impacting on tuberculosis program implementation in resource-constrained settings: experience from multi-TB facilities in Oyo state, South-West of Nigeria
- Client's perception of quality of multidrug-resistant tuberculosis treatment and car in resource-limited setting: experience from Nigeria
- Task oriented nursing in a tuberculosis control programme in South Africa: where does it come from and what keeps it going?
- Shifting African identities
- Some factors in condom-use amongst first-year Nigerian university students and black and white South Africans
- Factors affecting behaviours that address HIV risk among Nigerian university students
- The new partnership for African development: elite perceptions in South Africa, Nigeria, Senegal, Algeria, Kenya, Uganda and Zimbabwe
- South Africa and Nigeria: two unequal centres in a periphery
- Perceptions of tuberculosis: attributions of cause, suggested means of risk reduction, and preferred treatment in the Limpopo province, South Africa
- South Africa and Nigeria: getting closer all the time
- HIV/AIDS, tuberculosis and parasites
- Brain fag symptoms in Nigerian university students of languages and medicine
- Utilisation of antenatal care in a Nigerian teaching hospital
- Delivery of the directly observed therapy (DOT) for tuberculosis patients in the Limpopo province, South Africa: a qualitative study