Front-Loading Sputum Microscopy Services: An Opportunity to Optimise Smear-Based Case Detection of Tuberculosis in High Prevalence Countries

Setting. Ethiopia, Nepal, Nigeria, and Yemen. Objective. To reduce the time to complete sputum microscopy. Design. Cross-sectional surveys enrolling 923 patients with chronic cough in the 4 countries and using similar protocols. Spot-morning-spot sputum specimens were collected. An additional sputum...

Full description

Saved in:

Bibliographic Details
Published in:	Journal of Tropical Medicine Vol. 2009; no. 2009; pp. 24 - 29
Main Authors:	Ramsay, Andy, Yassin, Mohammed Ahmed, Cambanis, Alexis, Hirao, Susumu, Almotawa, Ahmad, Gammo, Mohamed, Lawson, Lovett, Arbide, Izabel, Al-Aghbari, Nasher, Al-Sonboli, Najla, Sherchand, Jeevan Bahadur, Gauchan, Punita, Cuevas, Luis Eduardo
Format:	Journal Article
Language:	English
Published:	Cairo, Egypt Hindawi Limiteds 01-01-2009 Hindawi Puplishing Corporation Hindawi Publishing Corporation Hindawi Limited
Subjects:	Mycobacterium
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Setting. Ethiopia, Nepal, Nigeria, and Yemen. Objective. To reduce the time to complete sputum microscopy. Design. Cross-sectional surveys enrolling 923 patients with chronic cough in the 4 countries and using similar protocols. Spot-morning-spot sputum specimens were collected. An additional sputum specimen (Xspot) was collected one hour after the first, and the yields of the first two or the three specimens collected as spot-morning-spot or spot-Xspot-morning were compared. Results. 216 patients had ≥ one positive smear. 210 (97%) were identified by the spot-morning-spot, and 210 (97%) were identified by the spot-Xspot-morning specimens, with 203 and 200 identified by the first 2 specimens of each approach, respectively. Neither difference was significant. Conclusions. The time to complete smear microscopy could be reduced.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Recommended by Marcel Tanner
ISSN:	1687-9686 1687-9694
DOI:	10.1155/2009/398767