Are patients who present spontaneously with PTB symptoms to the health services in Burkina Faso well managed?

SETTING: Six health districts selected from a total of 53 in Burkina Faso.OBJECTIVE: To evaluate the performance of the health services in identifying infectious pulmonary tuberculosis (PTB) cases in Burkina Faso. DESIGN: Retrospective review of initial consultation registers in the first level heal...

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Bibliographic Details
Published in:	The international journal of tuberculosis and lung disease Vol. 10; no. 4; pp. 436 - 440
Main Authors:	DEMBELE, S. M, OUEDRAOGO, H. Z, COMBARY, A. I, SONDO, B, MACQ, J, DUJARDIN, B
Format:	Journal Article
Language:	English
Published:	Paris, France IUATLD 01-04-2006 Union internationale contre la tuberculose et les maladies respiratoires
Subjects:	Adolescent Adult Aged Aged, 80 and over Biological and medical sciences Burkina Faso Case Finding Case Management - organization & administration Community Health Centers Delivery of Health Care - standards Diagnosis, Differential Female Health Services Accessibility Humans Male Medical sciences Middle Aged Miscellaneous Mycobacterium tuberculosis - isolation & purification Patient Compliance Pneumology Prevention and actions Public health. Hygiene Public health. Hygiene-occupational medicine Retrospective Studies Selection Sputum - microbiology Tuberculosis Tuberculosis, Pulmonary - diagnosis Tuberculosis, Pulmonary - microbiology Burkina Faso Africa Human Lung disease Respiratory disease Selection Pulmonary tuberculosis Patient Health service Mycobacterial infection Communicable disease Care Infection reference Symptomatology Tuberculosis Burkina Faso Quality Bacteriosis Tropical medicine case finding Public health Pneumology
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Summary:	SETTING: Six health districts selected from a total of 53 in Burkina Faso.OBJECTIVE: To evaluate the performance of the health services in identifying infectious pulmonary tuberculosis (PTB) cases in Burkina Faso. DESIGN: Retrospective review of initial consultation registers in the first level health centres and the laboratory and treatment registers kept at the Centres for TB Diagnosis and Treatment (CDTs) in 2001.RESULTS: The rate of detection of sputum-positive cases of PTB was 11.7 cases per 100000 population. Cough was the reason for consulting for 10.6% of 248730 adults; 1.1% had chronic cough. Among patients with chronic cough, 66% had been referred for smear microscopy, 69.7% of whom were registered at the CDT to which they were referred. A positive diagnosis was made in 22.5% of the suspects referred and traced to the CDT. Among those with a positive diagnosis, 87.1% were put on treatment in the same CDT.CONCLUSIONS: The PTB case detection rate in Burkina Faso is low, due to the loss of cases at each of the stages leading to the diagnosis of TB. Case detection depends on the operational effectiveness of the staff working in the health services, as well as the referral of suspect patients to the CDT.
Bibliography:	1027-3719(20060401)10:4L.436;1- (R) Medicine - General ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1027-3719 1815-7920