dc.contributor.author |
Nkosi, Deliwe
|
|
dc.contributor.author |
Janssen, Saskia
|
|
dc.contributor.author |
Padanilam, Xavier
|
|
dc.contributor.author |
Louw, Rianna
|
|
dc.contributor.author |
Menezes, Colin N.
|
|
dc.contributor.author |
Grobusch, Martin P.
|
|
dc.date.accessioned |
2014-02-04T13:31:12Z |
|
dc.date.available |
2014-02-04T13:31:12Z |
|
dc.date.issued |
2013-07-09 |
|
dc.description.abstract |
BACKGROUND: Sizwe Tropical Diseases Hospital is the only specialized hospital for the management of
multidrug-resistant (MDR)-TB and extensively drug-resistant (XDR)-TB cases in Gauteng Province. In South
Africa, there is a mismatch between numbers of individuals with a laboratory diagnosis of drug-resistant
tuberculosis (TB) and those being referred for the initiation of specialist treatment. We determined reasons for
non-referral of MDR-TB and XDR-TB cases.
METHODS: We conducted a descriptive questionnaire-based study amongst provincial primary health care
facilities (PHC) and hospitals providing routine care for (drug-susceptible) TB, regarding specialist care referral
of patients whose TB culture and susceptibility testing confirmed MDR-TB or XDR-TB diagnoses in the first
half of 2008.
RESULTS: In total 148 cases were analyzed; 144/148 (97%) had MDR-TB and 4/148 (3%) had XDR-TB. The main
reason for non-referral to specialist care was loss to follow up, for patients diagnosed in-hospital (74/97; 76%)
as well as in PHCs (11/21; 52%). Nineteen per cent (18/97) of patients diagnosed in hospital versus 33% (7/21)
of patients diagnosed in PHCs deceased before referral.
CONCLUSIONS: A significant problem in the fight to control DR-TB is follow-up after diagnosis with a delay in
patient tracing. TB Focal Points in hospital need to be strengthened in order to improve on patient follow-up
and care, and tracer teams should assist with community follow up. |
en |
dc.description.librarian |
am2014 |
en |
dc.description.librarian |
ai2014 |
|
dc.description.uri |
http://www.biomedcentral.com/1472-6963/13/268 |
en |
dc.identifier.citation |
Nkosi et al.: Factors influencing specialist care referral of multidrug- and extensively drug-resistant tuberculosis patients in Gauteng/South Africa: a descriptive questionnaire-based study. BMC Health Services Research 2013 13:268. |
en |
dc.identifier.issn |
1472-6963 |
|
dc.identifier.other |
10.1186/1472-6963-13-268 |
|
dc.identifier.uri |
http://hdl.handle.net/2263/33285 |
|
dc.language.iso |
en |
en |
dc.publisher |
BioMed Central |
en |
dc.rights |
© 2013 Nkosi et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative
Commons Attribution License |
en |
dc.subject |
Delay of referral |
en |
dc.subject |
Drug-resistant tuberculosis (DR-TB) |
en |
dc.subject |
Multidrug-resistant tuberculosis (MDR-TB) |
en |
dc.subject |
Extensively drug-resistant tuberculosis (XDR-TB) |
en |
dc.subject.lcsh |
Tuberculosis -- Mortality -- South Africa -- Gauteng |
en |
dc.subject.lcsh |
Tuberculosis -- Diagnosis -- South Africa -- Gauteng |
en |
dc.subject.lcsh |
Medical referral -- South Africa -- Gauteng |
en |
dc.subject.lcsh |
Multidrug-resistant tuberculosis -- South Africa -- Gauteng |
en |
dc.title |
Factors influencing specialist care referral of multidrug- and extensively drug-resistant tuberculosis patients in Gauteng/South Africa : a descriptive questionnaire-based study |
en |
dc.type |
Article |
en |