The burden of non-TB lung disease presenting to TB clinics in The Gambia: preliminary data in the Xpert (R) MTB/Rif era

Jayasooriya, S.; Jobe, A.; Badjie, S.; Owolabi, O.; Rachow, A.; Sutherland, J. und Kampmann, B. (2019): The burden of non-TB lung disease presenting to TB clinics in The Gambia: preliminary data in the Xpert (R) MTB/Rif era. In: Public Health Action, Bd. 9, Nr. 4: S. 166-168

Abstract

In some low and middle-income countries, 10-20% of patients presenting with a persistent cough have tuberculosis (TB). Once TB is excluded, health service provision for alternative diagnoses is limited. We prospectively studied patients with two Xpert-negative sputum results presenting to a TB clinic in The Gambia. Of 239 patients, 108 did not have TB;65/102 (6 were lost to follow-up) had alternative diagnoses, 24.6% of which were non-respiratory;37/102 had no diagnosis, 27.0% of whom were HIV-1-positive;37.8% had a history of TB and 24.3% smoked. We highlight the need for general health service integration with TB platforms and exploration of non-TB patients with chronic respiratory symptoms.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 2220-8372
• Sprache: Englisch