Jayasooriya, S. orcid.org/0000-0002-1147-5744, Jobe, A., Badjie, S. et al. (4 more authors) (2019) The burden of non-TB lung disease presenting to TB clinics in The Gambia : preliminary data in the Xpert® MTB/Rif era. Public Health Action, 9 (4). pp. 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.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2019 The Union. This is an author-produced version of a paper subsequently published in Public Health Action. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | non-communicable disease; chronic respiratory disease; tuberculosis; health services development; health systems |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > The Medical School (Sheffield) > Academic Unit of Medical Education (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 14 Sep 2020 13:03 |
Last Modified: | 28 Sep 2020 07:42 |
Status: | Published |
Publisher: | International Union Against Tuberculosis and Lung Disease |
Refereed: | Yes |
Identification Number: | 10.5588/pha.19.0046 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:165405 |