Details:

Alternative Title:
Int J Tuberc Lung Dis
Personal Author:
Dilraj, A. ; Bristow, C. C. ; Connolly, C. ; Margot, B. ; Dlamini, S. ; ... More +
Dilraj, A. ; Bristow, C. C. ; Connolly, C. ; Margot, B. ; Dlamini, S. ; Podewils, L. J. ; Less -
Description:
BACKGROUND The accuracy of tuberculosis (TB) surveillance systems is paramount in TB control. In South Africa, information from the laboratory is not directly linked to the Electronic TB Register (ETR). OBJECTIVE To validate smear results recorded in the ETR with those recorded in the laboratory. METHODS A retrospective evaluation was conducted among all sputum smear-positive TB patients recorded in the ETR during the fourth quarter of 2009 in KwaZulu-Natal Province. RESULTS Of 1036 smear-positive patients recorded in the ETR, 683 (65.9%) had positive results recorded in the laboratory register. Only 364 (53.2%) had their smear results recorded in the ETR at the end of the intensive phase of treatment; of 326 (89.6%) recorded as converted to smear-negative, 224 (61.5%) were confirmed as smear-negative in the laboratory. Of 331 patients with end-of-treatment results in the ETR, 302 (91.2%) were recorded as cured, but only 105 (34.8%) were confirmed in the laboratory. CONCLUSIONS Over a third of TB patients registered as smear-positive in the ETR could not be confirmed based on laboratory results. Many patients did not have a laboratory record, lending to uncertainty as to the validity of the smear results and treatment outcomes recorded in the ETR.
Subject:
[+]
Antitubercular Agents
Follow-Up Studies
Humans
Registries
Retrospective Studies
Sputum
Treatment Outcome
Tuberculosis

Source:
Int J Tuberc Lung Dis. 17(10):1317-1321
Pubmed ID:
24025384
Pubmed Central ID:
PMC4615998
Document Type:
Journal Article ;
Funding:
CC999999/Intramural CDC HHS/United States ; U51 PS000729/PS/NCHHSTP CDC HHS/United States ; 5 387 U51 PS000729-05/PS/NCHHSTP CDC HHS/United States ; PA PS07-006/PS/NCHHSTP CDC HHS/United States ;
CC999999/Intramural CDC HHS/United States ; U51 PS000729/PS/NCHHSTP CDC HHS/United States ; 5 387 U51 PS000729-05/PS/NCHHSTP CDC HHS/United States ; PA PS07-006/PS/NCHHSTP CDC HHS/United States ; Less -
Place as Subject:
South Africa ;
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:0e56de2aab7029512625fb9b0b3ab2e9ce055e67e2e8d1a42ba74615563c665a
File Type:

Supporting Files

• 	nihms-729568-f0001.gif	gif
  	nihms-729568-f0001.jpg	jpeg
  	nihms-729568-f0002.gif	gif
  	nihms-729568-f0002.jpg	jpeg
  	nihms-729568-f0003.gif	gif
  	nihms-729568-f0003.jpg	jpeg
  	nihms-729568.nxml	xml

More +