Hospital-based tuberculosis control activities in five cities of Latin America

Revista Panamericana De Salud Pública = Pan American Journal of Public Health
Ralfh MorenoMirtha Del-Granado

Abstract

To generate actionable insights for improving TB control in urban areas by describing the tuberculosis (TB) control activities of hospitals in five cities in Latin America. A descriptive study of hospital-based TB control activities was conducted in 2013-2015 using a cross-sectional survey designed by the Pan American Health Organization and administered in Guatemala City, Guatemala; Guarulhos, Brazil; Bogotá, Colombia; Lima, Peru; and Asunción, Paraguay. Data were analyzed using Chi-squared, Fisher exact tests, and the Mantel-Haenszel test for Risk Ratios, as necessary (P < 0.05). While variation among cities existed, most hospitals (91.3%) conducted acid-fast bacilli smears for TB diagnosis and had a quality control process (94.0%), followed national TB guidelines (95%), and reported TB cases to the respective health authorities (96%). Additionally, TB treatment was offered free of charge almost universally (97.1%). However, only 74.2% of hospitals were supervised by the national or local TB programs; 52.8% followed up on the outcome of referrals; and 39.1% offered full ambulatory TB treatment, with 68.7% using Directly-Observed Therapy. The study underscored strengths and weaknesses in specific areas for TB control activitie...Continue Reading

References

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Oct 31, 2015·Lancet·Katrina F OrtbladRifat Atun

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