Tuberculosis screening in patients with HIV: use of audit and feedback to improve quality of care in Ghana.
Identifieur interne : 000085 ( PubMed/Checkpoint ); précédent : 000084; suivant : 000086Tuberculosis screening in patients with HIV: use of audit and feedback to improve quality of care in Ghana.
Auteurs : Stephanie Bjerrum [Danemark] ; Frank Bonsu [Ghana] ; Nii Nortey Hanson-Nortey [Ghana] ; Ernest Kenu [Ghana] ; Isik Somuncu Johansen [Danemark] ; Aase Bengaard Andersen [Danemark] ; Lars Bjerrum [Danemark] ; Dorte Jarb L [Danemark] ; Anders Munck [Danemark]Source :
- Global health action [ 1654-9880 ] ; 2016.
Abstract
Tuberculosis screening of people living with HIV (PLHIV) can contribute to early tuberculosis diagnosis and improved patient outcomes. Evidence-based guidelines for tuberculosis screening are available, but literature assessing their implementation and the quality of clinical practice is scarce.
PubMed: 27569593
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Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>National Tuberculosis Control Programme, Disease Control and Prevention Department, Ghana Health Services, Korle-Bu Teaching Hospital, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Hanson Nortey, Nii Nortey" sort="Hanson Nortey, Nii Nortey" uniqKey="Hanson Nortey N" first="Nii Nortey" last="Hanson-Nortey">Nii Nortey Hanson-Nortey</name><affiliation wicri:level="3"><nlm:affiliation>National Tuberculosis Control Programme, Disease Control and Prevention Department, Ghana Health Services, Korle-Bu Teaching Hospital, Accra, Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>National Tuberculosis Control Programme, Disease Control and Prevention Department, Ghana Health Services, Korle-Bu Teaching Hospital, 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wicri:step="PubMed">000232</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Tuberculosis screening in patients with HIV: use of audit and feedback to improve quality of care in Ghana.</title><author><name sortKey="Bjerrum, Stephanie" sort="Bjerrum, Stephanie" uniqKey="Bjerrum S" first="Stephanie" last="Bjerrum">Stephanie Bjerrum</name><affiliation wicri:level="1"><nlm:affiliation>Department of Infectious Diseases, Odense University Hospital, Odense, Denmark.</nlm:affiliation><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Infectious Diseases, Odense University Hospital, Odense</wicri:regionArea><wicri:noRegion>Odense</wicri:noRegion></affiliation></author><author><name sortKey="Bonsu, Frank" sort="Bonsu, Frank" uniqKey="Bonsu F" first="Frank" last="Bonsu">Frank Bonsu</name><affiliation wicri:level="3"><nlm:affiliation>National Tuberculosis Control Programme, Disease Control and Prevention Department, Ghana Health Services, Korle-Bu Teaching Hospital, Accra, Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>National Tuberculosis Control Programme, Disease Control and Prevention Department, Ghana Health Services, Korle-Bu Teaching Hospital, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Hanson Nortey, Nii Nortey" sort="Hanson Nortey, Nii Nortey" uniqKey="Hanson Nortey N" first="Nii Nortey" last="Hanson-Nortey">Nii Nortey Hanson-Nortey</name><affiliation wicri:level="3"><nlm:affiliation>National Tuberculosis Control Programme, Disease Control and Prevention Department, Ghana Health Services, Korle-Bu Teaching Hospital, Accra, Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>National Tuberculosis Control Programme, Disease Control and Prevention Department, Ghana Health Services, Korle-Bu Teaching Hospital, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Kenu, Ernest" sort="Kenu, Ernest" uniqKey="Kenu E" first="Ernest" last="Kenu">Ernest Kenu</name><affiliation wicri:level="3"><nlm:affiliation>Department of Medicine-Fevers Unit, Korle-Bu Teaching Hospital, Accra, Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Medicine-Fevers Unit, Korle-Bu Teaching Hospital, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Johansen, Isik Somuncu" sort="Johansen, Isik Somuncu" uniqKey="Johansen I" first="Isik Somuncu" last="Johansen">Isik Somuncu Johansen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Infectious Diseases, Odense University Hospital, Odense, Denmark.</nlm:affiliation><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Infectious Diseases, Odense University Hospital, Odense</wicri:regionArea><wicri:noRegion>Odense</wicri:noRegion></affiliation></author><author><name sortKey="Andersen, Aase Bengaard" sort="Andersen, Aase Bengaard" uniqKey="Andersen A" first="Aase Bengaard" last="Andersen">Aase Bengaard Andersen</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.</nlm:affiliation><country xml:lang="fr">Danemark</country><wicri:regionArea>Institute of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense</wicri:regionArea><wicri:noRegion>Odense</wicri:noRegion></affiliation></author><author><name sortKey="Bjerrum, Lars" sort="Bjerrum, Lars" uniqKey="Bjerrum L" first="Lars" last="Bjerrum">Lars Bjerrum</name><affiliation wicri:level="3"><nlm:affiliation>Department of Public Health, University of Copenhagen, Copenhagen, Denmark.</nlm:affiliation><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Public Health, University of Copenhagen, Copenhagen</wicri:regionArea><placeName><settlement type="city">Copenhague</settlement><region type="région" nuts="2">Hovedstaden</region></placeName></affiliation></author><author><name sortKey="Jarb L, Dorte" sort="Jarb L, Dorte" uniqKey="Jarb L D" first="Dorte" last="Jarb L">Dorte Jarb L</name><affiliation wicri:level="1"><nlm:affiliation>Department of Public Health, University of Southern Denmark, Odense, Denmark.</nlm:affiliation><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Public Health, University of Southern Denmark, Odense</wicri:regionArea><wicri:noRegion>Odense</wicri:noRegion></affiliation></author><author><name sortKey="Munck, Anders" sort="Munck, Anders" uniqKey="Munck A" first="Anders" last="Munck">Anders Munck</name><affiliation wicri:level="1"><nlm:affiliation>Department of Public Health, University of Southern Denmark, Odense, Denmark.</nlm:affiliation><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Public Health, University of Southern Denmark, Odense</wicri:regionArea><wicri:noRegion>Odense</wicri:noRegion></affiliation></author></analytic><series><title level="j">Global health action</title><idno type="eISSN">1654-9880</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Tuberculosis screening of people living with HIV (PLHIV) can contribute to early tuberculosis diagnosis and improved patient outcomes. Evidence-based guidelines for tuberculosis screening are available, but literature assessing their implementation and the quality of clinical practice is scarce.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">27569593</PMID><DateCreated><Year>2016</Year><Month>08</Month><Day>29</Day></DateCreated><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">1654-9880</ISSN><JournalIssue CitedMedium="Internet"><Volume>9</Volume><PubDate><Year>2016</Year></PubDate></JournalIssue><Title>Global health action</Title><ISOAbbreviation>Glob Health Action</ISOAbbreviation></Journal><ArticleTitle>Tuberculosis screening in patients with HIV: use of audit and feedback to improve quality of care in Ghana.</ArticleTitle><Pagination><MedlinePgn>32390</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3402/gha.v9.32390</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Tuberculosis screening of people living with HIV (PLHIV) can contribute to early tuberculosis diagnosis and improved patient outcomes. Evidence-based guidelines for tuberculosis screening are available, but literature assessing their implementation and the quality of clinical practice is scarce.</AbstractText><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To assess tuberculosis screening practices and the effectiveness of audit and performance feedback to improve quality of tuberculosis screening at HIV care clinics in Ghana.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Healthcare providers at 10 large HIV care clinics prospectively registered patient consultations during May and October 2014, before and after a performance feedback intervention in August 2014. The outcomes of interest were overall tuberculosis suspicion rate during consultations and provider adherence to the International Standards for Tuberculosis Care and the World Health Organizations' guidelines for symptom-based tuberculosis screening among PLHIV.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Twenty-one healthcare providers registered a total of 2,666 consultations; 1,368 consultations before and 1,298 consultations after the feedback intervention. Tuberculosis suspicion rate during consultation increased from 12.6 to 20.9% after feedback (odds ratio, OR 1.83; 95% confidence interval, CI: 1.09-3.09). Before feedback, sputum smear microscopy was requested for 58.7% of patients with suspected tuberculosis, for 47.2% of patients with cough ≥2 weeks, and for 27.5% of patients with a positive World Health Organization (WHO) symptom screen (any of current cough, fever, weight loss or night sweats). After feedback, patients with a positive WHO symptom screen were more likely to be suspected of tuberculosis (OR 2.21; 95% CI: 1.19-4.09) and referred for microscopy (OR 2.71; 95% CI: 1.25-5.86).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">A simple prospective audit tool identified flaws in clinical practices for tuberculosis screening of PLHIV. There was no systematic identification of people with suspected active tuberculosis. We found low initial tuberculosis suspicion rate compounded by low referral rates of relevant patients for sputum smear microscopy. Adherence to recommended standards and guidelines for tuberculosis screening improved after performance feedback.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bjerrum</LastName><ForeName>Stephanie</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Infectious Diseases, Odense University Hospital, Odense, Denmark.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institute of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark; steph@medicinsk.dk.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bonsu</LastName><ForeName>Frank</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>National Tuberculosis Control Programme, Disease Control and Prevention Department, Ghana Health Services, Korle-Bu Teaching Hospital, Accra, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hanson-Nortey</LastName><ForeName>Nii Nortey</ForeName><Initials>NN</Initials><AffiliationInfo><Affiliation>National Tuberculosis Control Programme, Disease Control and Prevention Department, Ghana Health Services, Korle-Bu Teaching Hospital, Accra, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kenu</LastName><ForeName>Ernest</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Medicine-Fevers Unit, Korle-Bu Teaching Hospital, Accra, Ghana.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>School of Public Health, University of Ghana, Legon, Accra, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Johansen</LastName><ForeName>Isik Somuncu</ForeName><Initials>IS</Initials><AffiliationInfo><Affiliation>Department of Infectious Diseases, Odense University Hospital, Odense, Denmark.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Andersen</LastName><ForeName>Aase Bengaard</ForeName><Initials>AB</Initials><AffiliationInfo><Affiliation>Institute of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Infectious Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bjerrum</LastName><ForeName>Lars</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Public Health, University of Copenhagen, Copenhagen, Denmark.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jarbøl</LastName><ForeName>Dorte</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Public Health, University of Southern Denmark, Odense, Denmark.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Munck</LastName><ForeName>Anders</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Public Health, University of Southern Denmark, Odense, Denmark.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>08</Month><Day>26</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Glob Health Action</MedlineTA><NlmUniqueID>101496665</NlmUniqueID><ISSNLinking>1654-9880</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>AIDS. 2010 Jun 1;24(9):1323-8</RefSource><PMID Version="1">20386425</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int J Circumpolar Health. 2004;63 Suppl 2:209-13</RefSource><PMID 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RefType="Cites"><RefSource>PLoS One. 2012;7(3):e34156</RefSource><PMID Version="1">22479548</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int J Tuberc Lung Dis. 2013 Nov;17(11):1396-401</RefSource><PMID Version="1">24125440</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>PLoS Med. 2011 Jan 18;8(1):e1000391</RefSource><PMID Version="1">21267059</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int J Tuberc Lung Dis. 2001 Dec;5(12):1143-7</RefSource><PMID Version="1">11769773</PMID></CommentsCorrections></CommentsCorrectionsList><OtherID Source="NLM">PMC5002398</OtherID><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">HIV</Keyword><Keyword MajorTopicYN="N">audit</Keyword><Keyword MajorTopicYN="N">clinical practice</Keyword><Keyword MajorTopicYN="N">feedback</Keyword><Keyword MajorTopicYN="N">quality of healthcare</Keyword><Keyword MajorTopicYN="N">screening</Keyword><Keyword 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IdType="pmc">PMC5002398</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Danemark</li><li>Ghana</li></country><region><li>Hovedstaden</li><li>Région du Grand Accra</li></region><settlement><li>Accra</li><li>Copenhague</li></settlement></list><tree><country name="Danemark"><noRegion><name sortKey="Bjerrum, Stephanie" sort="Bjerrum, Stephanie" uniqKey="Bjerrum S" first="Stephanie" last="Bjerrum">Stephanie Bjerrum</name></noRegion><name sortKey="Andersen, Aase Bengaard" sort="Andersen, Aase Bengaard" uniqKey="Andersen A" first="Aase Bengaard" last="Andersen">Aase Bengaard Andersen</name><name sortKey="Bjerrum, Lars" sort="Bjerrum, Lars" uniqKey="Bjerrum L" first="Lars" last="Bjerrum">Lars Bjerrum</name><name sortKey="Jarb L, Dorte" sort="Jarb L, Dorte" uniqKey="Jarb L D" first="Dorte" last="Jarb L">Dorte Jarb L</name><name sortKey="Johansen, Isik Somuncu" sort="Johansen, Isik Somuncu" uniqKey="Johansen I" first="Isik Somuncu" last="Johansen">Isik Somuncu Johansen</name><name sortKey="Munck, Anders" sort="Munck, Anders" uniqKey="Munck A" first="Anders" last="Munck">Anders Munck</name></country><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Bonsu, Frank" sort="Bonsu, Frank" uniqKey="Bonsu F" first="Frank" last="Bonsu">Frank Bonsu</name></region><name sortKey="Hanson Nortey, Nii Nortey" sort="Hanson Nortey, Nii Nortey" uniqKey="Hanson Nortey N" first="Nii Nortey" last="Hanson-Nortey">Nii Nortey Hanson-Nortey</name><name sortKey="Kenu, Ernest" sort="Kenu, Ernest" uniqKey="Kenu E" first="Ernest" last="Kenu">Ernest Kenu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Tuberculosis screening in patients with HIV: use of audit and feedback to improve quality of care in Ghana.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Checkpoint/RBID.i -Sk "pubmed:27569593" \
| HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Checkpoint/biblio.hfd \
| NlmPubMed2Wicri -a SidaGhanaV1
| This area was generated with Dilib version V0.6.31. |  |