Diagnostic system strengthening for drug resistant tuberculosis in Nigeria: impact and challenges.
Identifieur interne : 004637 ( Ncbi/Merge ); précédent : 004636; suivant : 004638Diagnostic system strengthening for drug resistant tuberculosis in Nigeria: impact and challenges.
Auteurs : Gambo Aliyu [États-Unis] ; Nicholas Ezati [Nigeria] ; Mosunmola Iwakun [Nigeria] ; Sam Peters [Nigeria] ; Alash'Le Abimiku [États-Unis]Source :
- African journal of laboratory medicine [ 2225-2002 ] ; 2017.
Abstract
The increasing prevalence of drug-resistant tuberculosis and the threat of extensively-drug-resistant tuberculosis in HIV hotspots have made the detection and treatment of drug-resistant tuberculosis in the sub-Saharan Africa setting a global public health priority.
DOI: 10.4102/ajlm.v6i2.502
PubMed: 28879163
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<series><title level="j">African journal of laboratory medicine</title>
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<front><div type="abstract" xml:lang="en">The increasing prevalence of drug-resistant tuberculosis and the threat of extensively-drug-resistant tuberculosis in HIV hotspots have made the detection and treatment of drug-resistant tuberculosis in the sub-Saharan Africa setting a global public health priority.</div>
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<pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">28879163</PMID>
<DateCreated><Year>2017</Year>
<Month>09</Month>
<Day>07</Day>
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<DateRevised><Year>2017</Year>
<Month>09</Month>
<Day>10</Day>
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<Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">2225-2002</ISSN>
<JournalIssue CitedMedium="Print"><Volume>6</Volume>
<Issue>2</Issue>
<PubDate><Year>2017</Year>
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<Title>African journal of laboratory medicine</Title>
<ISOAbbreviation>Afr J Lab Med</ISOAbbreviation>
</Journal>
<ArticleTitle>Diagnostic system strengthening for drug resistant tuberculosis in Nigeria: impact and challenges.</ArticleTitle>
<Pagination><MedlinePgn>502</MedlinePgn>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The increasing prevalence of drug-resistant tuberculosis and the threat of extensively-drug-resistant tuberculosis in HIV hotspots have made the detection and treatment of drug-resistant tuberculosis in the sub-Saharan Africa setting a global public health priority.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">We sought to examine the impact and challenges of tuberculosis diagnostic capacity development for the detection of drug-resistant tuberculosis and bio-surveillance using a modular biosafety level 3 (BSL-3) laboratory in Nigeria.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">In 2010, the United States President's Emergency Plan for AIDS Relief (PEPFAR) programme, through the Institute of Human Virology at the University of Maryland in Baltimore, Maryland, United States, deployed a modular, BSL-3 laboratory to support the national tuberculosis programme in drug-resistant tuberculosis detection and bio-surveillance for effective tuberculosis prevention and control.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">From 2010 until present, sputum samples from 11 606 suspected cases in 33 states were screened for drug-resistant tuberculosis. Of those, 1500 (12.9%) had mono-resistant tuberculosis strains, and 459 (4.0%) cases had multidrug-resistant tuberculosis. Over the last four years, 133 scientists were trained in a train-the-trainer programme on advanced tuberculosis culture, drug susceptibility testing, line-probe assays and Xpert(®) MTB/RIF, in addition to safety operations for biosafety facilities. Power instability, running cost and seasonal dust are notable challenges to optimal performance and scale up.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Movable BSL-3 containment laboratories can be deployed to improve diagnostic capacity for drug-resistant tuberculosis and bio-surveillance in settings with limited resources.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Aliyu</LastName>
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<Author ValidYN="Y"><LastName>Ezati</LastName>
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<CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>PLoS One. 2013 May 09;8(5):e63170</RefSource>
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<CommentsCorrections RefType="Cites"><RefSource>Int J Tuberc Lung Dis. 2010 Jan;14(1):59-64</RefSource>
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<CoiStatement>The interpretation and presentation of the data presented in this report were not influenced by any of the authors’ personal or financial relationships with other people or organisations.</CoiStatement>
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