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How can detection of infectious tuberculosis be improved?: experience in the Somali region of Ethiopia

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Abstract
In early 1999, 48% of pulmonary tuberculosis (PTB) cases detected in the Somali region of Ethiopia were smear-positive. Actions at the laboratory level and peer-review of smear-negative PTB diagnoses were proposed. Clinicians knew, but did not adhere to, the algorithm recommended by the National Tuberculosis Programme for these diagnoses, partly due to the costs involved to patients. Challenging clinicians, in a non-threatening way, to become more clinically rigorous proved successful, and the proportion of smear-positive PTB increased to 65%. Operational research is needed to assess the feasibility of these widely-recommended smear-negative PTB diagnosis guidelines.
Keywords
DIAGNOSIS, tuberculosis, PULMONARY TUBERCULOSIS, practice guidelines, control, diagnosis

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Citation

Please use this url to cite or link to this publication:

Chicago
Lambert, ML, H Sugulle, D Seyoum, S Abdurahman, A Abdinasir, M Frieden, F Matthys, and Patrick Van Der Stuyft. 2003. “How Can Detection of Infectious Tuberculosis Be Improved?: Experience in the Somali Region of Ethiopia.” International Journal of Tuberculosis and Lung Disease 7 (5): 485–488.
APA
Lambert, ML, Sugulle, H., Seyoum, D., Abdurahman, S., Abdinasir, A., Frieden, M., Matthys, F., et al. (2003). How can detection of infectious tuberculosis be improved?: experience in the Somali region of Ethiopia. INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE, 7(5), 485–488.
Vancouver
1.
Lambert M, Sugulle H, Seyoum D, Abdurahman S, Abdinasir A, Frieden M, et al. How can detection of infectious tuberculosis be improved?: experience in the Somali region of Ethiopia. INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE. 2003;7(5):485–8.
MLA
Lambert, ML, H Sugulle, D Seyoum, et al. “How Can Detection of Infectious Tuberculosis Be Improved?: Experience in the Somali Region of Ethiopia.” INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE 7.5 (2003): 485–488. Print.
@article{298375,
  abstract     = {In early 1999, 48% of pulmonary tuberculosis (PTB) cases detected in the Somali region of Ethiopia were smear-positive. Actions at the laboratory level and peer-review of smear-negative PTB diagnoses were proposed. Clinicians knew, but did not adhere to, the algorithm recommended by the National Tuberculosis Programme for these diagnoses, partly due to the costs involved to patients. Challenging clinicians, in a non-threatening way, to become more clinically rigorous proved successful, and the proportion of smear-positive PTB increased to 65%. Operational research is needed to assess the feasibility of these widely-recommended smear-negative PTB diagnosis guidelines.},
  author       = {Lambert, ML and Sugulle, H and Seyoum, D and Abdurahman, S and Abdinasir, A and Frieden, M and Matthys, F and Van Der Stuyft, Patrick},
  issn         = {1027-3719},
  journal      = {INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE},
  keywords     = {DIAGNOSIS,tuberculosis,PULMONARY TUBERCULOSIS,practice guidelines,control,diagnosis},
  language     = {eng},
  number       = {5},
  pages        = {485--488},
  title        = {How can detection of infectious tuberculosis be improved?: experience in the Somali region of Ethiopia},
  url          = {http://www.ingentaconnect.com/content/iuatld/ijtld/2003/00000007/00000005/art00015},
  volume       = {7},
  year         = {2003},
}

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