Do doctors in north-western Somalia follow the national guidelines for tuberculosis management?
EMHJ-Eastern Mediterranean Health Journal. 2003; 9 (4): 789-795
en Inglés
| IMEMR
| ID: emr-158215
ABSTRACT
A cross-sectional study assessed the knowledge and practices of registered practitioners in management of tuberculosis [TB] in north-western Somalia. Of 100 registered doctors, 53 were interviewed. Of these, 32 [64%] had treated TB patients during the previous year, but only 1 had notified the authorities, 33 [66%] knew the most important symptoms and 32 [64%] identified sputum smear microscopy as the most important diagnostic test. Only 4 doctors prescribed the correct regimen and only 7 advocated direct observation. Suboptimal knowledge was more common among doctors working in private practice [relative risk 2.1; 95% CI 1.1-4.3]. Patients are being treated in the private sector, but few doctors follow national treatment guidelines. Training in diagnosis and case management is needed to improve TB control in Somalia
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Índice:
IMEMR (Mediterraneo Oriental)
Asunto principal:
Pautas de la Práctica en Medicina
/
Actitud del Personal de Salud
/
Competencia Clínica
/
Guías de Práctica Clínica como Asunto
/
Manejo de Caso
/
Evaluación de Necesidades
/
Terapia por Observación Directa
/
Antituberculosos
Tipo de estudio:
Guía de Práctica Clínica
Límite:
Adulto
/
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
East Mediterr Health J.
Año:
2003
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