TY - JOUR
T1 - Front-loading sputum microscopy services
T2 - an opportunity to optimise smear-based case detection of tuberculosis in high prevalence countries
AU - Ramsay, Andy
AU - Yassin, Mohammed Ahmed
AU - Cambanis, Alexis
AU - Hirao, Susumu
AU - Almotawa, Ahmad
AU - Gammo, Mohamed
AU - Lawson, Lovett
AU - Arbide, Izabel
AU - Al-Aghbari, Nasher
AU - Al-Sonboli, Najla
AU - Sherchand, Jeevan Bahadur
AU - Gauchan, Punita
AU - Cuevas, Luis Eduardo
PY - 2009
Y1 - 2009
N2 - Setting. Ethiopia, Nepal, Nigeria, and Yemen. Objective. To reduce the time to complete sputum microscopy. Design. Cross-sectional surveys enrolling 923 patients with chronic cough in the 4 countries and using similar protocols. Spot-morning-spot sputum specimens were collected. An additional sputum specimen (Xspot) was collected one hour after the first, and the yields of the first two or the three specimens collected as spot-morning-spot or spot-Xspot-morning were compared. Results. 216 patients had >/= one positive smear. 210 (97%) were identified by the spot-morning-spot, and 210 (97%) were identified by the spot-Xspot-morning specimens, with 203 and 200 identified by the first 2 specimens of each approach, respectively. Neither difference was significant. Conclusions. The time to complete smear microscopy could be reduced.
AB - Setting. Ethiopia, Nepal, Nigeria, and Yemen. Objective. To reduce the time to complete sputum microscopy. Design. Cross-sectional surveys enrolling 923 patients with chronic cough in the 4 countries and using similar protocols. Spot-morning-spot sputum specimens were collected. An additional sputum specimen (Xspot) was collected one hour after the first, and the yields of the first two or the three specimens collected as spot-morning-spot or spot-Xspot-morning were compared. Results. 216 patients had >/= one positive smear. 210 (97%) were identified by the spot-morning-spot, and 210 (97%) were identified by the spot-Xspot-morning specimens, with 203 and 200 identified by the first 2 specimens of each approach, respectively. Neither difference was significant. Conclusions. The time to complete smear microscopy could be reduced.
U2 - 10.1155/2009/398767
DO - 10.1155/2009/398767
M3 - Article
C2 - 20309419
SN - 1687-9686
VL - 2009
SP - 398767
JO - Journal of tropical medicine
JF - Journal of tropical medicine
ER -