Management of hospitalized drug sensitive pulmonary tuberculosis patients during the Hajj mass gathering: A cross sectional study

Alotaibi, Badriah, Bieh, Kingsley, Yassin, Yara, Mushi, Abdulaziz, Maashi, Fuad, Awam, Amnah, Mohamed, Gamal, Hassan, Amir and Yezli, Saber (2019) 'Management of hospitalized drug sensitive pulmonary tuberculosis patients during the Hajj mass gathering: A cross sectional study'. Travel Medicine and Infectious Disease, Vol 32, p. 101451.

Text Elotaibi et al.2019.ManagmentofTBduringHajj.docx - Accepted Version Download (126kB)

Abstract

Background
To document the management of drug-sensitive TB patients during the Hajj and assess compliance with the Saudi TB management guidelines.
Method
The study was conducted in hospitals in Makkah during the 2016 and 2017 Hajj seasons. Structured questionnaire was used to collect data on relevant indices on TB management and a scoring system was developed to assess compliance with guidelines.
Results
Data was collected from 31 TB cases, 65.4% (17/26) were Saudi residents. Sputum culture was the only diagnostic test applied in 67.7% (21/31) of patients. Most (96.8%, 30/31) confirmed TB cases were isolated, but only 12.9% (4/28) were tested for HIV and merely 37% (10/27) received the recommended four 1st-line anti-TB drugs. Guideline compliance scores were highest for infection prevention and control and surveillance (9.6/10) and identifying TB suspects (7.2/10). The least scores were obtained for treating TB (5.0/10) and diagnosing TB (3.0/10).
Conclusions
Healthcare providers training and supervision are paramount to improve their knowledge and skill and ensure their compliance with existing TB management guidelines. However, there may be a need for the introduction of an international policy/guideline for TB control and management during mass gatherings such as the Hajj to guide providers’ choices and facilitate monitoring.

Item Type:	Article
Subjects:	WF Respiratory System > Tuberculosis > WF 200 Tuberculosis (General) WF Respiratory System > Tuberculosis > WF 310 Therapy WF Respiratory System > Tuberculosis > WF 360 Drug therapy
Faculty: Department:	Education
Digital Object Identifer (DOI):	https://doi.org/10.1016/j.tmaid.2019.07.007
Depositing User:	Stacy Murtagh
Date Deposited:	25 Jul 2019 08:53
Last Modified:	13 Jul 2020 01:02
URI:	https://archive.lstmed.ac.uk/id/eprint/11279

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