ArticleThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease2013
Validation of sputum smear results in the Electronic TB Register for the management of tuberculosis, South Africa.
Article in The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Do private health providers adhere to National Tuberculosis Guideline while assigning treatment outcome? Findings from a lower middle-income country.Frontiers in public health · 2022Article
- Statistical Investigation of High Culture Contamination Rates in Mycobacteriology Laboratory.Frontiers in microbiology · 2022Article
- Availability and quality of routine morbidity data: review of studies in South Africa.Journal of the American Medical Informatics Association : JAMIA · 2017Review
- Tuberculosis cure rates and the ETR.Net: investigating the quality of reporting treatment outcomes from primary healthcare facilities in Mpumalanga province, South Africa.BMC health services research · 2017Article
- Risk factors for mortality in TB patients: a 10-year electronic record review in a South African province.BMC public health · 2017Article
- Reasons for the low bacteriological coverage of tuberculosis reported in Mpumalanga Province, South Africa.Public health action · 2015Article
- Southern African Treatment Resistance Network (SATuRN) RegaDB HIV drug resistance and clinical management database: supporting patient management, surveillance and research in southern Africa.Database : the journal of biological databases and curation · 2014Article
- Lack of patient registration in the electronic TB register for sputum smear-positive patients in KwaZulu-Natal, South Africa.Tuberculosis (Edinburgh, Scotland) · 2013Article
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6 authors.
Funding
Abstract
backgroundThe accuracy of tuberculosis (TB) surveillance systems is paramount in TB control. In South Africa, information from the laboratory is not directly linked to the Electronic TB Register (ETR).
objectiveTo validate smear results recorded in the ETR with those recorded in the laboratory.
methodsA retrospective evaluation was conducted among all sputum smear-positive TB patients recorded in the ETR during the fourth quarter of 2009 in KwaZulu-Natal Province.
resultsOf 1036 smear-positive patients recorded in the ETR, 683 (65.9%) had positive results recorded in the laboratory register. Only 364 (53.2%) had their smear results recorded in the ETR at the end of the intensive phase of treatment; of 326 (89.6%) recorded as converted to smear-negative, 224 (61.5%) were confirmed as smear-negative in the laboratory. Of 331 patients with end-of-treatment results in the ETR, 302 (91.2%) were recorded as cured, but only 105 (34.8%) were confirmed in the laboratory.
conclusionsOver a third of TB patients registered as smear-positive in the ETR could not be confirmed based on laboratory results. Many patients did not have a laboratory record, lending to uncertainty as to the validity of the smear results and treatment outcomes recorded in the ETR.
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