Evidence map›Paper›PMID 40144538›Full record

ArticleIJID regions2025

Baseline knowledge on chronic pulmonary aspergillosis and tuberculosis among health care workers involved in tuberculosis care in Uganda.

Felix Bongomin, Ritah Nantale, Joseph Baruch Baluku, Tobius Odongo, Shamim Katusabe, Nixson Oyoo, Martin Muddu, Norman van Rhijn, David W Denning

Abstract read
In one paragraph

Article in IJID regions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Felix BongominManchester Fungal Infection Group, Division of Evolution, Infection and Genomics, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom.
Ritah NantaleDepartment of Community and Public Health, Faculty of Health Sciences Mbale, Busitema University, Mbale, Uganda.
Joseph Baruch BalukuDivision of Pulmonology, Kiruddu National Referral Hospital, Kampala, Uganda.
Tobius OdongoDepartment of Internal Medicine, Gulu Regional Referral Hospital, Gulu, Uganda.
Shamim KatusabeDivision of Pulmonology, Kiruddu National Referral Hospital, Kampala, Uganda.
Nixson OyooKitgum General Hospital, Kitgum, Uganda.
Martin MudduMakerere University Joint AIDS Program, Kampala, Uganda.
Norman van RhijnManchester Fungal Infection Group, Division of Evolution, Infection and Genomics, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom.
David W DenningManchester Fungal Infection Group, Division of Evolution, Infection and Genomics, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Chronic pulmonary aspergillosis (CPA) often mimics pulmonary tuberculosis (PTB), leading to misdiagnosis and inappropriate management. We aimed to determine the baseline knowledge, practices, and self-rated confidence of health care workers (HCWs) regarding CPA in Uganda. Methods: Between January and April 2024, we conducted a cross-sectional survey involving HCWs at four public health facilities in Uganda currently enrolling patients with current or previously treated for PTB into a cohort study aimed at establishing the incidence of CPA. Data on sociodemographic characteristics, awareness, knowledge, practices regarding CPA, PTB, and finger-prick tests for point of care testing were collected using semi-structured questionnaires. Adequate knowledge was defined as a score of ≥80%. Results: A total of 110 HCWs participated, predominantly males (61, 57.5%), with a mean age of 38.8 years. Although most HCWs had heard of aspergillosis (78, 82.1%), only 23 (21.7%) demonstrated adequate knowledge about CPA. In addition, 25 (28.7%) reported encountering a patient with CPA in the past year, with 41 (47.1%) never routinely screening for CPA. Confidence in managing CPA was low among HCWs, with 29 (29.8%) expressing no confidence. Furthermore, only 22 (20.8%) had adequate knowledge about PTB. Referral hospital practice was significantly associated with higher odds of adequate CPA knowledge (adjusted odds ratio: 6.69, 95% confidence interval: 1.67-26.82, Conclusions: There are significant gaps in awareness, knowledge, and practices of HCWs in Uganda related to CPA and PTB. Strategies to enhance training, guideline dissemination, and diagnostic capacity are essential to improve the management of these respiratory conditions and reduce misdiagnosis.

Indexed as

Chronic pulmonary aspergillosisFinger prickPulmonary tuberculosis

Identifiers

PMID40144538
PMCPMC11937940

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.