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DC Field | Value | Language |
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dc.contributor.author | Owiti, P. | - |
dc.date.accessioned | 2020-08-03T10:39:08Z | - |
dc.date.available | 2020-08-03T10:39:08Z | - |
dc.date.issued | 2017 | - |
dc.identifier.uri | http://ir.mu.ac.ke:8080/jspui/handle/123456789/3283 | - |
dc.description.abstract | Objective: To compare the number of patients with pre- sumptive tuberculosis (TB), the number of patients regis- tered with TB (including testing for the human immuno- deficiency virus [HIV] and initiation on antiretroviral therapy [ART]) and treatment outcomes during the pre-Ebola, Ebola and post-Ebola disease outbreak periods between 2013 and 2016. Design: This was a cross-sectional study and retrospec- tive cohort analysis of treatment outcomes. Results: The mean monthly number of patients with pre- sumptive TB before, during and post-Ebola was respec- tively 169, 145 and 210. The mean monthly number of registered TB cases was respectively 57, 57 and 96. Smear-positive TB was the most frequent type of TB, at 75%, 66% and 77%. The proportion of TB patients tested for HIV was 82% pre-Ebola, 74% Ebola and 99% post-Ebola. The proportion of HIV-positive patients with TB initiated on ART was respectively 46%, 85% and 100%. Treatment success among TB patients was 71% in the pre-Ebola period and 89% in the Ebola period ( P 0.001). Conclusion: During the Ebola outbreak, there were de- creases in the number of presumptive TB patients and in the proportions of patients diagnosed with smear-posi- tive TB and tested for HIV. The initiation of ART in HIV-in- fected TB patients and treatment outcomes remained ac- ceptable. Pre-emptive actions are needed to maintain adequate control activities in future outbreaks. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Public Health A ction | en_US |
dc.subject | Ebola | en_US |
dc.subject | Tuberculosis | en_US |
dc.title | The influence of the Ebola outbreak on presumptive and active tuberculosis in Bombali District, Sierra Leone | en_US |
dc.type | Article | en_US |
Appears in Collections: | School of Medicine |
Files in This Item:
File | Description | Size | Format | |
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The influence of the Ebola outbreak on presumptive and active 2017 | 835.78 kB | Adobe PDF | View/Open |
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