دورية أكاديمية
أعرض في EDS

Strengthening contact tracing capacity of pulmonary tuberculosis patients in Enugu, southeast Nigeria: a targeted and focused health education intervention study.

التفاصيل البيبلوغرافية
العنوان: Strengthening contact tracing capacity of pulmonary tuberculosis patients in Enugu, southeast Nigeria: a targeted and focused health education intervention study.
المؤلفون: Ekwueme OE; Department of Community Medicine, University of Nigeria, Enugu Campus, PMB 01129 Enugu, Nigeria. christiandolus@yahoo.com., Omotowo BI, Agwuna KK
المصدر: BMC public health [BMC Public Health] 2014 Nov 18; Vol. 14, pp. 1175. Date of Electronic Publication: 2014 Nov 18.
نوع المنشور: Clinical Trial; Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Health Education*, Contact Tracing/*methods , Tuberculosis, Pulmonary/*epidemiology, Adult ; Community Health Services ; Family Characteristics ; Female ; Humans ; Male ; Middle Aged ; Nigeria/epidemiology ; Surveys and Questionnaires ; Tuberculosis, Pulmonary/prevention & control
مستخلص: Background: Nigeria ranks 10 out of the 22 countries in the world with the highest TB burden. Contact tracing enhances case finding and increases the probability of cure. The purpose of the study is to improve the contact tracing skills of tuberculosis patients at the major TB centre in Enugu State, Nigeria.
Methods: The study is an educational intervention with a study and a control groups selected using multi-stage sampling techniques. A calculated sample size of 190 patients was used for each group. The instrument was a pre-tested semi-structured interviewer administered questionnaire. Data entry and analysis was done using Epi-info version 3.3.2. Chi-square test and student t -test were used at p < 0.05 level of significance and 95 percent confidence interval.
Results: Awareness of contact tracing at baseline and post intervention were respectively 18.2% and 85.2% (X2 = 158.4, DF = 1, p = 0.000; CI: 15.8-82.2) for the study group; 18.4% and 26.0% (X2 = 3.31, DF = 1, p = 0.069; CI: -9.9-24.7) for the control group. Knowledge that contact tracing involve bringing all household contacts of TB patients for screening was 79 (44.9%) and 33 (19.2%) for the study and control groups at baseline (X2 = 26.32, p = 0.000; CI: 7.2-44.1), but 151 (85.8%) and 36(20.9%) for the same at post-intervention (X2 = 147.22, p = 0.000; CI: 49.3-80.1). At baseline, only 5 (2.8%) of the study and 6(3.5%) of the control groups ( X2 = 0.12, p = 0.730; CI: -14.2-12.8 ) brought two or more contacts for screening. At post-intervention, the figure rose to 114 (64.8%) and 9 (5.2%) (X2 = 134.94, p = 0.000; CI: 44.3-74.9) for the study and control groups respectively. Over 50% of the contacts brought for screening were less than 10 years; 31 (18.3%) at baseline to 138 (81.7%) post-intervention in the study group (CI: 47.6-79.2), and 26 (35.1%) to 38 (51.4%) for the control group (X2 = 12.472, p = 0.000; CI: 0.1 -32.5).
Conclusion: Intensive planned health education intervention has been used to improve the contact tracing skills of the TB patients in a major TB centre in Enugu State, Nigeria. Further training and re-training of TB patients on contact tracing is highly recommended.
References: Bull Med Libr Assoc. 1978 Apr;66(2):210-7. (PMID: 418835)
Int J Tuberc Lung Dis. 2001 Mar;5(3):233-9. (PMID: 11326822)
BMC Public Health. 2004 May 29;4:18. (PMID: 15169548)
Int J Tuberc Lung Dis. 2005 Feb;9(2):128-37. (PMID: 15732730)
J Sch Health. 2002 Jan;72(1):3-7. (PMID: 11865796)
Int J Tuberc Lung Dis. 2005 Sep;9(9):992-8. (PMID: 16158891)
Int J Tuberc Lung Dis. 1999 Apr;3(4):300-9. (PMID: 10206500)
Eur Respir J. 2013 Jan;41(1):140-56. (PMID: 22936710)
BMC Health Serv Res. 2007 Aug 30;7:135. (PMID: 17760984)
BMC Health Serv Res. 2008 Jul 27;8:158. (PMID: 18655730)
Trop Med Int Health. 2007 Nov;12(11):1309-14. (PMID: 17949400)
Public Health Rep. 2005 May-Jun;120(3):271-7. (PMID: 16134567)
J Trop Med. 2012;2012:301808. (PMID: 22174726)
Eur Respir J. 2005 Jul;26(1):126-32. (PMID: 15994399)
Arch Intern Med. 2003 May 12;163(9):1009-21. (PMID: 12742798)
Eur Respir J. 2005 Jun;25(6):1107-16. (PMID: 15929967)
Int J Tuberc Lung Dis. 1999 Mar;3(3):177-8. (PMID: 10094315)
Trop Med Int Health. 2005 Apr;10(4):330-5. (PMID: 15807796)
Int J Tuberc Lung Dis. 2004 May;8(5):593-7. (PMID: 15137536)
Rev Saude Publica. 2004 Jun;38(3):339-45. (PMID: 15243661)
BMJ. 2005 Oct 1;331(7519):750-4. (PMID: 16195293)
تواريخ الأحداث: Date Created: 20141120 Date Completed: 20150908 Latest Revision: 20240511
رمز التحديث: 20240511
مُعرف محوري في PubMed: PMC4289165
DOI: 10.1186/1471-2458-14-1175
PMID: 25407379
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2458
DOI:10.1186/1471-2458-14-1175