دورية أكاديمية
أعرض في EDS

Capacities and needs of health care facilities for schistosomiasis diagnosis and management in elimination settings.

التفاصيل البيبلوغرافية
العنوان: Capacities and needs of health care facilities for schistosomiasis diagnosis and management in elimination settings.
المؤلفون: Ndum NC; Swiss Tropical and Public Health Institute, Allschwil, Switzerland.; University of Basel, Basel, Switzerland., Trippler L; Swiss Tropical and Public Health Institute, Allschwil, Switzerland.; University of Basel, Basel, Switzerland., Mohammed UA; Public Health Laboratory-Ivo de Carneri, Pemba, United Republic of Tanzania., Ali AS; Public Health Laboratory-Ivo de Carneri, Pemba, United Republic of Tanzania., Hattendorf J; Swiss Tropical and Public Health Institute, Allschwil, Switzerland.; University of Basel, Basel, Switzerland., Utzinger J; Swiss Tropical and Public Health Institute, Allschwil, Switzerland.; University of Basel, Basel, Switzerland., Ali SM; Public Health Laboratory-Ivo de Carneri, Pemba, United Republic of Tanzania., Knopp S; Swiss Tropical and Public Health Institute, Allschwil, Switzerland. s.knopp@swisstph.ch.; University of Basel, Basel, Switzerland. s.knopp@swisstph.ch.
المصدر: Parasites & vectors [Parasit Vectors] 2024 Jun 17; Vol. 17 (1), pp. 263. Date of Electronic Publication: 2024 Jun 17.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101462774 Publication Model: Electronic Cited Medium: Internet ISSN: 1756-3305 (Electronic) Linking ISSN: 17563305 NLM ISO Abbreviation: Parasit Vectors Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central
مواضيع طبية MeSH: Health Facilities* , Schistosomiasis haematobia*/diagnosis , Schistosomiasis haematobia*/epidemiology , Schistosomiasis haematobia*/drug therapy , Schistosomiasis haematobia*/prevention & control , Schistosoma haematobium*/isolation & purification, Humans ; Female ; Male ; Child ; Prevalence ; Adult ; Animals ; Adolescent ; Disease Eradication ; Young Adult ; Child, Preschool ; Middle Aged ; Tanzania/epidemiology ; Surveys and Questionnaires ; Schistosomiasis/diagnosis ; Schistosomiasis/epidemiology ; Schistosomiasis/drug therapy ; Schistosomiasis/prevention & control ; Health Knowledge, Attitudes, Practice ; Aged ; Health Personnel
مستخلص: Background: Schistosomiasis is a debilitating neglected tropical disease endemic in sub-Saharan Africa. The role of health facilities in the prevention, diagnosis, control, and elimination of schistosomiasis is poorly documented. In a setting targeted for schistosomiasis elimination in Zanzibar, we assessed the prevalence of Schistosoma haematobium among patients seeking care in a health facility and investigated schistosomiasis-related knowledge of staff, and health facilities' capacities and needs for schistosomiasis diagnosis and management.
Methods: We conducted a health facility-based mixed-method study on Pemba Island from June to August 2023. Patients aged ≥ 4 years seeking care in four health facilities were screened for S. haematobium infection using urine filtration and reagent strips. Those patients aged ≥ 10 years were additionally interviewed about signs and symptoms. Staff from 23 health facilities responded to a questionnaire assessing knowledge and practices. Ten staff participated in a focus group discussion (FGD) about capacities and needs for schistosomiasis diagnosis and management.
Results: The prevalence of S. haematobium infection in patients attending the health facilities, as determined by the presence of eggs in urine, was 1.1% (8/712). Microhaematuria was detected in 13.3% (95/712) of the patients using reagent strips. Among patients responding to the questionnaire, pelvic pain, pain during sex, and painful urination were reported by 38.0% (237/623), 6.3% (39/623), and 3.2% (20/623), respectively. Among the health facility staff, 90.0% (44/49) and 87.8% (43/49) identified blood in urine and pelvic pain, respectively, as symptoms of urogenital schistosomiasis, 81.6% (40/49) and 93.9% (46/49) reported collecting a urine sample and pursuing a reagent strip test, respectively, for diagnosis, and 87.8% (43/49) administered praziquantel for treatment. The most reoccurring themes in the FGD were the need for more staff training about schistosomiasis, requests for diagnostic equipment, and the need to improve community response to schistosomiasis services in health facilities.
Conclusions: The prevalence of S. haematobium infection in patients seeking care in health facilities in Pemba is very low and similar to what has been reported from recent community-based cross-sectional surveys. The health facility staff had good schistosomiasis-related knowledge and practices. However, to integrate schistosomiasis patient management more durably into routine health facility activities, scalable screening pathways need to be identified and capacities need to be improved by regular staff training, and an unbroken supply of accurate point-of-care diagnostics and praziquantel for the treatment of cases.
(© 2024. The Author(s).)
References: BMC Health Serv Res. 2021 May 30;21(1):529. (PMID: 34053433)
Parasit Vectors. 2015 Apr 22;8:241. (PMID: 25896512)
PLoS Negl Trop Dis. 2015 May 14;9(5):e0003752. (PMID: 25973845)
Public Health Rev. 2019 Sep 03;40:4. (PMID: 31508247)
Lancet Infect Dis. 2022 Jan;22(1):136-149. (PMID: 34863336)
Parasit Vectors. 2018 Oct 23;11(1):552. (PMID: 30352631)
N Engl J Med. 2019 Dec 26;381(26):2519-2528. (PMID: 31881138)
Adv Parasitol. 2023;122:71-191. (PMID: 37657854)
Nat Rev Dis Primers. 2018 Aug 9;4(1):13. (PMID: 30093684)
Am J Trop Med Hyg. 2013 Jan;88(1):144-52. (PMID: 23208887)
PLoS Negl Trop Dis. 2010 Nov 02;4(11):e867. (PMID: 21072229)
Ann Trop Med Parasitol. 2003 Oct;97(7):723-36. (PMID: 14613631)
Int Health. 2023 Mar 24;15(Suppl 1):i43-i51. (PMID: 36960802)
Biol Methods Protoc. 2023 Apr 03;8(1):bpad006. (PMID: 37197579)
Lancet Infect Dis. 2022 Nov;22(11):e327-e335. (PMID: 35594896)
Parasit Vectors. 2019 Aug 7;12(1):393. (PMID: 31391100)
BMC Infect Dis. 2021 Sep 30;21(1):1024. (PMID: 34592960)
PLoS Negl Trop Dis. 2023 Jul 6;17(7):e0011465. (PMID: 37410782)
PLoS Negl Trop Dis. 2021 Feb 12;15(2):e0009127. (PMID: 33577601)
Adv Parasitol. 2022;115:1-44. (PMID: 35249661)
Trop Med Infect Dis. 2022 Nov 16;7(11):. (PMID: 36422933)
Lancet. 2014 Jun 28;383(9936):2253-64. (PMID: 24698483)
Acta Trop. 2013 Nov;128(2):423-40. (PMID: 22580511)
Infect Dis Clin North Am. 2012 Jun;26(2):383-97. (PMID: 22632645)
Parasit Vectors. 2022 Aug 16;15(1):292. (PMID: 35974353)
PLoS Negl Trop Dis. 2019 May 6;13(5):e0007268. (PMID: 31059495)
Parasit Vectors. 2015 Mar 13;8:156. (PMID: 25884172)
Lancet Glob Health. 2022 Sep;10(9):e1355-e1359. (PMID: 35961358)
PLoS Negl Trop Dis. 2021 Sep 16;15(9):e0009669. (PMID: 34529659)
BMC Health Serv Res. 2021 Aug 24;21(1):866. (PMID: 34429111)
Infect Dis Poverty. 2018 Jul 4;7(1):66. (PMID: 29970181)
Lancet Glob Health. 2019 Aug;7(8):e1118-e1129. (PMID: 31255591)
Parasit Vectors. 2019 Oct 29;12(1):503. (PMID: 31665080)
معلومات مُعتمدة: No Grant ID Swiss Government Excellence Scholarships (ESKAS) Programme; PR00P3_179753 / 1 Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung; PR00P3_179753 / 1 Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
فهرسة مساهمة: Keywords: Schistosoma haematobium; Attitude; Control; Elimination; Health facility; Knowledge; Management; Practices; Signs and symptoms; Tanzania
تواريخ الأحداث: Date Created: 20240617 Date Completed: 20240618 Latest Revision: 20240620
رمز التحديث: 20240620
مُعرف محوري في PubMed: PMC11184784
DOI: 10.1186/s13071-024-06311-8
PMID: 38886811
قاعدة البيانات: MEDLINE
الوصف
تدمد:1756-3305
DOI:10.1186/s13071-024-06311-8