Are Tuberculosis Patients Managed According to the National Guidelines in Lagos State Nigeria?

作     者：Olusola Adedeji Adejumo Olusoji James Daniel Mustapha Gidado Andrew Folarin Otesanya Esther Ngozi Adejumo Ebunoluwa O. Jaiyesimi Oluwatoyin Esther Idowu Olumuyiwa O. Odusanya Olusola Adedeji Adejumo;Olusoji James Daniel;Mustapha Gidado;Andrew Folarin Otesanya;Esther Ngozi Adejumo;Ebunoluwa O. Jaiyesimi;Oluwatoyin Esther Idowu;Olumuyiwa O. Odusanya

作者机构：Department of Community Health and Primary Health Care Lagos State University Teaching Hospital Ikeja Lagos Nigeria Department of Community Medicine and Primary Care Olabisi Onabanjo University Teaching Hospital Sagamu Nigeria KNCV Tuberculosis Foundation/TB CARE I Project Abuja Nigeria Medical Services Department Central Bank of Nigeria Lagos Nigeria Department of Medical Laboratory Science Babcock University Ilisan-Remo Nigeria Department of Community Health and Primary Health Care College of Medicine Lagos Lagos State University Lagos Nigeria 

出 版 物：《International Journal of Clinical Medicine》 (临床医学国际期刊（英文）)

年 卷 期：2016年第7卷第1期

页      面：16-24页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Adherence National Guidelines Health Workers DOTS Facilities 

摘      要：Setting: Private and public tuberculosis (TB) treatment centers in Lagos State, Nigeria. Objective: To compare adherence of private and public providers of directly observed treatment short course (DOTS) in the Lagos State TB control program, Nigeria (LSTBLCP) with the national TB guidelines. Design: A retrospective review of treatment cards of TB patients managed within the first and second quarter of 2012 in 34 DOTS facilities {23 public, 7 private for profit (PFP), and 4 private not for profit (PNFP)} involved in the private public mix of the LSTBLCP. Results: Of the 1896 treatment cards reviewed, 1524 (80.4%), 132 (7.0%) and 240 (12.6%) were from public, PFP and PNFP DOTS facilities, respectively. About 19%, 25% and none of the patients managed at the public, PNFP, and PFP DOTS facilities were treated in full adherence with the national guidelines respectively. A significantly higher proportion of adults and sputum smear positive TB patients were treated in full adherence with the national guidelines (p 0.05). Treatment success was associated with full adherence with the national guidelines. Conclusion: There is a need to reorient health care providers in public and private health facilities in Lagos State Nigeria to ensure full adherence with the national TB guidelines.