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Do doctors in north-western Somalia follow the national guidelines for tuberculosis management? / Suleiman, B.A.;Houssein, A.I.;Mehta, F.;Hinderaker, S.G.

Tác giả : Suleiman, B.A.;Houssein, A.I.;Mehta, F.;Hinderaker, S.G.

Năm xuất bản : 2003

Chủ đề : 1. Antitubercular Agents. 2. Attitude of Health Personnel. 3. Case Management. 4. Clinical Competence. 5. Directly Observed Therapy. 6. Needs Assessment. 7. Physician's Practice Patterns. 8. Practice Guidelines. 9. Tuberculosis, Pulmonary.

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789-795 A cross-sectional study assessed the knowledge and practices of registered practitioners in management of tuberculosis [TB] in north-western Somalia. Of 100 registered doctors, 53 were interviewed. Of these, 32 [64%] had treated TB patients during the previous year, but only 1 had notified the authorities, 33 [66%] knew the most important symptoms and 32 [64%] identified sputum smear microscopy as the most important diagnostic test. Only 4 doctors prescribed the correct regimen and only 7 advocated direct observation. Suboptimal knowledge was more common among doctors working in private practice [relative risk: 2.1; 95% CI: 1.1-4.3]. Patients are being treated in the private sector, but few doctors follow national treatment guidelines. Training in diagnosis and case management is needed to improve TB control in Somalia

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https://iris.who.int/handle/10665/119332