Barriers to tuberculosis care in the Philippines

Dychiao, Robyn Gayle K; Capistrano, Michael Paolo R; Flores, Gabrielle P; Yap, Celina Daia D.

doi:10.1016/s2213-2600(22)00181-3

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…As in our case, the patient denied a history of smoking or alcohol use but was on immunosuppressive medication for rheumatoid arthritis. His heritage may have possibly been a significant risk factor, as the Philippines is the fourth largest contributor to global TB cases [ 7 ]. However, he denied travel within the last 21 days of his ED presentation.…”

Section: Discussionmentioning

confidence: 99%

Rare Case of Lower Gastrointestinal Bleeding Secondary to Miliary Tuberculosis in the United States

Sekh,

Jack,

Rowe

et al. 2024

Cureus

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Tuberculosis (TB) remains a significant global health challenge. Miliary TB is a rare manifestation of TB that involves systemic lymphohematogenous dissemination of infection and presents diagnostic challenges due to its often asymptomatic or non-specific nature. This case report documents a rare occurrence of gastrointestinal (GI) bleeding secondary to miliary TB without pulmonary symptoms in an 81-year-old Filipino-American male living in the United States. Extensive imaging studies revealed a mass in the right colon with multiple bleeding vessels draped around it; it was not amendable to treatment with embolization and required right hemicolectomy with end ileostomy. The pathology report of the excised mass demonstrated miliary TB with necrotizing granulomas and granulomatous lymphadenopathy involving 23 lymph nodes. The patient was started on anti-tuberculosis medical management; however, the patient remained clinically unstable and expired on postoperative day 39. This case highlights the importance of the heightened clinical awareness required during times of globalization and in regions with dense immigrant populations. We aim to delineate the clinical understanding of gastrointestinal TB (GITB) and review possible indications for surgical management. We aim to help reduce diagnostic delay, therefore improving patient outcomes and limiting the spread of disease.

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Section: Discussionmentioning

confidence: 99%

Rare Case of Lower Gastrointestinal Bleeding Secondary to Miliary Tuberculosis in the United States

Sekh,

Jack,

Rowe

et al. 2024

Cureus

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“…4 Several factors cause TB cases to soar continuously, including the presence of Coronavirus disease (COVID- 19), nonadherence to treatment, and lack of public understanding. [5][6][7] Additionally, in low-middle-income nations, where TB remains prevalent, there are inadequate healthcare services, limited drug supply, not diagnosed/underdiagnosed cases, and a lack of reporting of suspected cases by the community due to insufficient information, all of which contribute to an increase in TB cases. 8,9 Improving understanding of how TB is transmitted has the potential to mitigate misconceptions and biases, and simultaneously alleviate stigmatization.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Attitudes, and Perceptions of Tuberculosis in Indonesia: A Multi-Center Cross-Sectional Study

Kaaffah¹,

Kusuma²,

Renaldi³

et al. 2023

IDR

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Introduction Tuberculosis (TB) is still a persistent health challenge in Indonesia and ranks high on the list of factors causing morbidity and mortality. Improving knowledge, attitudes, and perceptions (KAP) of the general community about TB can help to control the disease. Purpose This study aimed to examine the KAP about TB in Indonesian society and investigate their sociodemographic determinants. Participants and Methods An online cross-sectional survey in 34 provinces in Indonesia was carried out in June 2022. The scores of KAP were classified as low, moderate, and high. Bivariate and multivariate ordinal logistic regression were applied to identify the potential sociodemographic determinants of KAP. Adjusted odds ratio and 95% confidence interval (CI) for each determinant were provided. Results Among the 3205 participants, 56.4%, 91%, and 38% had high scores on knowledge, attitude, and perception, respectively. Independent determinants of high knowledge were age (26–35 years; adjusted odds ratio: 1.53 [95% CI: 1.19–1.97]), marital status (married; adjusted odds ratio: 1.18 [95% CI: 1.00–1.39]), and salary (middle income; adjusted odds ratio: 0.76 [95% CI: 0.63–0.93]). Independent factors associated with high scores in attitude and perception were the residence location (village; adjusted odds ratio: 0.76 [95% CI: 0.59–0.98]) and the occupation type (civil servant; adjusted odds ratio: 1.53 [95% CI: 1.09–2.13]), respectively. Conclusion Most Indonesians have a high knowledge and good attitude, although they have a moderate perception toward TB. Improving public awareness and health education with the right strategies is critical to reducing the country’s TB burden.

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Barriers to tuberculosis care in the Philippines

Cited by 2 publications

References 3 publications

Rare Case of Lower Gastrointestinal Bleeding Secondary to Miliary Tuberculosis in the United States

Rare Case of Lower Gastrointestinal Bleeding Secondary to Miliary Tuberculosis in the United States

Knowledge, Attitudes, and Perceptions of Tuberculosis in Indonesia: A Multi-Center Cross-Sectional Study

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