Epidemiological, Mycobacteriological, and Clinical Characteristics of Smoking Pulmonary Tuberculosis Patients, in Lambaréné, Gabon: A Cross-Sectional Study

Adégbitè, Bayodé Roméo; Edoa, Jean Ronald; Agbo, Pacome Achimi; Dejon-Agobé, Jean Claude; Essone, Paulin N.; Lotola-Mougeni, Fabrice; Ngwese, Mirabeau Mbong; Mfoumbi, Arnaut; Mevyann, Chester; Epola, Micheska; Zinsou, Jeannot Fréjus; Honkpéhèdji, Yabo Josiane; Agnandji, Selidji Totagbe; Kremsner, Peter G.; Alabi, Abraham; Adegnika, Ayôla Akim; Grobusch, Martin P.

doi:10.4269/ajtmh.20-0424

Cited by 15 publications

(20 citation statements)

References 23 publications

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“…Regarding the high TB incidence and the absence of national TBIC guidelines at the time of the study, we assume that HCWs in Gabon are at high risk to become infected with TB, and thus to develop active disease. The situation is aggravated by a considerable HIV prevalence as well as a high proportion of MDR-TB [8][9][10]. At the time of the study, there was no systematic TB training program implemented for HCWs in Gabon.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes and practices regarding tuberculosis amongst healthcare workers in Moyen-Ogooué Province, Gabon

et al. 2021

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Background In countries with a high tuberculosis incidence such as Gabon, healthcare workers are at enhanced risk to become infected with tuberculosis due to their occupational exposure. In addition, transmission can occur between patients and visitors, if a tuberculosis infection is not suspected in time. Knowledge about tuberculosis and correct infection control measures are therefore highly relevant in healthcare settings. Methods We conducted an interviewer-administered knowledge, attitude and practice survey amongst healthcare workers in 20 healthcare facilities at all levels in the Moyen-Ogooué province, Gabon. Correctly answered knowledge questions were scored and then categorised into four knowledge levels. Additionally, factors associated with high knowledge levels were identified. Fisher’s Exact test was used to identify factors associated with high knowledge levels. Results A total of 103 questionnaires were completed by various healthcare personnel. The most-frequently scored category was ‘intermediate knowledge’, which was scored by 40.8% (42/103), followed by ‘good knowledge’ with 28.2% (29/103) and ‘poor knowledge’ with 21.4% (22/103) of participating healthcare workers, respectively. ‘Excellent knowledge’ was achieved by 9.7% (10/103) of the interviewees. Apart from the profession, education level, type of employing healthcare facility, as well as former training on tuberculosis were significantly associated with high knowledge scores. Attitudes were generally positive towards tuberculosis infection control efforts. Of note, healthcare workers reported that infection control measures were not consistently practiced; 72.8% (75/103) of the participants were scared of becoming infected with tuberculosis, and 98.1% saw a need for improvement of local tuberculosis control. Conclusions The survey results lead to the assumption that healthcare workers in the Moyen-Ogooué province are at high risk to become infected with tuberculosis. There is an urgent need for improvement of tuberculosis infection control training for local healthcare personnel, particularly for less trained staff such as assistant nurses. Furthermore, the lack of adequate infection control measures reported by staff could possibly be correlated with a lack of adequate facility structures and protective equipment and requires further investigation.

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Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes and practices regarding tuberculosis amongst healthcare workers in Moyen-Ogooué Province, Gabon

et al. 2021

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“…Pada penelitian ini diperoleh pasien TB paru lebih banyak berjenis kelamin laki-laki sebesar 56% dibandingkan dengan jenis kelamin perempuan sebesar 44%. Beberapa penelitian menyebutkan bahwa laki-laki lebih banyak terkena TB yang disebabkan laki-laki memiliki kebiasaan gaya hidup yang tidak sehat yaitu kebiasaan merokok serta meminum minuman beralkohol yang berdampak terhadap terganggunya imunitas pasien (Adegbite et al, 2020) Suatu penelitian di Taiwan menyebutkan bahwa lebih dari 75 persen pasien TB ialah laki-laki serta perbandingan laki-laki lebih besar pada usia lansia dibandingkan dengan perempuan (Feng et al, 2012) Usia rata-rata pasien TB yang didapatkan pada penelitian ini yaitu 44.09 ± 12.57 tahun dan tergolong dalam usia produktif. Pasien TB sebagian besar berada pada usia produktif antara usia 15-49 tahun dan cenderung terjadi pada masyarakat dengan tingkat sosial ekonomi yang kurang baik.…”

Section: Demografi Pasienunclassified

The Correlation Between Acid Fast Bacilli of the Intensive and Continuation Phase in Pulmonary Tuberculosis Patients’ Category 1

Putra

Kartikasari

Hardiyono

et al. 2021

JFSP

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Tuberculosis (TB) is a communicable disease caused by M. tuberculosis and known as Acid Fast Bacilli (AFB). The purpose of this study was to analyze the correlation between AFB at the end of the intensive phase and continuation phase and to analyze the variables that associated with sputum conversion at the end of continuation phase in pulmonary TB patient’s category I in several primary public health in Surabaya. This was an observational analytic with a retrospective cohort design. Data were collected by medical records of TB patients from January 2017 to December 2019. One hundred twenty-four of TB patients met the inclusion criteria with 69 male and 55 females, and mean of age was 44.09 ± 12.05 years old. The initial AFB was mostly 1+ (41%). There was a significant correlation between AFB at the end of intensive phase and continuation phase (p-value=0.000; r=0.657) by Kendal-Tau test. Age was significantly associated with sputum conversion at the end of continuation phase (p-value=0.022). The conclusion of this study that there was a significant correlation between AFB at the end of intensive phase and continuation phase

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“…The tuberculosis mortality rate was estimated by WHO as 110 per 100.000 population in 2019 [6]. The situation is aggravated by accumulating evidence of high drug resistance rates [7,8] as well as an HIV prevalence of around 5 % [7,9]. Routine data collected officially report on average two cases of TB among health care workers each year, but the basis of this report is unclear.…”

Section: Introductionmentioning

confidence: 99%

Tuberculosis infection control measures in healthcare facilities in Moyen-Ogooué Province, Gabon

Vigenschow

Adégbitè

Edoa

et al. 2021

BMC Health Serv Res

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Background Healthcare workers (HCW) are at higher risk of tuberculosis (TB) than the general population. We assessed healthcare facilities for their TB infection control standards and priorities. Methods A standardised tool was applied. The assessment was conducted by direct observation, documents review and interviews with the facility heads. Results Twenty healthcare facilities were assessed; 17 dispensaries, an HIV-clinic, a private not-for-profit hospital and a public regional hospital. In both hospitals, outpatient departments, internal medicine wards, paediatric wards, emergency departments; and the MDR-TB unit of the public regional hospital were assessed. In Gabon, there are currently no national guidelines for TB infection control (TBIC) in healthcare settings. Consequently, none of the facilities had an infection control plan or TBIC focal point. In three departments of two facilities (2/20 facilities), TB patients and presumed TB cases were observed to be consistently provided with surgical masks. One structure reported to regularly test some of its personnel for TB. Consultation rooms were adequately ventilated in six primary care level facilities (6/17 dispensaries) and in none of the hospitals, due to the use of air conditioning. Adequate personal protective equipment was not provided regularly by the facilities and was only found to be supplied in the MDR-TB unit and one of the paediatric wards. Conclusions In Moyen-Ogooué province, implementation of TBIC in healthcare settings is generally low. Consequently, HCW are not sufficiently protected and therefore at risk for M. tuberculosis infection. There is an urgent need for national TBIC guidelines and training of health workers to safeguard implementation.

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Epidemiological, Mycobacteriological, and Clinical Characteristics of Smoking Pulmonary Tuberculosis Patients, in Lambaréné, Gabon: A Cross-Sectional Study

Cited by 15 publications

References 23 publications

Knowledge, attitudes and practices regarding tuberculosis amongst healthcare workers in Moyen-Ogooué Province, Gabon

Knowledge, attitudes and practices regarding tuberculosis amongst healthcare workers in Moyen-Ogooué Province, Gabon

The Correlation Between Acid Fast Bacilli of the Intensive and Continuation Phase in Pulmonary Tuberculosis Patients’ Category 1

Tuberculosis infection control measures in healthcare facilities in Moyen-Ogooué Province, Gabon

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