Haemoptysis and fever in a young refugee from Somalia

Mondoni, Michele; Viganò, Ottavia; Ferrarese, Maurizio; Bimbatti, Manuela; Cavallini, Mirta; Codecasa, Luigi; Monforte, Antonella d’Arminio; Bulfamante, Gaetano; Centanni, Stefano; Sotgiu, Giovanni

doi:10.1016/j.ijid.2018.10.002

Cited by 5 publications

(3 citation statements)

References 8 publications

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“…This study was consistent with the studies in Bahir Dar town [17]. However, findings from studies in European countries reveal that extrapulmonary TB is a more rare form of TB and it is more frequent in African patients [35,36]. This might be due to a variety of symptoms, could easily be over looked, gradual progress, and less sever clinical manifestation at the beginning.…”

Section: Discussionsupporting

confidence: 91%

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Patient Delay in Initiating Tuberculosis Treatment and Associated Factors in Oromia Special Zone, Amhara Region

et al. 2020

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Background. Tuberculosis (TB) is a major global public health problem. The disease is a leading cause of morbidity and mortality in Ethiopia. Early identification of cases and commencement of effective chemotherapy is an effective method to control the spread of tuberculosis. Delay in diagnosis and starting tuberculosis treatment increases severity, risk of mortality, and transmission of the disease in the community. Objective. The purpose of this study is to assess the magnitude of patient delay in initiating tuberculosis treatment and its associated factors among tuberculosis patients in health facilities of Oromia Special Zone, Ethiopia. Methods. A facility-based cross-sectional study was conducted in Oromia Special Zone. Data were collected using pretested questionnaires from patients with tuberculosis who are on treatment during the study period. The simple random sampling method was used to select health facilities and study participants. Data were entered using Epi Info version 7.2 and analyzed by SPSS version 23. Bivariate and multivariate logistic regression analyses were used to see the significance of association between the outcome and independent variables. A P value < 0.05 was considered statistically significant. Results. Three hundred and eighty-seven tuberculosis patients aged 18 years and above enrolled in the study. Among these, 223 (57.6%) were males, 194 (50.1%) were married, and 206 (53.2%) lived in rural areas. The mean age of respondents was 35 years. The median patient delay was 35 (IQR=30) days, and 54.4% of patients seek their first consultation after 21 days. Patients who have a basic schooling level (AOR=0.45, 95% CI: 0.23, 0.89) compared with the college/university level, long distance greater than 10 km (AOR=3.23, 95% CI: 1.97, 5.42), seeking treatment from informal source and private drug stores (AOR=3.01, 95% CI: 1.52, 5.95), extrapulmonary tuberculosis (AOR=2.30, 95% CI: 1.26, 4.23), and poor knowledge about tuberculosis (AOR=1.58, 95% CI: 1.01, 2.49) were associated factors that predict patient delay. Conclusion and Recommendation. A significant proportion of tuberculosis patients delayed to seek treatment. Health promotion and education involving different stake holders will make the community create awareness about tuberculosis that could help reduce delays in initiating tuberculosis treatment.

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Section: Discussionsupporting

confidence: 91%

“…Similar findings were reported in North Wollo [15] and Addis Ababa [18]. However, studies conducted in Iran [35]; Ibadan, Nigeria [13]; and Wollega [26] reported that females tend to seek health care lately compared to males. This might be due to work overload at home and the limited role of women's decision making power.…”

Section: Discussionsupporting

confidence: 84%

Patient Delay in Initiating Tuberculosis Treatment and Associated Factors in Oromia Special Zone, Amhara Region

et al. 2020

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“…During the last decade, intensified migration flows from Africa to Europe have increased the total number of TB cases in low TB incidence countries, such as Italy (Dara et al, 2016;Mondoni et al, 2018). Furthermore, unusual clinical presentations are frequently described in migrants, with extrapulmonary TB forms being most frequently diagnosed in Africans (Mondoni et al, 2018;Sotgiu et al, 2017;Suárez et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Chest pain and a left parasternal soft tissue swelling in an immunocompetent refugee with disseminated tuberculosis

Mondoni

Centola

Viganò

et al. 2020

International Journal of Infectious Diseases

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New perspectives on difficult-to-treat tuberculosis based on old therapeutic approaches

Mondoni

Centanni

Sotgiu

2020

International Journal of Infectious Diseases

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Tuberculosis (TB) is an important clinical and public health issue worldwide. Despite improved treatment success rates following the introduction of antibiotics in daily clinical practice, the expected decline in incidence has been hampered by HIV epidemics and multi-and extensively drug-resistant TB. During the pre-antibiotic era, TB therapies were mainly based on improving hygiene conditions, strengthening the immune system, and targeting the rest of the affected lungs with invasive techniques. Detailed knowledge of old non-pharmacological therapies might support physicians and researchers in the identification of new solutions for difficult-to-treat patients. We performed a narrative literature review on the main old therapeutic options prescribed for patients with TB. The main recommendations and contraindications of sanatorium therapies (i.e., bed rest, fresh air, sunlight) and pulmonary collapse techniques are reviewed, evaluating their physiological basis and their impact on patient outcomes. We report studies describing new interventional pulmonary and surgical techniques and assess new perspectives based on old medical and surgical treatments, whose potential implementation could help complicated patients.

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Haemoptysis and fever in a young refugee from Somalia

Cited by 5 publications

References 8 publications

Patient Delay in Initiating Tuberculosis Treatment and Associated Factors in Oromia Special Zone, Amhara Region

Patient Delay in Initiating Tuberculosis Treatment and Associated Factors in Oromia Special Zone, Amhara Region

Chest pain and a left parasternal soft tissue swelling in an immunocompetent refugee with disseminated tuberculosis

New perspectives on difficult-to-treat tuberculosis based on old therapeutic approaches

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