The ‘Practical Approach to Lung Health' in sub-Saharan Africa: a systematic review

Banda, Hastings; Robinson, Ryan; Thomson, Rachael; Squire, S. Bertel; Mortimer, Kevin

doi:10.5588/ijtld.15.0613

Cited by 10 publications

(9 citation statements)

References 22 publications

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“…The Practical Approach to Care Kit program ( 29 ) developed in South Africa is a health-system improvement initiative that takes a symptom-based approach and uses evidence to create a decision-support tool by working with local health systems to educate clinicians and determine appropriate task sharing. The original WHO-sponsored program, the Practical Approach to Lung Health program ( 30 ), used a diagnostic tree in primary care and public health programs, branching initially to tuberculosis or nontuberculosis.…”

Section: Discussionmentioning

confidence: 99%

Challenges in the Implementation of Chronic Obstructive Pulmonary Disease Guidelines in Low- and Middle-Income Countries: An Official American Thoracic Society Workshop Report

Hurst¹,

Buist²,

Gaga³

et al. 2021

Annals ATS

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There is a substantial burden of chronic respiratory diseases, including chronic obstructive pulmonary disease (COPD), in lowand middle-income countries (LMICs). LMICs have particular challenges in delivering cost-effective prevention, diagnosis, and management of COPD. Optimal care can be supported by effective implementation of guidelines. This American Thoracic Society workshop considered challenges to implementation of COPD guidelines in LMICs. We make 10 specific recommendations: 1) relevant organizations should provide LMIC-specific COPD management guidance; 2) patient and professional organizations must persuade policy-makers of the importance of lung function testing programs in LMICs; 3) healthcare education and training should emphasize the early-life origins of COPD; 4) urgent action is required by governments to reduce airborne exposures, including exposures to tobacco smoke and indoor and outdoor air pollution; 5) guidance for COPD in LMICs should explicitly link across Essential Medicine Lists and the World Health Organization package of essential noncommunicable disease interventions for primary health care in low-resource settings and should consider availability, affordability, sustainability, and cost-effective use of medicines; 6) the pharmaceutical industry should work to make effective COPD and tobacco-dependence medicines globally accessible and affordable; 7) implementation of locally adapted, cost-effective pulmonary rehabilitation programs should be an international priority; 8) the World Health Organization Global Action Plan for the Prevention and Control of Noncommunicable Diseases should specify how improvements in respiratory health will be achieved; 9) research funders should increase the proportion of funding allocated to COPD in LMICs; and 10) the respiratory community should leverage the skills and enthusiasm of earliercareer clinicians and researchers to improve global respiratory health.

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Section: Discussionmentioning

confidence: 99%

Challenges in the Implementation of Chronic Obstructive Pulmonary Disease Guidelines in Low- and Middle-Income Countries: An Official American Thoracic Society Workshop Report

Hurst¹,

Buist²,

Gaga³

et al. 2021

Annals ATS

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“…An established network of nursing staff will provide broad knowledge for better nursing care in the patients. [ 33 ]…”

Section: Discussionmentioning

confidence: 99%

Family nursing with the assistance of network improves clinical outcome and life quality in patients underwent coronary artery bypass grafting

Jin¹,

Pan²,

Hu³

et al. 2020

Medicine

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Background: Family nursing with the assistance of network (FNAN) improves nurses’ practice and provides family/community-oriented nursing care. This study aimed to explore the effects of FNAN on the clinical outcome and life quality of coronary atherosclerotic heart disease (CHD) patients underwent coronary artery bypass grafting (CABG). Trial Design: This study is a randomized, placebo-controlled and double-blind trial. Methods: One-hundred and twelve patients underwent CABG were randomly divided into control group (CG, routine family nursing care) and experimental group (EG, FNAN) and the allocation ratio was 1:1. The situation of anxiety and depression were analyzed using the Hamilton Anxiety Scale (HAMA) scale and Hamilton Depression Scale (HAMD). Sleep quality was measured by using Pittsburgh Sleep Quality Index (PSQI). Lung function parameters were measured, including minute ventilation (MVV), partial pressure of oxygen (PaO 2 ), partial pressure of arterial carbon dioxide (PaCO 2 ), oxygen saturation measurement by pulse oximetry (SpO 2 ), forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC). Life quality was measured by using Chronic Obstructive Pulmonary Disease Assessment Test (CAT). Results: After a 3-month intervention, 10 and 6 patients were lost in the CG and EG groups, respectively. The scores of HAMA, HAMD, PSQI and CAT were reduced in the EG group when compared with the CG group ( P < .05). The values of MVV, PaO 2 , SpO 2 , FEV1 and FVC in the EG group was higher than those in the CG group whereas the levels of PaCO 2 in the EG group was lower than those in the CG group ( P < .05). PSQI score had a strong relationship with the values of MVV, PaO 2 , PaCO 2 , SpO 2 , FEV1, and FVC. Conclusion: FNAN improves the clinical outcome and life quality in the patients underwent CABG.

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“…Syndromic algorithms for the diagnosis of infectious diseases have shown effectivity, and are often the only option in resource-limited settings [ 20 – 22 ]. To the best of our knowledge, little evidence exists on the application of syndromic algorithms for ML diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Clinical criteria for Mucosal Leishmaniasis diagnosis in rural South America: A systematic literature review

et al. 2022

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Background Mucosal Leishmaniasis (ML), a neglected tropical disease caused by Leishmania parasites, impairs the quality of life of under-resourced populations in South America. If not treated promptly, this disease progresses to facial deformities and death. The low sensitivity of microscopy results and the unavailability of other accurate tests hamper the diagnosis. As clinical criteria are readily available in any setting, these may be combined in a syndromic algorithm, which in turn can be used as a diagnostic tool. We explore potential clinical criteria for a syndromic diagnostic algorithm for ML in rural healthcare settings in South America. Methodology/Principal findings The protocol for this systematic review was pre-registered in PROSPERO with the number: CRD42017074148. In patients with ML, described in case series identified through a systematic retrieval process, we explored the cumulative ML detection rates of clinical criteria. Participants: all patients with active mucosal disease from an endemic area in South America. Any original, non-treatment study was eligible, and case reports were excluded. PUBMED, EMBASE, Web of Science, SCIELO, and LILACS databases were searched without restrictions. The risk of bias was assessed with the JBI checklist for case series. We included 10 full texts describing 192 ML patients. Male gender had the highest detection rate (88%), followed by ulcer of the nasal mucosa (77%), age >15 (69%), and symptom duration >4 months (63%). Significance Within this selection of patients, we found that the male gender, ulcer of the nasal mucosa, age >15, and symptom duration >4 months lead to the highest detection rates. However, higher detection comes -naturally- with a higher rate of false positives as well. As we only included ML patients, this could not be verified. Therefore, the criteria that we found to be most promising should be validated in a well-designed prospective study.

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The ‘Practical Approach to Lung Health' in sub-Saharan Africa: a systematic review

Cited by 10 publications

References 22 publications

Challenges in the Implementation of Chronic Obstructive Pulmonary Disease Guidelines in Low- and Middle-Income Countries: An Official American Thoracic Society Workshop Report

Challenges in the Implementation of Chronic Obstructive Pulmonary Disease Guidelines in Low- and Middle-Income Countries: An Official American Thoracic Society Workshop Report

Family nursing with the assistance of network improves clinical outcome and life quality in patients underwent coronary artery bypass grafting

Clinical criteria for Mucosal Leishmaniasis diagnosis in rural South America: A systematic literature review

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