Impact of the Stool-Based Xpert Test on Childhood Tuberculosis Diagnosis in Selected States in Nigeria.
Nkiru NwokoyeBethrand OdumePeter NwadikeIkechukwu AnaedobeZirra MangoroMichael UmorenChidubem OgbudebeOgoamaka ChukwuogoSani UseniDebby NongoRupert EneoguEmeka ElomPetra De HaasMustapha GidadoPublished in: Tropical medicine and infectious disease (2024)
Out of 52,117 presumptive TB cases, 52% were male and 59.7% were under 5 years old. A total of 2440 (5%) cases were diagnosed with TB, and 2307 (95%) were placed on treatment. Annual TB notifications increased significantly after the introduction of the stool-based Xpert test when compared to those in the pre-implementation period. Increasing contributions from stool testing were observed throughout the implementation period, except in 2020 during the COVID-19 era. Overall, stool Xpert testing improved childhood TB notification in the studied states. Interventions aimed at awareness creation, capacity building, and active case finding improved the performance of the test.
Keyphrases
- mycobacterium tuberculosis
- primary care
- healthcare
- coronavirus disease
- pulmonary tuberculosis
- sars cov
- quality improvement
- early life
- physical activity
- emergency department
- hiv aids
- human immunodeficiency virus
- hepatitis c virus
- antiretroviral therapy
- respiratory syndrome coronavirus
- drug induced
- electronic health record
- replacement therapy