Seck I, Tal Dia A, Ndiaye P, Wone I, Toure T
Service de Médecine Preventive et Santé Publique, Faculté de médecine, de pharmacie et d'odontologie, Université Cheikh Anta DIOP-Dakar, Sénégal.
Dakar Med. 2005;50(3):189-93.
In order to assess the care conformity of the new cases of pulmonary tuberculosis with positive smear (TPF+) with the recommendations of the national program of fight against tuberculosis (PNT), a retrospective study on files has been made in January 1st to June 30, 2000 in the reference center of District Center, in Dakar, Senegal.
All the new cases of TPF+ were included. Were excluded the relapses, the re treatment after failure or interruption. Were successively studied: the socio-demographic characteristics, the patient's status, and the quality of the bacteriological and the therapeutic follow-up.
According to the reports, 115 new cases were counted. In contrary, based on the registers, 109 new cases of TPF+ including 38 women and 71 men were counted. The follow-up gave, at the end, 58% of cure, 4% of finished treatment, 32% of abandon, 4% of failure and 3% of transfer. Discordances of the data between cards, registers and reports/rates are explained by the lack of rigour during the notification of these supports. This bad notification contributes to deteriorate the quality of the patient's follow-up, but also the quality of the cases notification. It resounds negatively on the national health information system.
A qualitative survey among the providers and the abandoned treatment could be more interesting to better understand the problematic of the tuberculosis patients follow-up for the best dealt with.
