Mudiayi Tantamika-Kabamba, Tshitenge Stephane, Kgwaadira Botshelo T, Nkubito Grace K
Botswana National Tuberculosis Programme (BNTP), Ministry of Health and Wellness, Gaborone.
Afr J Prim Health Care Fam Med. 2020 Jan 27;12(1):e1-e6. doi: 10.4102/phcfm.v12i1.2012.
Extra-pulmonary tuberculosis (EPTB) accounts for about 20% of TB cases worldwide. Its diagnosis is challenging.
This study meant to assess the prevalence of EPTB types, procedures to diagnose EPTB and medical officers' (MOs) views on procedures performed in the diagnosis of EPTB over a 2-year period in Botswana.
The study was conducted in 13 urban and rural facilities of 29 health districts in Botswana.
This was a cross-sectional study that reviewed patients' TB data and administered a questionnaire to MOs.
About 2 in 10 TB (n = 2996, 22.7%) cases were classified as EPTB. The most common site of EPTB was pleural (n = 1066, 36.7%) followed by lymph node (LN) (n = 546, 18.8%). A pleural tap was performed in 182 (17.0%) cases of pleural TB and a fine needle aspiration (FNA) in one-third (n = 160, 29.6%) of LN TB cases. There were statistical differences in work experience amongst MOs' responses regarding their self-reported confidence to undertake basic procedures to diagnose EPTB such as pleural tap (p = 0.032) or FNA (p 0.0001).
This study reviewed and evaluated the proportion of EPTB and inquired about MO's experience in managing EPTB. Despite MOs' attendance at Botswana National Tuberculosis Programme (BNTP) TB case management (TBCM) training, the emphasis by the BNTP guidelines and availability of logistics, the execution rate of procedures to diagnose EPTB was still low in Botswana.
肺外结核病（EPTB）约占全球结核病病例的20%。其诊断具有挑战性。
本研究旨在评估博茨瓦纳2年期间EPTB类型的患病率、EPTB的诊断程序以及医务人员（MOs）对EPTB诊断中所执行程序的看法。
该研究在博茨瓦纳29个卫生区的13个城乡医疗机构中进行。
这是一项横断面研究，回顾了患者的结核病数据并向医务人员发放了问卷。
每10例结核病病例中约有2例（n = 2996，22.7%）被归类为EPTB。EPTB最常见的部位是胸膜（n = 1066，36.7%），其次是淋巴结（LN）（n = 546，18.8%）。182例（17.0%）胸膜结核病例进行了胸腔穿刺，三分之一（n = 160，29.
