Community-Based Ototoxicity Monitoring for Drug-Resistant Tuberculosis in South Africa: An Evaluation Study

In response to the drug-resistant tuberculosis (DRTB) ototoxicity burden in South Africa, ototoxicity monitoring has been decentralised, with community health workers (CHWs) acting as facilitators. This study describes a community-based ototoxicity monitoring programme (OMP) for patients with DRTB....

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Autores principales:	Lucia Jane Stevenson, Leigh Biagio-de Jager, Marien Alet Graham, De Wet Swanepoel
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	community-based services community health workers decentralised services drug-resistant tuberculosis tuberculosis hearing loss Medicine R
Acceso en línea:	https://doaj.org/article/379fbf56bb854ee1a1fdb28ecb1eb67e
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id	oai:doaj.org-article:379fbf56bb854ee1a1fdb28ecb1eb67e
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spelling	oai:doaj.org-article:379fbf56bb854ee1a1fdb28ecb1eb67e2021-11-11T16:28:41ZCommunity-Based Ototoxicity Monitoring for Drug-Resistant Tuberculosis in South Africa: An Evaluation Study10.3390/ijerph1821113421660-46011661-7827https://doaj.org/article/379fbf56bb854ee1a1fdb28ecb1eb67e2021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11342https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601In response to the drug-resistant tuberculosis (DRTB) ototoxicity burden in South Africa, ototoxicity monitoring has been decentralised, with community health workers (CHWs) acting as facilitators. This study describes a community-based ototoxicity monitoring programme (OMP) for patients with DRTB. Findings are compared to the recommended guidelines for ototoxicity monitoring, the OMP protocol and published studies. This was a retrospective study of longitudinal ototoxicity monitoring of 831 patients with DRTB, using data collected at community-based clinics in the City of Cape Town between 2013 and 2017. Approximately half (46.8%) of the patients had an initial assessment conducted in accordance with the OMP protocol recommendations, and follow-up rates (79.5%) were higher than those of a similar DRTB programme. However, patients in this study were not monitored within the timeframes or with the regularity recommended by the guidelines or the OMP protocol. Extended high-frequency pure-tone audiometry (27.5%) was underutilised by testers and data recording was inconsistent (e.g., 37.7% of patient gender was not recorded by testers). Community-based OMP using CHWs to facilitate monitoring showed improvement over previous hospital-based reports, with more accessible services and higher follow-up rates. However, to improve OMP outcomes, OMP managers should reassess current protocols and data recording practices.Lucia Jane StevensonLeigh Biagio-de JagerMarien Alet GrahamDe Wet SwanepoelMDPI AGarticlecommunity-based servicescommunity health workersdecentralised servicesdrug-resistant tuberculosistuberculosishearing lossMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11342, p 11342 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	community-based services community health workers decentralised services drug-resistant tuberculosis tuberculosis hearing loss Medicine R
spellingShingle	community-based services community health workers decentralised services drug-resistant tuberculosis tuberculosis hearing loss Medicine R Lucia Jane Stevenson Leigh Biagio-de Jager Marien Alet Graham De Wet Swanepoel Community-Based Ototoxicity Monitoring for Drug-Resistant Tuberculosis in South Africa: An Evaluation Study
description	In response to the drug-resistant tuberculosis (DRTB) ototoxicity burden in South Africa, ototoxicity monitoring has been decentralised, with community health workers (CHWs) acting as facilitators. This study describes a community-based ototoxicity monitoring programme (OMP) for patients with DRTB. Findings are compared to the recommended guidelines for ototoxicity monitoring, the OMP protocol and published studies. This was a retrospective study of longitudinal ototoxicity monitoring of 831 patients with DRTB, using data collected at community-based clinics in the City of Cape Town between 2013 and 2017. Approximately half (46.8%) of the patients had an initial assessment conducted in accordance with the OMP protocol recommendations, and follow-up rates (79.5%) were higher than those of a similar DRTB programme. However, patients in this study were not monitored within the timeframes or with the regularity recommended by the guidelines or the OMP protocol. Extended high-frequency pure-tone audiometry (27.5%) was underutilised by testers and data recording was inconsistent (e.g., 37.7% of patient gender was not recorded by testers). Community-based OMP using CHWs to facilitate monitoring showed improvement over previous hospital-based reports, with more accessible services and higher follow-up rates. However, to improve OMP outcomes, OMP managers should reassess current protocols and data recording practices.
format	article
author	Lucia Jane Stevenson Leigh Biagio-de Jager Marien Alet Graham De Wet Swanepoel
author_facet	Lucia Jane Stevenson Leigh Biagio-de Jager Marien Alet Graham De Wet Swanepoel
author_sort	Lucia Jane Stevenson
title	Community-Based Ototoxicity Monitoring for Drug-Resistant Tuberculosis in South Africa: An Evaluation Study
title_short	Community-Based Ototoxicity Monitoring for Drug-Resistant Tuberculosis in South Africa: An Evaluation Study
title_full	Community-Based Ototoxicity Monitoring for Drug-Resistant Tuberculosis in South Africa: An Evaluation Study
title_fullStr	Community-Based Ototoxicity Monitoring for Drug-Resistant Tuberculosis in South Africa: An Evaluation Study
title_full_unstemmed	Community-Based Ototoxicity Monitoring for Drug-Resistant Tuberculosis in South Africa: An Evaluation Study
title_sort	community-based ototoxicity monitoring for drug-resistant tuberculosis in south africa: an evaluation study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/379fbf56bb854ee1a1fdb28ecb1eb67e
work_keys_str_mv	AT luciajanestevenson communitybasedototoxicitymonitoringfordrugresistanttuberculosisinsouthafricaanevaluationstudy AT leighbiagiodejager communitybasedototoxicitymonitoringfordrugresistanttuberculosisinsouthafricaanevaluationstudy AT marienaletgraham communitybasedototoxicitymonitoringfordrugresistanttuberculosisinsouthafricaanevaluationstudy AT dewetswanepoel communitybasedototoxicitymonitoringfordrugresistanttuberculosisinsouthafricaanevaluationstudy
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Community-Based Ototoxicity Monitoring for Drug-Resistant Tuberculosis in South Africa: An Evaluation Study

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