Clinical audit of management of smear positive adult pulmonary tuberculosis in PR1 tuberculosis clinic, KK Bandar Miri

Introduction: Malaysian tuberculosis (TB) clinical practice guideline (CPG) standardises the management of TB to improve the quality of care for TB patients. Not all primary care providers adhere to this guideline, however. This audit aims to improve the management of smear positive adult pulmonary...

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Autores principales:	Rubini a/p Cumarasamy, Fatimah Shahidah Binti Dato’ Azmi, Norafini Binti Salamon
Formato:	article
Lenguaje:	EN
Publicado:	Academy of Family Physicians of Malaysia 2021
Materias:	audit pulmonary tb management smear positive kk bandar miri Medicine R
Acceso en línea:	https://doaj.org/article/f20f5464079d492994dcbbc29560e3f4
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spelling	oai:doaj.org-article:f20f5464079d492994dcbbc29560e3f42021-12-04T07:07:07ZClinical audit of management of smear positive adult pulmonary tuberculosis in PR1 tuberculosis clinic, KK Bandar Miri10.51866/oa12151985-2274https://doaj.org/article/f20f5464079d492994dcbbc29560e3f42021-06-01T00:00:00Zhttps://e-mfp.org/wp-content/uploads/v16n2-OA-Clinical-audit-of-management.pdfhttps://doaj.org/toc/1985-2274Introduction: Malaysian tuberculosis (TB) clinical practice guideline (CPG) standardises the management of TB to improve the quality of care for TB patients. Not all primary care providers adhere to this guideline, however. This audit aims to improve the management of smear positive adult pulmonary TB by identifying areas of concern and developing action plans. Methods: Data for the audit were gathered from August 2018 to August 2019 from medical records of diagnosed smear positive pulmonary TB patients. Patients were included based on inclusion and exclusion criteria. Results: Forty-eight smear positive pulmonary TB patients were recruited. The majority of patients were male (54.2%) and Malay (33.2%). TB symptoms were assessed for 29.2% of patients at two weeks and then in 81.3% at one month, 97.9% at two months, 16.7% at three months, 95.8% at four months, 22.9% at five months and 95.8% at six months. Medication side effects were assessed at two weeks for only 2.1% of patients, then for 8.3% of patients at one month, 2.1% at two months and 0% at subsequent months. At diagnosis, 25% and 4.2% of patients had their visual acuity and colour vision, respectively, assessed. Only 6.3% of patients were referred to pre-pregnancy counselling. Weights were recorded for 87.5% of patients at diagnosis, then for 27.1% at two weeks, 81.3% at one month, 91.7% at two months, 77.1% at three months, 97.9% at four months, 79.2% at five months and 93.8% at six months. Baseline investigations and Mycobacterium tuberculosis culture and sensitivity were conducted for all patients, but only 81.3% of patients were traced. No patients were referred to pharmacy for medication counselling. Conclusion: This audit shows that there is a difference between current practice and the national guideline. There are some downfalls in management and proper documentation, so interventions should be carried out to improve those aspects.Rubini a/p CumarasamyFatimah Shahidah Binti Dato’ AzmiNorafini Binti SalamonAcademy of Family Physicians of Malaysiaarticleauditpulmonary tbmanagementsmear positivekk bandar miriMedicineRENMalaysian Family Physician, Vol 16, Iss 2, Pp 50-57 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	audit pulmonary tb management smear positive kk bandar miri Medicine R
spellingShingle	audit pulmonary tb management smear positive kk bandar miri Medicine R Rubini a/p Cumarasamy Fatimah Shahidah Binti Dato’ Azmi Norafini Binti Salamon Clinical audit of management of smear positive adult pulmonary tuberculosis in PR1 tuberculosis clinic, KK Bandar Miri
description	Introduction: Malaysian tuberculosis (TB) clinical practice guideline (CPG) standardises the management of TB to improve the quality of care for TB patients. Not all primary care providers adhere to this guideline, however. This audit aims to improve the management of smear positive adult pulmonary TB by identifying areas of concern and developing action plans. Methods: Data for the audit were gathered from August 2018 to August 2019 from medical records of diagnosed smear positive pulmonary TB patients. Patients were included based on inclusion and exclusion criteria. Results: Forty-eight smear positive pulmonary TB patients were recruited. The majority of patients were male (54.2%) and Malay (33.2%). TB symptoms were assessed for 29.2% of patients at two weeks and then in 81.3% at one month, 97.9% at two months, 16.7% at three months, 95.8% at four months, 22.9% at five months and 95.8% at six months. Medication side effects were assessed at two weeks for only 2.1% of patients, then for 8.3% of patients at one month, 2.1% at two months and 0% at subsequent months. At diagnosis, 25% and 4.2% of patients had their visual acuity and colour vision, respectively, assessed. Only 6.3% of patients were referred to pre-pregnancy counselling. Weights were recorded for 87.5% of patients at diagnosis, then for 27.1% at two weeks, 81.3% at one month, 91.7% at two months, 77.1% at three months, 97.9% at four months, 79.2% at five months and 93.8% at six months. Baseline investigations and Mycobacterium tuberculosis culture and sensitivity were conducted for all patients, but only 81.3% of patients were traced. No patients were referred to pharmacy for medication counselling. Conclusion: This audit shows that there is a difference between current practice and the national guideline. There are some downfalls in management and proper documentation, so interventions should be carried out to improve those aspects.
format	article
author	Rubini a/p Cumarasamy Fatimah Shahidah Binti Dato’ Azmi Norafini Binti Salamon
author_facet	Rubini a/p Cumarasamy Fatimah Shahidah Binti Dato’ Azmi Norafini Binti Salamon
author_sort	Rubini a/p Cumarasamy
title	Clinical audit of management of smear positive adult pulmonary tuberculosis in PR1 tuberculosis clinic, KK Bandar Miri
title_short	Clinical audit of management of smear positive adult pulmonary tuberculosis in PR1 tuberculosis clinic, KK Bandar Miri
title_full	Clinical audit of management of smear positive adult pulmonary tuberculosis in PR1 tuberculosis clinic, KK Bandar Miri
title_fullStr	Clinical audit of management of smear positive adult pulmonary tuberculosis in PR1 tuberculosis clinic, KK Bandar Miri
title_full_unstemmed	Clinical audit of management of smear positive adult pulmonary tuberculosis in PR1 tuberculosis clinic, KK Bandar Miri
title_sort	clinical audit of management of smear positive adult pulmonary tuberculosis in pr1 tuberculosis clinic, kk bandar miri
publisher	Academy of Family Physicians of Malaysia
publishDate	2021
url	https://doaj.org/article/f20f5464079d492994dcbbc29560e3f4
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Clinical audit of management of smear positive adult pulmonary tuberculosis in PR1 tuberculosis clinic, KK Bandar Miri

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