Publications by authors named "A M Fiogbe"
Drug-resistant tuberculosis (DR-TB) poses a significant public health challenge, particularly in resource-limited settings. The prevalence and management of DR-TB in African countries require comprehensive strategies to improve patient outcomes and control the spread of the disease. Aggregated routine data (from 2018 to 2022) on multidrug-resistant TB (MDR-TB) were collected from the National TB Programs (NTPs) from all six countries.
View Article and Find Full Text PDFThe objective of this study was to assess tobacco use (TU) behaviors among newly diagnosed pulmonary TB (PTB) patients and identify associated factors in Benin and Burkina Faso. A cross-sectional study was conducted in 20 randomly selected TB clinics. To ensure a representative study cohort, clinics were stratified during the sampling process.
View Article and Find Full Text PDFDecentralising DOT for drug-susceptible TB from the health facilities to the community level in Togo.
Int J Tuberc Lung Dis
April 2024
Article Synopsis
- - In Togo, the COVID-19 pandemic led to the implementation of two community-level treatment strategies for tuberculosis (TB): community health worker-based (CHW-DOT) and family-based (FB-DOT), evaluated from April 2021 to January 2022.
- - A study involving 182 TB patients found that the CHW-DOT approach significantly improved sputum conversion rates and resulted in more favorable treatment outcomes compared to FB-DOT.
- - Factors such as smoking status were crucial, with non-smokers showing notably better treatment results, indicating that incorporating smoking cessation support into the CHW-DOT approach could enhance TB treatment efficacy.
Article Synopsis
- * Out of 193 children evaluated, only 16.1% had confirmed TB, and the Ultra test showed a sensitivity of 55.0% and high specificity of 95.0%, indicating it may miss some TB cases while accurately identifying non-cases.
- * The overall diagnostic yield of the Ultra test was 67.7%, which is slightly lower than the culturing method's yield of 70.9%, suggesting that Ultra may not be fully reliable for diagnosing TB in children.
Background: The Epworth Sleepiness Scale (ESS) is a tool widely used to assess excessive daytime sleepiness. Unfortunately, it is not reliable in low-income countries where situations such as reading a book, watching TV or driving a car are not common. The aim of this study was thus to assess the performance of a modified version of the Epworth scale in a low-income country.
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