Tuberculosis screening in patients with HIV: use of audit and feedback to improve quality of care in Ghana

by Stephanie Bjerrum, Frank Bonsu, Nii Nortey Hanson-Nortey et al.
Glob Health Action 2016, 9: 32390 – Published 26 August 2016

10 pp. 678 kB 001

Tuberculosis screening of people living with HIV (PLHIV) can contribute to early tuberculosis diagnosis and improved patient outcomes. Evidence-based guidelines for tuberculosis screening are available, but literature assessing their implementation and the quality of clinical practice is scarce. A simple prospective audit tool identified flaws in clinical practices for tuberculosis screening of PLHIV. There was no systematic identification of people with suspected active tuberculosis. We found low initial tuberculosis suspicion rate compounded by low referral rates of relevant patients for sputum smear microscopy. Adherence to recommended standards and guidelines for tuberculosis screening improved after performance feedback.

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