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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Implementation of asthma guidelines in health centres of several developing countries
International Journal of Tuberculosis and Lung Disease, Volume 10, No. 1, Year 2006
Notification
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Description
SETTING: Nine selected out-patient clinics caring for asthma patients in Algeria, Guinea, Ivory Coast, Kenya, Mali, Morocco, Syria, Turkey and Vietnam. DESIGN: Prospective enrolment of consecutive patients considered by the practitioner to have asthma with evaluation of adherence of the practitioner with recommended standard case management, including proportion of patients confirmed to have asthma, proportion in whom severity was correctly graded and proportion in whom treatment with inhaled corticosteroids corresponded to severity grade. RESULTS: Of 499 consecutive patients, 456 (91%) were enrolled and evaluated. The diagnosis was confirmed in 263 (58%). Agreement between the practitioner and the guidelines in assigning grade of severity was moderate overall (kappa = 0.42). It was higher for assignment of grade using symptoms (κ = 0.51), but poor for assignment of grade using peak expiratory flow (PEF) rate (κ = 0.29), with practitioners tending to underestimate the severity. Agreement between the practitioners' assessment of severity and treatment with inhaled corticosteroids was poor (κ = 0.18), with underutilisation of inhaled corticosteroids. CONCLUSIONS: Practitioners caring for asthma patients in this study tended to underutilise the PEF rate in assessing their patients and underutilised treatment of patients with inhaled corticosteroids. © 2006 The Union.
Authors & Co-Authors
Aït-Khaled, Nadia
France, Paris
International Union Against Tuberculosis and Lung Disease
Enarson, Donald A.
France, Paris
International Union Against Tuberculosis and Lung Disease
Bencharif, N.
Algeria, Tizi Ouzou
Centre Hospitalo-universitaire Nedir Mohamed - Tizi Ouzou
Boulahdib, F.
Unknown Affiliation
Camara, Lansana Mady
Guinea, Conakry
Chu Ignace-deen
Dag̀li, Elif
Turkey, Istanbul
Istanbul Hospital
Djankine, K.
Mali, Bamako
Dermatology Hospital of Bamako
Keita, B.
Zimbabwe, Harare
Who Regional Office for Africa
Koadag, B.
Turkey, Istanbul
Istanbul Hospital
Ngoran, K.
Cote D'ivoire, Abidjan
C.h.u. de Cocody
Odhiambo, Joseph A.
Kenya, Nairobi
Kenya Medical Research Institute
Ottmani, Salah Eddine
Switzerland, Geneva
Organisation Mondiale de la Santé
Pham, D. L.
Viet Nam, Ho Chi Minh City
Ho Chi Minh City Oncology Hospital
Sow, Oumou Younoussa
Guinea, Conakry
Chu Ignace-deen
Yousser, Mohammad
Syrian Arab Republic
Lattakia Hospital
Zidouni, Noureddine
Algeria, Algiers
Centre Hospitalier et Universitaire de Béni-messous, Algiers
Statistics
Citations: 16
Authors: 16
Affiliations: 12
Identifiers
ISSN:
10273719
Research Areas
Health System And Policy
Study Design
Cohort Study
Study Locations
Algeria
Guinea
Ivory Coast
Kenya
Mali
Morocco