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Higher Global Burden of TB

Higher Global Burden of TB News & Analysis Global Health Sierra Leone Patient Data Provide InLMICs,theyfoundthatfrontlinehealth Insight for Curbing Ebola Outbreak workers—eg, nurses and community health Clinicalandlaboratorydatafrompatientswith workers—diagnosed possible bacterial in- Ebolavirusdisease(EVD)inSierraLeonethat fections in young infants with relatively high wereanalyzedbyaninternationalgroupofre- sensitivity (86.8%; 95% CI, 81.8%-90.6% vs searchers are providing a better understand- 76.6%; 95% CI, 55.6%-89.6%), but lower ing of this latest manifestation of the disease specificity (62.3%; 95% CI, 48%-74.9% vs that can be used to improve care for current 83.5%; 95% CI, 56.8% vs 95.2%), com- andfutureoutbreaks(SchieffelinJSetal.NEngl pared with physician diagnosis. The avail- J Med. doi:10.1056/NEJMoa1411680 [pub- ability of first-line injectable antibiotics was lished online October 29, 2014]). variable and low in many primary health fa- The researchers conducted a retrospec- cilities in Africa and South Asia, in contrast tive analysis of the epidemiological, clini- to oral antibiotics that were widely avail- cal, and laboratory records of 106 patients able at low cost. They also found that about diagnosed with EVD at Kenema Govern- 25% of antibiotic purchases for treating chil- ment Hospital in Sierra Leone between May dren younger than 5 years were obtained Efforts to increase access to latrines failed to 25 and June 18, 2014. All the patients re- http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Higher Global Burden of TB

JAMA , Volume 312 (23) – Dec 17, 2014

Higher Global Burden of TB

Abstract

News & Analysis Global Health Sierra Leone Patient Data Provide InLMICs,theyfoundthatfrontlinehealth Insight for Curbing Ebola Outbreak workers—eg, nurses and community health Clinicalandlaboratorydatafrompatientswith workers—diagnosed possible bacterial in- Ebolavirusdisease(EVD)inSierraLeonethat fections in young infants with relatively high wereanalyzedbyaninternationalgroupofre- sensitivity (86.8%; 95% CI, 81.8%-90.6% vs searchers are providing a better understand- 76.6%;...
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Publisher
American Medical Association
Copyright
Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2014.16703
Publisher site
See Article on Publisher Site

Abstract

News & Analysis Global Health Sierra Leone Patient Data Provide InLMICs,theyfoundthatfrontlinehealth Insight for Curbing Ebola Outbreak workers—eg, nurses and community health Clinicalandlaboratorydatafrompatientswith workers—diagnosed possible bacterial in- Ebolavirusdisease(EVD)inSierraLeonethat fections in young infants with relatively high wereanalyzedbyaninternationalgroupofre- sensitivity (86.8%; 95% CI, 81.8%-90.6% vs searchers are providing a better understand- 76.6%; 95% CI, 55.6%-89.6%), but lower ing of this latest manifestation of the disease specificity (62.3%; 95% CI, 48%-74.9% vs that can be used to improve care for current 83.5%; 95% CI, 56.8% vs 95.2%), com- andfutureoutbreaks(SchieffelinJSetal.NEngl pared with physician diagnosis. The avail- J Med. doi:10.1056/NEJMoa1411680 [pub- ability of first-line injectable antibiotics was lished online October 29, 2014]). variable and low in many primary health fa- The researchers conducted a retrospec- cilities in Africa and South Asia, in contrast tive analysis of the epidemiological, clini- to oral antibiotics that were widely avail- cal, and laboratory records of 106 patients able at low cost. They also found that about diagnosed with EVD at Kenema Govern- 25% of antibiotic purchases for treating chil- ment Hospital in Sierra Leone between May dren younger than 5 years were obtained Efforts to increase access to latrines failed to 25 and June 18, 2014. All the patients re-

Journal

JAMAAmerican Medical Association

Published: Dec 17, 2014

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