Community prevalence of chronic respiratory symptoms in rural Malawi: Implications for policy.
Community prevalence of chronic respiratory symptoms in rural Malawi: Implications for policy.
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DOI：
10.1371/journal.pone.0188437
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发表时间：
2017
期刊：
影响因子：
3.7
通讯作者：
Squire SB
中科院分区：
文献类型：
--
作者：
Banda HT;Thomson R;Mortimer K;Bello GAF;Mbera GB;Malmborg R;Faragher B;Squire SB
没有对马拉维农村成年人口咳嗽、气喘和呼吸短促等慢性呼吸道症状进行社区流行率研究。在资源匮乏的初级保健设施中，结核病和慢性呼吸道疾病的病例发现率很低。了解马拉维农村成年人慢性呼吸道症状的患病率和记录的结核病诊断，以改善这些疾病的病例发现和管理。在马拉维的两个农村社区进行了一项人口比例、横断面研究，以确定诊断为肺结核或慢性呼吸道疾病的慢性呼吸道症状人口的比例。使用Google Earth Pro软件随机选择家庭。使用装有Open Data Kit Essential软件的智能手机进行数据收集。对15795名15岁及以上的人进行了访谈，询问慢性咳嗽、喘息和呼吸急促的症状。共有3554名（22.5%）参与者报告了至少一种呼吸道症状。2933例患者报告了咳嗽，其中1623例（55.3%）仅报告咳嗽，1310例（44.7%）合并喘息和/或呼吸短促。只有4.6%（164/3554）的慢性呼吸道症状参与者在其健康护照中有一项或多项以下诊断（患者持有的医疗记录）：肺结核哮喘支气管炎和慢性阻塞性肺病）慢性呼吸道症状的高患病率加上患者中记录的诊断有限，这些农村社区的医疗记录表明，慢性呼吸道疾病负担很高，保健需求得不到满足。
No community prevalence studies have been done on chronic respiratory symptoms of cough, wheezing and shortness of breath in adult rural populations in Malawi. Case detection rates of tuberculosis (TB) and chronic airways disease are low in resource-poor primary health care facilities. To understand the prevalence of chronic respiratory symptoms and recorded diagnoses of TB in rural Malawian adults in order to improve case detection and management of these diseases. A population proportional, cross-sectional study was conducted to determine the proportion of the population with chronic respiratory symptoms that had a diagnosis of tuberculosis or chronic airways disease in two rural communities in Malawi. Households were randomly selected using Google Earth Pro software. Smart phones loaded with Open Data Kit Essential software were used for data collection. Interviews were conducted with 15795 people aged 15 years and above to enquire about symptoms of chronic cough, wheeze and shortness of breath. Overall 3554 (22.5%) participants reported at least one of these respiratory symptoms. Cough was reported by 2933, of whom 1623 (55.3%) reported cough only and 1310 (44.7%) combined with wheeze and/or shortness of breath. Only 4.6% (164/3554) of participants with chronic respiratory symptoms had one or more of the following diagnoses in their health passports (patient held medical records): TB, asthma, bronchitis and chronic obstructive pulmonary disease) The high prevalence of chronic respiratory symptoms coupled with limited recorded diagnoses in patient-held medical records in these rural communities suggests a high chronic respiratory disease burden and unmet health need.
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影响因子：
8.3
作者：
Piddock KC;Gordon SB;Ngwira A;Msukwa M;Nadeau G;Davis KJ;Nyirenda MJ;Mortimer K
通讯作者：
Mortimer K
影响因子：
2.5
作者：
Banda HT;Mortimer K;Bello GA;Mbera GB;Namakhoma I;Thomson R;Nyirenda MJ;Faragher B;Madan J;Malmborg R;Stenberg B;Mpunga J;Mwagomba B;Gama E;Piddock K;Squire SB
通讯作者：
Squire SB
影响因子：
1.9
作者：
Adeloye D;Chan KY;Rudan I;Campbell H
通讯作者：
Campbell H
影响因子：
2.1
作者：
Hasselgren, M;Arne, M;Lundbäck, B
通讯作者：
Lundbäck, B
DOI：
10.4314/mmj.v29i2.24
发表时间：
2017-06
期刊：
Malawi medical journal : the journal of Medical Association of Malawi
影响因子：
--
作者：
Ahmed R;Robinson R;Mortimer K
通讯作者：
Mortimer K