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Preferences of healthcare workers using tongue swabs for tuberculosis diagnosis during COVID-19

Healthcare workers (HCWs) who come into contact with tuberculosis (TB) patients are at elevated risk of TB infection and disease. The collection and handling of sputum samples for TB diagnosis poses exposure risks to HCWs, particularly in settings where aerosol containment is limited. An alternative...

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Autores principales: Codsi, Renée, Errett, Nicole A., Luabeya, Angelique K., Van As, Danelle, Hatherill, Mark, Shapiro, Adrienne E., Lochner, Katherine A., Vingino, Alexandria R., Kohn, Marlana J., Cangelosi, Gerard A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10484421/
https://www.ncbi.nlm.nih.gov/pubmed/37676852
http://dx.doi.org/10.1371/journal.pgph.0001430
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author Codsi, Renée
Errett, Nicole A.
Luabeya, Angelique K.
Van As, Danelle
Hatherill, Mark
Shapiro, Adrienne E.
Lochner, Katherine A.
Vingino, Alexandria R.
Kohn, Marlana J.
Cangelosi, Gerard A.
author_facet Codsi, Renée
Errett, Nicole A.
Luabeya, Angelique K.
Van As, Danelle
Hatherill, Mark
Shapiro, Adrienne E.
Lochner, Katherine A.
Vingino, Alexandria R.
Kohn, Marlana J.
Cangelosi, Gerard A.
author_sort Codsi, Renée
collection PubMed
description Healthcare workers (HCWs) who come into contact with tuberculosis (TB) patients are at elevated risk of TB infection and disease. The collection and handling of sputum samples for TB diagnosis poses exposure risks to HCWs, particularly in settings where aerosol containment is limited. An alternative sample collection method, tongue swabbing, was designed to help mitigate this risk, and is under evaluation in multiple settings. This study assessed risk perceptions among South African HCWs who used tongue swabbing in TB diagnostic research during the COVID-19 pandemic. We characterized their context-specific preferences as well as the facilitators and barriers of tongue swab use in clinical and community settings. Participants (n = 18) were HCWs with experience using experimental tongue swabbing methods at the South African Tuberculosis Vaccine Initiative (SATVI). We used key informant semi-structured interviews to assess attitudes toward two tongue swab strategies: Provider-collected swabbing (PS) and supervised self-swabbing (SSS). Responses from these interviews were analyzed by rapid qualitative analysis and thematic analysis methods. Facilitators included aversion to sputum (PS and SSS), perceived safety of the method (SSS), and educational resources to train patients (SSS). Barriers included cultural stigmas, as well as personal security and control of their work environment when collecting swabs in community settings. COVID-19 risk perception was a significant barrier to the PS method. Motivators for HCW use of tongue swabbing differed substantially by use case, and whether the HCW has the authority and agency to implement safety precautions in specific settings. These findings point to a need for contextually specific educational resources to enhance safety of and adherence to the SSS collection method.
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spelling pubmed-104844212023-09-08 Preferences of healthcare workers using tongue swabs for tuberculosis diagnosis during COVID-19 Codsi, Renée Errett, Nicole A. Luabeya, Angelique K. Van As, Danelle Hatherill, Mark Shapiro, Adrienne E. Lochner, Katherine A. Vingino, Alexandria R. Kohn, Marlana J. Cangelosi, Gerard A. PLOS Glob Public Health Research Article Healthcare workers (HCWs) who come into contact with tuberculosis (TB) patients are at elevated risk of TB infection and disease. The collection and handling of sputum samples for TB diagnosis poses exposure risks to HCWs, particularly in settings where aerosol containment is limited. An alternative sample collection method, tongue swabbing, was designed to help mitigate this risk, and is under evaluation in multiple settings. This study assessed risk perceptions among South African HCWs who used tongue swabbing in TB diagnostic research during the COVID-19 pandemic. We characterized their context-specific preferences as well as the facilitators and barriers of tongue swab use in clinical and community settings. Participants (n = 18) were HCWs with experience using experimental tongue swabbing methods at the South African Tuberculosis Vaccine Initiative (SATVI). We used key informant semi-structured interviews to assess attitudes toward two tongue swab strategies: Provider-collected swabbing (PS) and supervised self-swabbing (SSS). Responses from these interviews were analyzed by rapid qualitative analysis and thematic analysis methods. Facilitators included aversion to sputum (PS and SSS), perceived safety of the method (SSS), and educational resources to train patients (SSS). Barriers included cultural stigmas, as well as personal security and control of their work environment when collecting swabs in community settings. COVID-19 risk perception was a significant barrier to the PS method. Motivators for HCW use of tongue swabbing differed substantially by use case, and whether the HCW has the authority and agency to implement safety precautions in specific settings. These findings point to a need for contextually specific educational resources to enhance safety of and adherence to the SSS collection method. Public Library of Science 2023-09-07 /pmc/articles/PMC10484421/ /pubmed/37676852 http://dx.doi.org/10.1371/journal.pgph.0001430 Text en © 2023 Codsi et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Codsi, Renée
Errett, Nicole A.
Luabeya, Angelique K.
Van As, Danelle
Hatherill, Mark
Shapiro, Adrienne E.
Lochner, Katherine A.
Vingino, Alexandria R.
Kohn, Marlana J.
Cangelosi, Gerard A.
Preferences of healthcare workers using tongue swabs for tuberculosis diagnosis during COVID-19
title Preferences of healthcare workers using tongue swabs for tuberculosis diagnosis during COVID-19
title_full Preferences of healthcare workers using tongue swabs for tuberculosis diagnosis during COVID-19
title_fullStr Preferences of healthcare workers using tongue swabs for tuberculosis diagnosis during COVID-19
title_full_unstemmed Preferences of healthcare workers using tongue swabs for tuberculosis diagnosis during COVID-19
title_short Preferences of healthcare workers using tongue swabs for tuberculosis diagnosis during COVID-19
title_sort preferences of healthcare workers using tongue swabs for tuberculosis diagnosis during covid-19
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10484421/
https://www.ncbi.nlm.nih.gov/pubmed/37676852
http://dx.doi.org/10.1371/journal.pgph.0001430
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