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Evaluation of the multidrug-resistant tuberculosis surveillance system in Maputo City, Mozambique in the period 2017-2018
INTRODUCTION: multidrug-resistant tuberculosis (MDR-TB) remains a public health problem worldwide. In Mozambique, cases of MDR-TB have increased annually. In 2018, 1,206 cases were reported, as compared to 943 cases in 2017. The aim of this study was to assess the surveillance system for multidrug-r...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The African Field Epidemiology Network
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9250665/ https://www.ncbi.nlm.nih.gov/pubmed/35855038 http://dx.doi.org/10.11604/pamj.2022.41.284.30611 |
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author | Balate, Dionísia Alfredo Manhiça, Ivan Macuacua, Bachir José, Benedita Banze, Denise Langa, José Carlos Baltazar, Cynthia Semá Sacarlal, Jahit Rossetto, Erika Valeska Khosa, Celso |
author_facet | Balate, Dionísia Alfredo Manhiça, Ivan Macuacua, Bachir José, Benedita Banze, Denise Langa, José Carlos Baltazar, Cynthia Semá Sacarlal, Jahit Rossetto, Erika Valeska Khosa, Celso |
author_sort | Balate, Dionísia Alfredo |
collection | PubMed |
description | INTRODUCTION: multidrug-resistant tuberculosis (MDR-TB) remains a public health problem worldwide. In Mozambique, cases of MDR-TB have increased annually. In 2018, 1,206 cases were reported, as compared to 943 cases in 2017. The aim of this study was to assess the surveillance system for multidrug-resistant tuberculosis in Maputo City. METHODS: an extract from the national database was considered for a cut-out of the City of Maputo in the period 2017-2018; the study was conducted per the guidelines of the Centers for Disease Control and Prevention, where the description of the system was carried out, and evaluation of the attributes. Each attribute was evaluated according to the established criteria and parameters. RESULTS: the surveillance system is based on the collection of data in health centers. Four hundred and six cases of MDR-TB were notified, of which 56.8% (231/406) were male and 95.9% (386/406) were ≥15 years. The system was complex with 4 levels of information transmission. With regard to flexibility, there was no changing the variables in the database. Acceptability was good. The quality of the data was regular with discrepancy of data of 14.5%. The system was considered stable as there was no system interruption. Timeliness with case notification monthly. The system sensitivity was 72.9%, the positive predictive value (PPV) was 2.3% and regarding utility the system has fulfilled its objectives. CONCLUSION: the system was not flexible, the data quality was regular, had moderate sensitivity and low positive predictive value. Continuous assessment of data and scale up the diagnosis for the detection of cases of MDR-TB is recommended. |
format | Online Article Text |
id | pubmed-9250665 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | The African Field Epidemiology Network |
record_format | MEDLINE/PubMed |
spelling | pubmed-92506652022-07-18 Evaluation of the multidrug-resistant tuberculosis surveillance system in Maputo City, Mozambique in the period 2017-2018 Balate, Dionísia Alfredo Manhiça, Ivan Macuacua, Bachir José, Benedita Banze, Denise Langa, José Carlos Baltazar, Cynthia Semá Sacarlal, Jahit Rossetto, Erika Valeska Khosa, Celso Pan Afr Med J Research INTRODUCTION: multidrug-resistant tuberculosis (MDR-TB) remains a public health problem worldwide. In Mozambique, cases of MDR-TB have increased annually. In 2018, 1,206 cases were reported, as compared to 943 cases in 2017. The aim of this study was to assess the surveillance system for multidrug-resistant tuberculosis in Maputo City. METHODS: an extract from the national database was considered for a cut-out of the City of Maputo in the period 2017-2018; the study was conducted per the guidelines of the Centers for Disease Control and Prevention, where the description of the system was carried out, and evaluation of the attributes. Each attribute was evaluated according to the established criteria and parameters. RESULTS: the surveillance system is based on the collection of data in health centers. Four hundred and six cases of MDR-TB were notified, of which 56.8% (231/406) were male and 95.9% (386/406) were ≥15 years. The system was complex with 4 levels of information transmission. With regard to flexibility, there was no changing the variables in the database. Acceptability was good. The quality of the data was regular with discrepancy of data of 14.5%. The system was considered stable as there was no system interruption. Timeliness with case notification monthly. The system sensitivity was 72.9%, the positive predictive value (PPV) was 2.3% and regarding utility the system has fulfilled its objectives. CONCLUSION: the system was not flexible, the data quality was regular, had moderate sensitivity and low positive predictive value. Continuous assessment of data and scale up the diagnosis for the detection of cases of MDR-TB is recommended. The African Field Epidemiology Network 2022-04-07 /pmc/articles/PMC9250665/ /pubmed/35855038 http://dx.doi.org/10.11604/pamj.2022.41.284.30611 Text en Copyright: Dionísia Alfredo Balate et al. https://creativecommons.org/licenses/by/4.0/The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Balate, Dionísia Alfredo Manhiça, Ivan Macuacua, Bachir José, Benedita Banze, Denise Langa, José Carlos Baltazar, Cynthia Semá Sacarlal, Jahit Rossetto, Erika Valeska Khosa, Celso Evaluation of the multidrug-resistant tuberculosis surveillance system in Maputo City, Mozambique in the period 2017-2018 |
title | Evaluation of the multidrug-resistant tuberculosis surveillance system in Maputo City, Mozambique in the period 2017-2018 |
title_full | Evaluation of the multidrug-resistant tuberculosis surveillance system in Maputo City, Mozambique in the period 2017-2018 |
title_fullStr | Evaluation of the multidrug-resistant tuberculosis surveillance system in Maputo City, Mozambique in the period 2017-2018 |
title_full_unstemmed | Evaluation of the multidrug-resistant tuberculosis surveillance system in Maputo City, Mozambique in the period 2017-2018 |
title_short | Evaluation of the multidrug-resistant tuberculosis surveillance system in Maputo City, Mozambique in the period 2017-2018 |
title_sort | evaluation of the multidrug-resistant tuberculosis surveillance system in maputo city, mozambique in the period 2017-2018 |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9250665/ https://www.ncbi.nlm.nih.gov/pubmed/35855038 http://dx.doi.org/10.11604/pamj.2022.41.284.30611 |
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