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Évaluation du « Health system delay » chez les patients tuberculeux à Saint-Louis du Sénégal

The “Health system delay” in tuberculosis patients in Saint-Louis Senegal

  • Santé Publique / Public Health
  • Published:
Bulletin de la Société de pathologie exotique

Résumé

Une étude prospective a été menée dans le district sanitaire de Saint-Louis (Sénégal) en 2012 pour évaluer la durée de la période allant de la première consultation d’un patient tuberculeux jusqu‘au démarrage du traitement (Health system delay). Ce délai était en moyenne de 8,1 jours et se situe parmi les délais les plus courts relevés dans la littérature. Cette brièveté permet de réduire d’autant les risques d’infections lies au retard de soin. C’est un des axes de travail du Programme national de lutte contre les infections nosocomiales au Sénégal (PRONALIN), au même titre que la mise en place des procédures environnementales et l’utilisation des masques et équipements de protection respiratoire.

Abstract

Sixty patients with positive acid fast bacilli sputum smears between were enrolled consecutively between March and August 2012 in the Saint-Louis (Senegal) health district to determine the Health System Delay in response to tuberculosis. The length of time between the first consultation of a TB patient and the start of treatment was, on average, 8.1 days and is among the shortest in the literature. This promptness reduces the risk of infection related to delayed care. This is one of the focuses of the National Programme of Fight against nosocomial infections in Senegal (PRONALIN), as well as the implementation of environmental procedures and the use of masks and respiratory protection equipment.

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Références

  1. Belay M, Bjune G, Ameni G, Abebe F (2012) Diagnostic and treatment delay among Tuberculosis patients in Afar Region, Ethiopia: a cross-sectional study. BMC Public Health 12:369

    Article  PubMed Central  PubMed  Google Scholar 

  2. Buregyeya E, Criel B, Nuwaha F, Colebunders R (2014) Delays in diagnosis and treatment of pulmonary tuberculosis in Wakiso and Mukono districts, Uganda. BMC Public Health 14:586

    Article  PubMed Central  PubMed  Google Scholar 

  3. Cuisinier-Raynal JC Accessibilité et Performance des soins hospitaliers en situation de ressources limitées [http://u-bordeaux2-medtrop.org/doc/COURS/UE3&UE4/Acces%20aux%20soins_Pr %20Cuisinier%20Raynal.pdf]

  4. Desenclos JC, Abiteboul D, Bouvet E, et al (1995) Focus on the role of ventilation and ultraviolet rays in preventing nosocomial transmission of tuberculosis in health care facilities. Groupe de travail sur la prévention de la transmission nosocomiale de la tuberculose (Direction Générale de la Santé). Rev Pneumol Clin 51(1):13–21

    CAS  PubMed  Google Scholar 

  5. Eyob G, Gebeyhu M, Goshu S, et al (2002) Increase in tuberculosis incidence among the staff working at the Tuberculosis Demonstration and Training Centre in Addis Ababa, Ethiopia: a retrospective cohort study (1989–1998). Int J Tuberc Lung Dis 6:85–8

    CAS  PubMed  Google Scholar 

  6. Harries AD, Argreaves NJ, Gausi F et al (2002) High death rates in health care workers and teachers in Malawi. Trans R Soc Trop Med Hyg 96(1):34–7

    Article  CAS  PubMed  Google Scholar 

  7. Kayanja HK, Debanne S, King C, et al (2005) Tuberculosis infection among health care workers in Kampala, Uganda. Int J Tuberc Lung Dis 9(6):686–8

    CAS  PubMed  Google Scholar 

  8. Lusignani LS, Quaglio G, Atzori A, et al (2013) Factors associated with patient and health care system delay in diagnosis for tuberculosis in the province of Luanda, Angola. BMC Infect Dis 13:168

    Article  Google Scholar 

  9. Massenet D, Fall D, Diop M, et al (2013) Répartition spatiotemporelle des cas de tuberculose dans la ville de Saint-Louis du Sénégal entre 2008–2011. Rev Epidemiol Sante Publique 61 (5):421–8

    Article  CAS  PubMed  Google Scholar 

  10. Ndoye B. Massenet D (2008) Le Sénégal face aux infections liées aux soins: actualités et perspectives. Hygiènes 16(1):76–9

    Google Scholar 

  11. Ngangro NN, Ngarhounoum D, Ngangro MN, et al (2012) Pulmonary tuberculosis diagnostic delays in Chad: a multicenter, hospital-based survey in Ndjamena and Moundou. BMC Public Health 12:513

    Article  PubMed Central  PubMed  Google Scholar 

  12. Saifodine A, Gudo PS, Sidat M, Black J (2013) Patient and health system delay among patients with pulmonary tuberculosis in Beira city, Mozambique. BMC Public Health 13:559

    Article  PubMed Central  PubMed  Google Scholar 

  13. Service National de l’Information Sanitaire, Ministère de la Santé et de la Prévention (SNIS), Sénégal Annuaire statistique 2009

  14. Storla DG, Yimer S, Bjune GA (2008) A systematic review of delay in the diagnosis and treatment of tuberculosis. BMC Public Health 8:15

    Article  PubMed Central  PubMed  Google Scholar 

  15. Uys PW, Warren RM, van Helden PD (2007) A threshold value for the time delay to TB diagnosis. PLoS One 2(8):e757

    Article  Google Scholar 

  16. Van Wyk SS, Enarson DA, Beyers N, et al (2011) Consulting private health care providers aggravates treatment delay in urban South African tuberculosis patients. Int J Tuberc Lung Dis 15 (8):1069–76

    Article  PubMed  Google Scholar 

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Massenet, D., Diop, M., Fall, D. et al. Évaluation du « Health system delay » chez les patients tuberculeux à Saint-Louis du Sénégal. Bull. Soc. Pathol. Exot. 108, 188–190 (2015). https://doi.org/10.1007/s13149-014-0407-4

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  • DOI: https://doi.org/10.1007/s13149-014-0407-4

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