Experiences of the Mobile Injection Team for Multidrug Resistant-Tuberculosis Patients in Ugu District, Kwazulu-Natal
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2018, Vol 9, Issue 1
Abstract
The purpose of this paper is to describe the experiences of the mobile injection team (MTI) for multidrug resistant- tuberculosis with an aim of identifying the challenges facing the team and the institution providing the service. Giorgi's essential phenomenological research method was conducted. Convenience census sampling was used as all the seven members of the MIT were included. The inclusion criteria were that at least six months' working experience with MDR-TB patients in a MIT at Ugu District. And be an enrolled nurse registered with SANC, and/or be a TB assistant, be willing to participate in the study and be located at the decentralised or satellite site. Data were collected through individual in-depth interviews with the participants during November to December 2014 at both the decentralised and satellite hospitals and were analysed using Giorgi's method of data analysis. The research findings revealed four broad themes (the perceptions held by the team, challenges, available support and needs to promote the service) and 73 sub-themes. The findings of the study indicated that the MIT experiences many challenges in the community and need to be supported in order to provide quality care to the patients. Tuberculosis (TB) is curable, as demonstrated by numerous controlled trials that have shown that a six-month regimen of rifampicin and isoniazid, supplemented by pyrazinamide and streptomycin or ethambutol for the first two months, will provide a cure in more than 95% of cases if the medication is taken correctly [1]. If medication is not taken correctly, drug-resistant TB (DR- TB) can develop. Multidrug resistant-tuberculosis (MDR-TB) is defined by the World Health Organization (WHO) as TB caused by Mycobacterium tuberculosis resistant in vitro to the effects of isoniazid and rifampicin [2]. MDR-TB is a laboratory diagnosis; it can be diagnosed by means of a GeneXpert (GXP), TB culture and susceptibility testing [3] GeneXpert is a relatively new diagnostic tool for TB diagnosis in South Africa. This test has an advantage over the existing TB smear microscopy because it has higher sensitivity, specificity and identifies many patients that would not have been diagnosed using TB microscopy. In 2007, a total of2 799 cases (28 cases per 100 000 population) of MDR-TB were identified in KwaZulu-Natal. TB prevalence was 1,200 cases per 100 000population, and MDR accounted for 2.3% of reported cases in the province. XDR-TB cases accounted for 9.6% of MDR TB cases [4]. In 2007, MDR TB in the districts ranged from 10 (uThukela) to 57 (Umkhanyakude) cases per 100 000population. Incidence of MDR-TB was highest for Umkhanyakude and Umzinyathi districts. The proportion of MDR-TB cases that were XDR-TB cases also varied among districts (1.2%-53.1%). The two districts with the highest level of MDR-TB (Umkhanyakude and Umzinyathi) had the highest and the lowest XDR-TB prevalence, respectively.
Authors and Affiliations
Sitha Devi Arjun, DLitt et Phil, Bethabile L Dolamo DCur
Keywords
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- EP ID EP591705
- DOI 10.26717/BJSTR.2018.09.001736
- Views 165
- Downloads 0
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