Background

To document the management of drug-sensitive TB patients during the Hajj and assess compliance with the Saudi TB management guidelines.

Method

The study was conducted in hospitals in Makkah during the 2016 and 2017 Hajj seasons. Structured questionnaire was used to collect data on relevant indices on TB management and a scoring system was developed to assess compliance with guidelines.

Results

Data was collected from 31 TB cases, 65.4% (17/26) were Saudi residents. Sputum culture was the only diagnostic test applied in 67.7% (21/31) of patients. Most (96.8%, 30/31) confirmed TB cases were isolated, but only 12.9% (4/28) were tested for HIV and merely 37% (10/27) received the recommended four 1st-line anti-TB drugs. Guideline compliance scores were highest for infection prevention and control and surveillance (9.6/10) and identifying TB suspects (7.2/10). The least scores were obtained for treating TB (5.0/10) and diagnosing TB (3.0/10).

Conclusions

Healthcare providers training and supervision are paramount to improve their knowledge and skill and ensure their compliance with existing TB management guidelines. However, there may be a need for the introduction of an international policy/guideline for TB control and management during mass gatherings such as the Hajj to guide providers’ choices and facilitate monitoring.

中文翻译：

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朝觐群众集会期间住院药物敏感肺结核患者的管理：一项横断面研究。

背景

记录朝觐期间对药物敏感的结核病患者的管理，并评估对沙特结核病管理指南的遵守情况。

方法

该研究于 2016 年和 2017 年朝觐季节在麦加的医院进行。使用结构化问卷收集有关结核病管理相关指标的数据，并开发了一个评分系统来评估对指南的遵守情况。

结果

数据收集自 31 例结核病病例，其中 65.4% (17/26) 是沙特居民。痰培养是唯一用于 67.7% (21/31) 患者的诊断测试。大多数 (96.8%, 30/31) 确诊的结核病例被隔离，但只有 12.9% (4/28) 接受了 HIV 检测，只有 37% (10/27) 接受了推荐的四种一线抗结核药物。感染预防和控制及监测 (9.6/10) 和识别结核病嫌疑人 (7.2/10) 的指南依从性得分最高。治疗结核病 (5.0/10) 和诊断结核病 (3.0/10) 的得分最低。

结论

医疗保健提供者的培训和监督对于提高他们的知识和技能并确保他们遵守现有的结核病管理指南至关重要。然而，可能需要在朝觐等大型集会期间引入结核病控制和管理的国际政策/指南，以指导提供者的选择并促进监测。