Evaluation of a short training course of chest X-ray interpretation for the diagnosis of paediatric TB
BACKGROUND: Chest X-ray (CXR) interpretation is challenging for the diagnosis of paediatric TB. We assessed the performance of a three half-day CXR training module for healthcare workers (HCWs) at low healthcare levels in six high TB incidence countries. METHODS: Within the TB-Speed Decentralization...
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International Union Against Tuberculosis and Lung Disease (The Union)
2024-02-01
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| Series: | IJTLD Open |
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| author | B. F. Melingui E. Leroy-Terquem M. Palmer J-V. Taguebue A. P. Wachinou J. Gaudelus A. Salomao D. Bunnet T. C. Eap L. Borand C. Chabala C. Khosa R. Moh J. Mwanga-Amumpere M. T. Eang I. Manhiça A. Mustapha S. Beneteau L. Falzon J. A. Seddon L. Berteloot E. Wobudeya O. Marcy M. Bonnet P. Y. Norval |
| author_facet | B. F. Melingui E. Leroy-Terquem M. Palmer J-V. Taguebue A. P. Wachinou J. Gaudelus A. Salomao D. Bunnet T. C. Eap L. Borand C. Chabala C. Khosa R. Moh J. Mwanga-Amumpere M. T. Eang I. Manhiça A. Mustapha S. Beneteau L. Falzon J. A. Seddon L. Berteloot E. Wobudeya O. Marcy M. Bonnet P. Y. Norval |
| author_sort | B. F. Melingui |
| collection | DOAJ |
| description | BACKGROUND: Chest X-ray (CXR) interpretation is challenging for the diagnosis of paediatric TB. We assessed the performance of a three half-day CXR training module for healthcare workers (HCWs) at low healthcare levels in six high TB incidence countries. METHODS: Within the TB-Speed Decentralization Study, we developed a three half-day training course to identify normal CXR, CXR of good quality and identify six TB-suggestive features. We performed a pre–post training assessment on a pre-defined set of 20 CXR readings. We compared the proportion of correctly interpreted CXRs and the median reading score before and after the training using the McNemar test and a linear mixed model. RESULTS: Of 191 HCWs, 43 (23%) were physicians, 103 (54%) nurses, 18 (9.4%) radiology technicians and 12 (6.3%) other professionals. Of 2,840 CXRs with both assessment, respectively 1,843 (64.9%) and 2,277 (80.2%) were correctly interpreted during pre-training and post-training (P < 0.001). The median reading score improved significantly from 13/20 to 16/20 after the training, after adjusting by country, facility and profession (adjusted β = 3.31, 95% CI 2.44–4.47). CONCLUSION: Despite some limitations of the course assessment that did not include abnormal non-TB suggestive CXR, study findings suggest that a short CXR training course could improve HCWs’ interpretation skills in diagnosing paediatric TB. |
| format | Article |
| id | doaj-art-d231adc79ab04f98bff5748e0bbdeb17 |
| institution | Kabale University |
| issn | 3005-7590 |
| language | English |
| publishDate | 2024-02-01 |
| publisher | International Union Against Tuberculosis and Lung Disease (The Union) |
| record_format | Article |
| series | IJTLD Open |
| spelling | doaj-art-d231adc79ab04f98bff5748e0bbdeb172025-01-21T10:20:39ZengInternational Union Against Tuberculosis and Lung Disease (The Union)IJTLD Open3005-75902024-02-0112768210.5588/ijtldopen.23.04844Evaluation of a short training course of chest X-ray interpretation for the diagnosis of paediatric TBB. F. Melingui0E. Leroy-Terquem1M. Palmer2J-V. Taguebue3A. P. Wachinou4J. Gaudelus5A. Salomao6D. Bunnet7T. C. Eap8L. Borand9C. Chabala10C. Khosa11R. Moh12J. Mwanga-Amumpere13M. T. Eang14I. Manhiça15A. Mustapha16S. Beneteau17L. Falzon18J. A. Seddon19L. Berteloot20E. Wobudeya21O. Marcy22M. Bonnet23P. Y. Norval24Recherches Translationnelles sur le VIH et les Maladies Infectieuses, University of Montpellier, Institut de Recherche pour le Développement (IRD), Institut national de la santé et de la recherche médicale (INSERM) Unité 1175, Montpellier,International Pulmonology Support, François Quesnay Hospital, Mantes-la-Jolie, France;Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Stellenbosch University, Cape Town, South Africa;Mother and Child Center, Chantal Biya Foundation, Yaoundé, Cameroon;National Teaching Hospital for Tuberculosis and Pulmonary Diseases, Akpakpa Abokicodji, Cotonou, Benin;Service de Pediatrie, Hôpital Jean Verdier, Hôpitaux Universitaires Paris Seine Saint Denis, Bondy, France;Independent Public Health Consultant, Maputo, Mozambique;Epidemiology and Public Health Unit, Pasteur Institute in Cambodia, Phnom Penh,National TB Programme, Phnom Penh,Epidemiology and Public Health Unit, Clinical Research Group, Institut Pasteur du Cambodge, Phnom Penh, Cambodia;Children’s Hospital, University Teaching Hospital, Lusaka, Zambia;Instituto Nacional de Saúde, Marracuene, Mozambique;Programme ANRS Coopération Côte d'Ivoire, Centre hospitalière universitaire de Treichville, Abidjan, Côte d’Ivoire;Epicentre Mbarara Research Centre, Mbarara, Uganda;National Center for Tuberculosis and Leprosy (CENAT/NTP), Ministry of Health, Phnom Penh, Cambodia;Programa Nacional de Controlo da Tuberculose, Ministério da Saúde, Maputo, Mozambique;Ola During Children Hospital, Freetown, Sierra Leone;Recherches Translationnelles sur le VIH et les Maladies Infectieuses, University of Montpellier, Institut de Recherche pour le Développement (IRD), Institut national de la santé et de la recherche médicale (INSERM) Unité 1175, Montpellier,International Pulmonology Support, Paris, France;Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Stellenbosch University, Cape Town, South Africa;Department of Pediatric Radiology, University Hospital Necker-Enfants Malades, Assistance Publique – Hôpitaux de Paris, Paris, France;Makerere University-Johns Hopkins University Research Collaboration Care Ltd, Kampala, Uganda;University of Bordeaux, INSERM Unité mixte de Recherche 1219, IRD Unité Mixte de Recherche 271, Bordeaux,Recherches Translationnelles sur le VIH et les Maladies Infectieuses, University of Montpellier, Institut de Recherche pour le Développement (IRD), Institut national de la santé et de la recherche médicale (INSERM) Unité 1175, Montpellier,Technical Assistance for Management, Paris, FranceBACKGROUND: Chest X-ray (CXR) interpretation is challenging for the diagnosis of paediatric TB. We assessed the performance of a three half-day CXR training module for healthcare workers (HCWs) at low healthcare levels in six high TB incidence countries. METHODS: Within the TB-Speed Decentralization Study, we developed a three half-day training course to identify normal CXR, CXR of good quality and identify six TB-suggestive features. We performed a pre–post training assessment on a pre-defined set of 20 CXR readings. We compared the proportion of correctly interpreted CXRs and the median reading score before and after the training using the McNemar test and a linear mixed model. RESULTS: Of 191 HCWs, 43 (23%) were physicians, 103 (54%) nurses, 18 (9.4%) radiology technicians and 12 (6.3%) other professionals. Of 2,840 CXRs with both assessment, respectively 1,843 (64.9%) and 2,277 (80.2%) were correctly interpreted during pre-training and post-training (P < 0.001). The median reading score improved significantly from 13/20 to 16/20 after the training, after adjusting by country, facility and profession (adjusted β = 3.31, 95% CI 2.44–4.47). CONCLUSION: Despite some limitations of the course assessment that did not include abnormal non-TB suggestive CXR, study findings suggest that a short CXR training course could improve HCWs’ interpretation skills in diagnosing paediatric TB.https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2024/00000001/00000002/art00004tuberculosisdiagnosischildrenchest x-raylimited-resources countries |
| spellingShingle | B. F. Melingui E. Leroy-Terquem M. Palmer J-V. Taguebue A. P. Wachinou J. Gaudelus A. Salomao D. Bunnet T. C. Eap L. Borand C. Chabala C. Khosa R. Moh J. Mwanga-Amumpere M. T. Eang I. Manhiça A. Mustapha S. Beneteau L. Falzon J. A. Seddon L. Berteloot E. Wobudeya O. Marcy M. Bonnet P. Y. Norval Evaluation of a short training course of chest X-ray interpretation for the diagnosis of paediatric TB IJTLD Open tuberculosis diagnosis children chest x-ray limited-resources countries |
| title | Evaluation of a short training course of chest X-ray interpretation for the diagnosis of paediatric TB |
| title_full | Evaluation of a short training course of chest X-ray interpretation for the diagnosis of paediatric TB |
| title_fullStr | Evaluation of a short training course of chest X-ray interpretation for the diagnosis of paediatric TB |
| title_full_unstemmed | Evaluation of a short training course of chest X-ray interpretation for the diagnosis of paediatric TB |
| title_short | Evaluation of a short training course of chest X-ray interpretation for the diagnosis of paediatric TB |
| title_sort | evaluation of a short training course of chest x ray interpretation for the diagnosis of paediatric tb |
| topic | tuberculosis diagnosis children chest x-ray limited-resources countries |
| url | https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2024/00000001/00000002/art00004 |
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