{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T04:25:06Z","timestamp":1768451106872,"version":"3.49.0"},"reference-count":0,"publisher":"International Union Against Tuberculosis and Lung Disease","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["public health action"],"published-print":{"date-parts":[[2011,9]]},"abstract":"<jats:p>\n                    <jats:bold>Setting:<\/jats:bold>\n                    Zomba Central Hospital, Malawi.\n                    <jats:bold>Objective:<\/jats:bold>\n                    To determine diagnostic management and outcomes of pulmonary tuberculosis (PTB) suspects admitted to adult wards.\n                    <jats:bold>Design:<\/jats:bold>\n                    A retrospective, cross-sectional review of medical records of patients admitted to hospital between July and September 2010.\n                    <jats:bold>Results:<\/jats:bold>\n                    There were\n                    <jats:bold\/>\n                    141 PTB suspects. Sputum examination was requested and performed in 67 (48%) suspects, but none were smear-positive. Chest X-ray (CXR) was requested and performed in 26 (39%) suspects whose sputum smears were negative. Eleven suspects had a CXR suggestive of PTB: two were started on TB treatment and eight died before treatment started. Human immunodefi ciency virus (HIV) status was known for 50 patients (35% of all suspects) on admission, all of whom were HIV-positive. HIV testing was requested for 37 patients, but was only performed in 12, five of whom were HIVpositive. Only one patient was referred for antiretroviral treatment. There were 41 (29%) deaths, eight of whom had probable TB and were not treated. In the remaining 33 patients who died, only nine (27%) had sputum smears examined and four (12%) had a CXR.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    The study  shows inadequacies in the diagnostic management of PTB suspects in the Zomba Central Hospital, but suggests opportunities for improvement.\n                  <\/jats:p>","DOI":"10.5588\/pha.11.0007","type":"journal-article","created":{"date-parts":[[2011,10,10]],"date-time":"2011-10-10T15:43:43Z","timestamp":1318261423000},"page":"2-5","source":"Crossref","is-referenced-by-count":4,"title":["Diagnostic management and outcomes of pulmonary tuberculosis suspects admitted to a central hospital in Malawi"],"prefix":"10.5588","volume":"1","author":[{"given":"L.G.","family":"Gawa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Reid","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.E.","family":"Edginton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Van Lettow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Joshua","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.D.","family":"Harries","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3554","published-online":{"date-parts":[[2011,9,1]]},"container-title":["Public Health Action"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.5588\/pha.11.0007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T17:01:11Z","timestamp":1768410071000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.theunion.org\/lookup\/doi\/10.5588\/pha.11.0007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,9]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2011,9,1]]},"published-print":{"date-parts":[[2011,9]]}},"alternative-id":["10.5588\/pha.11.0007"],"URL":"https:\/\/doi.org\/10.5588\/pha.11.0007","relation":{},"ISSN":["2220-8372"],"issn-type":[{"value":"2220-8372","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,9]]}}}