Strengthening Tuberculosis Prevention and Control in Nigeria: Exploring Integrated Approach

Tuberculosis (TB) is an infectious disease caused by mycobacterium tuberculosis, and usually affects the lungs and other parts of the body. Patients with HIV infection are particularly more susceptible to wider varieties of mycobacterium strains. This study discussed integrated strategies of tuberculosis prevention and control for improved population health. The study discussed relevant documents and literatures written in English Language from reorganized websites. Key words were used individually and in series with truncations where necessary. Government can aid the control of tuberculosis by providing good shelter, improved mass literacy programmes on the predisposing factors and prevention. The need to improve the standard of living, reduction of hunger and starvation is essential. The incidence worldwide stood at the rate of 10-20/100,000 per year with low mortality; deaths occurring mainly in the elderly and occasionally in undiagnosed cases. About 10% of all HIV-positive individuals harbor TB. That is 400 times the rate associated with the public. Only 3-4% of infected individuals develop the active disease upon initial infection, 5-10% within one year. In cases of HIV infection the percentages are much higher because HIV infection tends to fuel the reactivation of existing TB infection as well as promote new infections. Integrated strategies will reduce the prevalence of TB especially among the HIV positive patients that are more vulnerable. Promotion of rational drug use, scaling up disease surveillance, monitoring and evaluation, and improving access to diagnostic centers are essential for improved prevention and control. Government policies targeted towards overcrowding prevention, and increased funding for TB research and development will boost and sustain already existing efforts. These processes in a continuum will boost sustainability.

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Knowledge of infection prevention and control among healthcare workers and factors influencing compliance: a systematic review

Antimicrobial Resistance and Infection Control ◽

10.1186/s13756-021-00957-0 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Saad Alhumaid ◽

Abbas Al Mutair ◽

Zainab Al Alawi ◽

Murtadha Alsuliman ◽

Gasmelseed Y. Ahmed ◽

...

Keyword(s):

Systematic Review ◽

Prevention And Control ◽

Healthcare Workers ◽

Infection Prevention ◽

English Language ◽

Meta Analysis ◽

The Body ◽

Infection Prevention And Control ◽

Online Library ◽

And Control

Abstract Background Knowledge of infection prevention and control (IPC) procedures among healthcare workers (HCWs) is crucial for effective IPC. Compliance with IPC measures has critical implications for HCWs safety, patient protection and the care environment. Aims To discuss the body of available literature regarding HCWs' knowledge of IPC and highlight potential factors that may influence compliance to IPC precautions. Design A systematic review. A protocol was developed based on the Preferred Reporting Items for Systematic reviews and Meta-Analysis [PRISMA] statement. Data sources Electronic databases (PubMed, CINAHL, Embase, Proquest, Wiley online library, Medline, and Nature) were searched from 1 January 2006 to 31 January 2021 in the English language using the following keywords alone or in combination: knowledge, awareness, healthcare workers, infection, compliance, comply, control, prevention, factors. 3417 papers were identified and 30 papers were included in the review. Results Overall, the level of HCW knowledge of IPC appears to be adequate, good, and/or high concerning standard precautions, hand hygiene, and care pertaining to urinary catheters. Acceptable levels of knowledge were also detected in regards to IPC measures for specific diseases including TB, MRSA, MERS-CoV, COVID-19 and Ebola. However, gaps were identified in several HCWs' knowledge concerning occupational vaccinations, the modes of transmission of infectious diseases, and the risk of infection from needle stick and sharps injuries. Several factors for noncompliance surrounding IPC guidelines are discussed, as are recommendations for improving adherence to those guidelines. Conclusion Embracing a multifaceted approach towards improving IPC-intervention strategies is highly suggested. The goal being to improve compliance among HCWs with IPC measures is necessary.

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Anolunula in Fingernails among Patients Infected with HIV

ISRN Dermatology ◽

10.1155/2014/271230 ◽

2014 ◽

Vol 2014 ◽

pp. 1-6

Author(s):

Pratik Gahalaut ◽

Nitin Mishra ◽

Sandhya Chauhan ◽

Mir Mubashir Ali ◽

Madhur Kant Rastogi ◽

...

Keyword(s):

Hiv Infection ◽

Cross Sectional Study ◽

Negative Control ◽

Hiv Positive ◽

Control Group ◽

Cross Sectional ◽

Significant Difference ◽

Stage 1 ◽

And Control ◽

Hiv Negative

Lunula is the white, half-moon shaped area seen in proximal ends of some nails. Though a few studies have described the nail changes that can occur in association with HIV infection, none of these paid much attention to lunula. Aims and Objectives. To study the lunula in fingernails among HIV infected patients. Materials and Methods. An observational, cross-sectional study to record presence of lunula in 168 HIV-positive patients and compare it with age and sex matched 168 healthy HIV-negative control. Anolunula (absence of lunula) in HIV-positive patients was correlated with CD4 counts, stages of HIV infection, time since patient was diagnosed as HIV-positive, and status of antiretroviral therapy. Results. Anolunula was present in significantly more fingernails in HIV-positive patients compared to HIV-negative controls. There was a highly significant difference for total anolunula (anolunula in all fingernails) in study and control group. Incidence of total anolunula was directly proportional to the stage of HIV infection, increasing progressively as the HIV infection advances from stage 1 to stage 4. Conclusion. Absence of lunula is related to not only HIV infection per se but also the stages of HIV infection.

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Integrated approach to prevention and control of cardiovascular diseases

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1106304r ◽

2011 ◽

Vol 139 (5-6) ◽

pp. 304-310

Author(s):

Dusica Rakic ◽

Djordje Jakovljevic

Keyword(s):

Risk Factors ◽

Cardiovascular Disease ◽

Prevention And Control ◽

Integrated Approach ◽

Noncommunicable Disease ◽

Intervention Programme ◽

Cerebrovascular Events ◽

International Projects ◽

Novi Sad ◽

And Control

Introduction. From 1984 to 2004, the city of Novi Sad participated in the international MONICA (Multinational MONItoring of trends and determinants in CArdiovascular disease) project, as one of the 38 research centres form 21 countries around the world and in CINDI (Countrywide Integrated Noncommunicable Disease Intervention Programme) programme. Objective. Objective was to indicate the advantages of the integrated approach to prevention and control of the cardiovascular disease (CVD) over mono-programmes and still present curative approach. Additional objective was the assessment of the vulnerability from the leading risk factors of the population of Novi Sad, based on the results and experience gained in realization of international projects. Methods. We analyzed the results obtained in the countries where MONICA project and CINDI programme have been applied. The results of their application in Novi Sad are analyzed (the trend of the prevalence of risk factors, the incidence of coronary and cerebrovascular events). Results. The prevalence of risk factors (except smoking), the incidence of coronary and cerebrovascular events are significantly increasing and are in positive correlation with the values of the linear trend. The decrease was only recorded in 1987 (the implementation of the intervention programme). Conclusion. The review of results and experiences in international projects and programs, clearly indicate the advantage of an integrated approach to prevention and control of CVD in relation to monoprograme. The great vulnerability of the population of Novi Sad of the risk factors of CVD points out the necessity of their reductions by the principles of integrated programmes of prevention and control.

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