Standardised patient study to assess tuberculosis case detection within the private pharmacy sector in Vietnam Article Swipe
YOU?
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· 2021
· Open Access
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· DOI: https://doi.org/10.1136/bmjgh-2021-006475
Background Of the estimated 10 million people affected by (TB) each year, one-third are never diagnosed. Delayed case detection within the private healthcare sector has been identified as a particular problem in some settings, leading to considerable morbidity, mortality and community transmission. Using unannounced standardised patient (SP) visits to the pharmacies, we aimed to evaluate the performance of private pharmacies in the detection and treatment of TB. Methods A cross-sectional study was undertaken at randomly selected private pharmacies within 40 districts of Vietnam. Trained actors implemented two standardised clinical scenarios of presumptive TB and presumptive multidrug-resistant TB (MDR-TB). Outcomes were the proportion of SPs referred for medical assessment and the proportion inappropriately receiving broad-spectrum antibiotics. Logistic regression evaluated predictors of SPs’ referral. Results In total, 638 SP encounters were conducted, of which only 155 (24.3%) were referred for medical assessment; 511 (80·1%) were inappropriately offered antibiotics. A higher proportion of SPs were referred without having been given antibiotics if they had presumptive MDR-TB (68/320, 21.3%) versus presumptive TB (17/318, 5.3%; adjusted OR=4.8, 95% CI 2.9 to 7.8). Pharmacies offered antibiotics without a prescription to 89.9% of SPs with presumptive TB and 70.3% with presumptive MDR-TB, with no clear follow-up plan. Conclusions Few SPs with presumptive TB were appropriately referred for medical assessment by private pharmacies. Interventions to improve appropriate TB referral within the private pharmacy sector are urgently required to reduce the number of undiagnosed TB cases in Vietnam and similar high-prevalence settings.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/bmjgh-2021-006475
- https://gh.bmj.com/content/bmjgh/6/10/e006475.full.pdf
- OA Status
- gold
- Cited By
- 26
- References
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- Related Works
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- OpenAlex ID
- https://openalex.org/W3203985654
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3203985654Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1136/bmjgh-2021-006475Digital Object Identifier
- Title
-
Standardised patient study to assess tuberculosis case detection within the private pharmacy sector in VietnamWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-10-01Full publication date if available
- Authors
-
Shukry Zawahir, Hien Thi Thu Le, Thu Anh Nguyen, Justin Beardsley, Anh Dang Duc, Sarah Bernays, Kerri Viney, Thai Cao Hung, Shannon McKinn, Hoang Huy Tran, Son Nguyen Tu, Kavindhran Velen, Tan Luong Minh, Hung Tran Thi, Nguyen Viet Nhung, Thi Viet Ha Nguyen, Van Nguyen Thi Cam, Thanh Nguyen Trung, Stephen Jan, Ben J. Marais, Joel Negin, Guy B. Marks, Gregory J. FoxList of authors in order
- Landing page
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https://doi.org/10.1136/bmjgh-2021-006475Publisher landing page
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https://gh.bmj.com/content/bmjgh/6/10/e006475.full.pdfDirect link to full text PDF
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-
YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://gh.bmj.com/content/bmjgh/6/10/e006475.full.pdfDirect OA link when available
- Concepts
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Medicine, Pharmacy, Referral, Tuberculosis, Medical prescription, Family medicine, Logistic regression, Public health, Private sector, Psychological intervention, Cross-sectional study, Pediatrics, Environmental health, Internal medicine, Nursing, Pathology, Economic growth, EconomicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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26Total citation count in OpenAlex
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2025: 2, 2024: 8, 2023: 7, 2022: 9Per-year citation counts (last 5 years)
- References (count)
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32Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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