A mortality review of adult inpatients with tuberculosis in Mendi, Papua New Guinea

K. Vakadem, A. Anota, M. Sa'avu, C. Ramoni, L. Comrie-Thomson, M. Gale, Robert Commons

    Research output: Contribution to journalArticle

    Abstract

    Setting: Mendi Provincial Hospital, Southern Highlands Province, Papua New Guinea (PNG).

    Background: PNG is a high burden country for tuberculosis (TB) and TB-human immunodeficiency virus (HIV). TB is the second most common cause of death in PNG.

    Objective: To identify the number of adult inpatients with TB who died between 1 January 2015 and 30 August 2017; describe these patients’ characteristics and identify contributing factors that could be modified.

    Design: This was a retrospective case series review.

    Results: Among 905 inpatients with TB during the study period, there were 90 deaths. The patients who died were older than those who survived (median age 40 years vs. 32 years, P = 0.011). The majority of patients who died lived less than 3 hours from the hospital (71%),
    were diagnosed after admission (79%) and were clinically diagnosed (77%). HIV status was not known in 50% of the deaths. Of patients with a known status, 27% (12/45) were HIV-positive. The median symptom duration prior to presentation was 28 days, with females presenting later than males (84 vs. 28 days, P = 0.008).

    Conclusion: This study highlights areas where community and hospital-based management of TB could be improved to potentially reduce TB mortality, including earlier detection and treatment, improved bacteriological diagnosis and increased HIV testing
    Original languageEnglish
    Pages (from-to)S62-S67
    Number of pages6
    JournalPublic Health Action
    Volume9
    Issue numberSupplement 1
    DOIs
    Publication statusPublished - 21 Sep 2019

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    Vakadem, K., Anota, A., Sa'avu, M., Ramoni, C., Comrie-Thomson, L., Gale, M., & Commons, R. (2019). A mortality review of adult inpatients with tuberculosis in Mendi, Papua New Guinea. Public Health Action, 9(Supplement 1), S62-S67. https://doi.org/10.5588/pha.18.0068