Integrated management of childhood illness indicators of childhood tuberculous meningitis at a tertiary hospital in the Western Cape Province of South Africa

Simple item page
dc.contributor.advisorSolomons, Reganen_ZA
dc.contributor.authorGrantham, Micheleen_ZA
dc.contributor.otherStellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Paediatrics and Child Healthen_ZA
dc.date.accessioned2017-02-14T11:59:09Z
dc.date.available2017-02-14T11:59:09Z
dc.date.issued2015-12
dc.descriptionThesis (MMed)--Stellenbosch University, 2015en_ZA
dc.descriptionAFRIKAANSE OPSOMMING : Geen Afrikaanse opsomming geskikbaar nieen_ZA
dc.description.abstractENGLISH ABSTRACT : BACKGROUND: Tuberculous meningitis (TBM) is the most common type of bacterial meningitis in the Western Cape of South Africa. Early clinical diagnosis is notoriously difficult and often delayed, with disastrous consequences for patients. The Integrated Management of Childhood Illness (IMCI) strategy is the primary child-care approach of choice for South Africa which ensures accurate assessment of sick children using simple yet reliable clinical signs at the first contact level. METHODS: A retrospective observational study of 30 consecutively diagnosed TBM children at Tygerberg Children’s Hospital with the aim of identifying IMCI clinical indicators which would warrant urgent referral and earlier treatment RESULTS: Of the 30 TBM children, 17 male, median age 35 months, 6 (20%) presented with stage I TBM, 6 (20%) with stage II TBM and 18 (60%) with stage III TBM. The median number of healthcare visits prior to hospital admission was 4.0 (range 1-6). At the 1st healthcare visit, 10 (33%) of TBM children had at least one IMCI general danger sign, 22 (73%) had TB-specific signs/symptoms and 18 (60%) “TBM-specific signs/symptoms”. CONCLUSION: If correctly applied, IMCI clinical indicators would ensure earlier diagnosis of TBM.en_ZA
dc.identifier.urihttp://hdl.handle.net/10019.1/100628
dc.language.isoen_ZAen_ZA
dc.publisherStellenbosch : Stellenbosch Universityen_ZA
dc.rights.holderStellenbosch Universityen_ZA
dc.subjectUCTDen_ZA
dc.subjectTuberculosisen_ZA
dc.subjectMeninges -- Tuberculosisen_ZA
dc.subjectMeningitis in childrenen_ZA
dc.subjectTuberculosis in childrenen_ZA
dc.subjectTuberculosis -- Hospitals -- South Africaen_ZA
dc.titleIntegrated management of childhood illness indicators of childhood tuberculous meningitis at a tertiary hospital in the Western Cape Province of South Africaen_ZA
dc.typeThesisen_ZA
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
grantham_integrated_2015.pdf
Size:
971.72 KB
Format:
Adobe Portable Document Format
Description:
Download Thesis
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
1.95 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Masters Degrees (Paediatrics and Child Health)