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Journal articles on the topic 'Tuberculosis Swaziland'

Author: Grafiati

Published: 4 June 2021

Last updated: 7 February 2022

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1

Sanchez-Padilla, Elisabeth, Themba Dlamini, Alexandra Ascorra, Sabine Rüsch-Gerdes, Zerihun Demissie Tefera, Philippe Calain, Roberto de la Tour, Frauke Jochims, Elvira Richter, and Maryline Bonnet. "High Prevalence of Multidrug-Resistant Tuberculosis, Swaziland, 2009–2010." Emerging Infectious Diseases 18, no. 1 (January 2012): 29–37. http://dx.doi.org/10.3201/eid1801.110850.

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2

Mchunu, G., J. van Griensven, S. G. Hinderaker, W. Kizito, W. Sikhondze, M. Manzi, T. Dlamini, and A. D. Harries. "High mortality in tuberculosis patients despite HIV interventions in Swaziland." Public Health Action 6, no. 2 (June 21, 2016): 105–10. http://dx.doi.org/10.5588/pha.15.0081.

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3

DiNardo, Andrew R., Anna M. Mandalakas, Gugu Maphalala, Godwin Mtetwa, Temhlanga Mndzebele, Piluca Ustero, Makhosazana Hlatshwayo, Emily M. Mace, Jordan S. Orange, and George Makedonas. "HIV Progression Perturbs the Balance of the Cell-Mediated and Anti-Inflammatory Adaptive and Innate Mycobacterial Immune Response." Mediators of Inflammation 2016 (2016): 1–6. http://dx.doi.org/10.1155/2016/1478340.

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Introduction. Our objective is to understand how HIV infection increases the risk of progression from latent tuberculosis (TB) to active disease. We understand now that immunity is a balance of competing immune responses by multiple cell types. Since T-lymphocyte production of interferon-gamma (IFN-γ) in response toMycobacterium tuberculosis (Mtb) antigens fails to differentiate disease from latent infection, we applied a comprehensive profiling methodology to define immune biomarkers that reliably predict a patient’s TB risk.Methods. We established a cohort of HIV-infected adults with TB disease from Swaziland. Multiparametric flow cytometry was used to quantify the mycobacterial-specific anti-inflammatory (IL-4 and IL-10) and proinflammatory (IFN-γ) immune response.Results. From 12 HIV-infected Swaziland patients with TB disease, the CD4+, CD8+, Double Negative, and CD56+CD3−lymphocytes increase their IL-4 : IFN-γratio as HIV disease worsens (Spearmanrof −0.59; −0.59; −0.60; and −0.59, resp.;p<0.05). Similarly, HIV severity is associated with an increased IL-10 : IFN-γratio (Spearmanrof −0.76;p=0.01).Conclusion. As HIV disease progresses, both the adaptive and innate branches skew away from an inflammatory and towards anti-inflammatory phenotype.

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4

Sanchez-Padilla, Elisabeth, Matthias Merker, Patrick Beckert, Frauke Jochims, Themba Dlamini, Patricia Kahn, Maryline Bonnet, and Stefan Niemann. "Detection of Drug-Resistant Tuberculosis by Xpert MTB/RIF in Swaziland." New England Journal of Medicine 372, no. 12 (March 19, 2015): 1181–82. http://dx.doi.org/10.1056/nejmc1413930.

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5

Calnan, Marianne, Samson Haumba, Makhosazana Matsebula, Ntombifuthi Shongwe, Munyaradzi Pasipamire, Natalie K. Levy, Munamato Mirira, Peter Preko, Alisha Smith-Arthur, and Varduhi Ghazaryan. "Delivery of isoniazid preventive therapy to reduce occupational TB among healthcare workers in Swaziland." Southern African Journal of Infectious Diseases 32, no. 1 (March 31, 2017): 1–4. http://dx.doi.org/10.4102/sajid.v32i1.68.

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Healthcare workers (HCWs) in Swaziland are at increased risk of acquiring tuberculosis (TB), but existing infection control and occupational health policies often fall short of mitigating the risk of acquiring TB in the workplace. Health service failure to systematically offer isoniazid preventive therapy (IPT) to HCWs, which is endorsed by the World Health Organisation (WHO), contributes significantly to the TB incidence among HCWs in high HIV prevalence settings. This paper describes a pilot introduction of IPT to HCWs, and expounds possible determinants for adherence and non-acceptance to IPT. Acceptance to the widespread use of IPT among HCWs can be improved through education on risk and counselling.

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6

Pushpananthan, S., J. D. Walley, and J. Wright. "Tuberculosis in Swaziland: A Health Needs Assessment in Preparation for a Community-Based Programme." Tropical Doctor 30, no. 4 (October 2000): 216–20. http://dx.doi.org/10.1177/004947550003000412.

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7

Haumba, S., T. Dlamini, M. Calnan, V. Ghazaryan, A. E. Smith-Arthur, P. Preko, and P. Ehrenkranz. "Declining tuberculosis notification trend associated with strengthened TB and expanded HIV care in Swaziland." Public Health Action 5, no. 2 (June 21, 2015): 103–5. http://dx.doi.org/10.5588/pha.15.0008.

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8

Nkambule, Bongi Siyabonga, Jane Lee-Hsieh, Chieh-Yu Liu, and Su-Fen Cheng. "The relationship between patients’ perception of nurse caring behaviors and tuberculosis stigma among patients with drug-resistant tuberculosis in Swaziland." International Journal of Africa Nursing Sciences 10 (2019): 14–18. http://dx.doi.org/10.1016/j.ijans.2018.11.004.

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9

Escott, Sarah, and John Walley. "Listening to those on the frontline: Lessons for community-based tuberculosis programmes from a qualitative study in Swaziland." Social Science & Medicine 61, no. 8 (October 2005): 1701–10. http://dx.doi.org/10.1016/j.socscimed.2005.03.040.

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10

Ustero, Piluca Alonzo, Alexander W. Kay, Katherine Ngo, Rachel Golin, Bhekisisa Tsabedze, Bulisile Mzileni, Jessica Glickman, Mildred Wisile Xaba, Gcinile Mavimbela, and Anna Maria Mandalakas. "School and household tuberculosis contact investigations in Swaziland: Active TB case finding in a high HIV/TB burden setting." PLOS ONE 12, no. 6 (June 5, 2017): e0178873. http://dx.doi.org/10.1371/journal.pone.0178873.

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11

Verdecchia, M., K. Keus, S. Blankley, D. Vambe, C. Ssonko, T. Piening, and E. C. Casas. "Model of care and risk factors for poor outcomes in patients on multi-drug resistant tuberculosis treatment at two facilities in eSwatini (formerly Swaziland), 2011–2013." PLOS ONE 13, no. 10 (October 17, 2018): e0205601. http://dx.doi.org/10.1371/journal.pone.0205601.

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12

Mboowa, Gerald, Savannah Mwesigwa, Eric Katagirya, Gaone Retshabile, Busisiwe C. Mlotshwa, Lesedi Williams, Adeodata Kekitiinwa, et al. "The Collaborative African Genomics Network (CAfGEN): Applying Genomic technologies to probe host factors important to the progression of HIV and HIV-tuberculosis infection in sub-Saharan Africa." AAS Open Research 1 (April 18, 2018): 3. http://dx.doi.org/10.12688/aasopenres.12832.1.

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Background: The Human Heredity and Health in Africa consortium (H3Africa) was conceived to facilitate the application of genomics technologies to improve health across Africa. Here, we describe how the Collaborative African Genomics Network (CAfGEN) of the H3Africa consortium is using genomics to probe host genetic factors important to the progression of HIV and HIV-tuberculosis (TB) coinfection in sub-Saharan Africa. Methods: CAfGEN is an H3Africa collaborative centre comprising expertise from the University of Botswana; Makerere University; Baylor College of Medicine Children’s Clinical Centers of Excellence (COEs) in Botswana, Uganda, and Swaziland; as well as Baylor College of Medicine, Texas. The COEs provide clinical expertise for community engagement, participant recruitment and sample collection while the three University settings facilitate processing and management of genomic samples and provide infrastructure and training opportunities to sustain genomics research. Results: The project has focused on utilizing whole-exome sequencing to identify genetic variants contributing to extreme HIV disease progression phenotypes in children, as well as RNA sequencing and integrated genomics to identify host genetic factors associated with TB disease progression among HIV-positive children. These cohorts, developed using the COEs’ electronic medical records, are exceptionally well-phenotyped and present an unprecedented opportunity to assess genetic factors in individuals whose HIV was acquired by a different route than their adult counterparts in the context of a unique clinical course and disease pathophysiology. Conclusions: Our approach offers the prospect of developing a critical mass of well-trained, highly-skilled, continent-based African genomic scientists. To ensure long term genomics research sustainability in Africa, CAfGEN contributes to a wide range of genomics capacity and infrastructure development on the continent, has laid a foundation for genomics graduate programs at its institutions, and continues to actively promote genomics research through innovative forms of community engagement brokered by partnerships with governments and academia to support genomics policy formulation.

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13

Mboowa, Gerald, Savannah Mwesigwa, Eric Katagirya, Gaone Retshabile, Busisiwe C. Mlotshwa, Lesedi Williams, Adeodata Kekitiinwa, et al. "The Collaborative African Genomics Network (CAfGEN): Applying Genomic technologies to probe host factors important to the progression of HIV and HIV-tuberculosis infection in sub-Saharan Africa." AAS Open Research 1 (June 21, 2018): 3. http://dx.doi.org/10.12688/aasopenres.12832.2.

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Background: Here, we describe how the Collaborative African Genomics Network (CAfGEN) of the Human Heredity and Health in Africa (H3Africa) consortium is using genomics to probe host genetic factors important to the progression of HIV and HIV-tuberculosis (TB) coinfection in sub-Saharan Africa. The H3Africa was conceived to facilitate the application of genomics technologies to improve health across Africa.. Methods: CAfGEN is an H3Africa collaborative centre comprising expertise from the University of Botswana; Makerere University; Baylor College of Medicine Children’s Clinical Centers of Excellence (COEs) in Botswana, Uganda, and Swaziland; as well as Baylor College of Medicine, Texas. The COEs provide clinical expertise for community engagement, participant recruitment and sample collection while the three University settings facilitate processing and management of genomic samples and provide infrastructure and training opportunities to sustain genomics research. Results: The project has focused on utilizing whole-exome sequencing to identify genetic variants contributing to extreme HIV disease progression phenotypes in children, as well as RNA sequencing and integrated genomics to identify host genetic factors associated with TB disease progression among HIV-positive children. These cohorts, developed using the COEs’ electronic medical records, are exceptionally well-phenotyped and present an unprecedented opportunity to assess genetic factors in individuals whose HIV was acquired by a different route than their adult counterparts in the context of a unique clinical course and disease pathophysiology. Conclusions: Our approach offers the prospect of developing a critical mass of well-trained, highly-skilled, continent-based African genomic scientists. To ensure long term genomics research sustainability in Africa, CAfGEN contributes to a wide range of genomics capacity and infrastructure development on the continent, has laid a foundation for genomics graduate programs at its institutions, and continues to actively promote genomics research through innovative forms of community engagement brokered by partnerships with governments and academia to support genomics policy formulation.

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14

Gonzalez, Lucia, Katherine Ngo, Pilar Ustero, Rachel Golin, Florence Anabwani, Bulisile Mzileni, Welile Sikhondze, and Anna Maria Mandalakas. "Intensified Tb Case Finding In Swaziland: Whom Do You Find In The Household In A High Tb/Hiv Burden Setting?" Residência Pediátrica 7, Supl (October 2017): 11–16. http://dx.doi.org/10.25060/residpediatr-2017.v7s1-04.

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15

Weng, Yi-Hao, Patience Thulile Bhembe, Hung-Yi Chiou, Chun-Yuh Yang, and Ya-Wen Chiu. "Perceived risk of tuberculosis infection among healthcare workers in Swaziland." BMC Infectious Diseases 16, no. 1 (November 23, 2016). http://dx.doi.org/10.1186/s12879-016-2029-6.

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16

"Effects of tuberculosis on sugarcane farmers productivity in the lubombo region of swaziland." Scientia Agriculturae 14, no. 1 (April 20, 2016). http://dx.doi.org/10.15192/pscp.sa.2016.14.1.185192.

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17

Elden, Susan, Timothy Lawes, Søren Kudsk-Iversen, Joris Vandelanotte, Sabelo Nkawanyana, William Welfare, John Walley, and John Wright. "Integrating intensified case finding of tuberculosis into HIV care: an evaluation from rural Swaziland." BMC Health Services Research 11, no. 1 (May 23, 2011). http://dx.doi.org/10.1186/1472-6963-11-118.

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18

Mallinson, R. Kevin, Bongani T. Sibandze, and Naji Alqahtani. "Healthcare Workers’ Perceptions of Services at the Swaziland Wellness Centre." Africa Journal of Nursing and Midwifery 21, no. 1 (April 25, 2019). http://dx.doi.org/10.25159/2520-5293/3680.

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The healthcare workforce in southern Africa is diminished by unprecedented morbidity and mortality as a result of the HIV pandemic. Healthcare workers (HCWs) have been hesitant to access care where facility staff may be unprofessional, stigmatising, or breaching client confidentiality. The Wellness Centre for Health Care Workers opened in 2006 to enhance the health and well-being of HCWs in the Kingdom of Swaziland. The Centre’s nurse-managed model of care – the first of its kind in Africa – delivers HIV and tuberculosis prevention and treatment services through a primary care, community-based clinic. Our mixed-methods study evaluated the first 10 years of the Centre’s operation; a medical record review was complemented with 23 HCW client interviews. This article reports on the qualitative component in which HCWs described their experiences of receiving services at the Centre. The Centre’s service delivery was described as acceptable by HCWs receiving care for physical and psychological conditions. Clients with HIV described a supportive and inspiring environment that lacked the stigma and mistreatment that clients had experienced in other health facilities. Nurses were well-trained, trustworthy clinicians who engaged with their clients in a compassionate manner. The Centre’s unique outreach is effective in engaging HCW clients and their family members in primary care and HIV services. The Centre’s approach may serve as a model for similar nurse-managed clinics in Africa. It is recommended that nurses caring for HCW clients be respectful, communicative, and competent clinicians. Assuring privacy and confidentiality for HCW clients may increase enrolment and retention of clients in care.

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19

Brunetti, Marie, Sathyanath Rajasekharan, Piluca Ustero, Katherine Ngo, Welile Sikhondze, Buli Mzileni, Anna Mandalakas, and Alexander W. Kay. "Leveraging tuberculosis case relative locations to enhance case detection and linkage to care in Swaziland." Global Health Research and Policy 3, no. 1 (February 5, 2018). http://dx.doi.org/10.1186/s41256-018-0058-y.

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20

Mallinson, R. Kevin, Bongani T. Sibandze, Naji Alqahtani, and Josephine M. Amberpeta. "Evaluation of a Nurse-managed Wellness Centre for Healthcare Workers in Swaziland." Africa Journal of Nursing and Midwifery 20, no. 2 (October 19, 2018). http://dx.doi.org/10.25159/2520-5293/3557.

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Southern Africa is experiencing unprecedented levels of morbidity and mortality as a result of the HIV pandemic. Healthcare workers (HCWs) living with HIV infection may be at risk from illness and death, but may not access needed services within their workplace facility. The Swaziland Wellness Centre for Health Care Workersâ was designed to enhance the health and well-being of HCWs through a nurse-managed, community-based clinic. The purpose of the parent mixed-methods study was to describe the enrolment of clients into care over the first 10 years of the clinic’s operation and assess the HCWs’ perceptions of the Centre and its services. This report describes the findings from a retrospective review of medical records used to describe the characteristics of the clients, enrolment patterns, and services delivered. The Centre enrolled HCWs (n = 2,562) and their dependents (n = 2,571) into primary care. The HCW clients represented a variety of cadres across the health sector; nurses (29%) were the largest single cadre enrolled. The Centre nurses initiate antiretroviral and/or antitubercular treatments and provide ongoing monitoring. The database was not designed for evaluation purposes and written documentation of client care was often incomplete or illegible. The enrolment and treatment patterns suggest that nurse-managed clinics can successfully integrate HIV and tuberculosis care with primary care services for HCWs in southern Africa. Recommendations include improving the written documentation and electronic management of services provided to support ongoing evaluations.

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21

Kliner, Merav, Mamvura Canaan, Sifiso Zwide Ndwandwe, Fred Busulwa, William Welfare, Marty Richardson, John Walley, and John Wright. "Effects of financial incentives for treatment supporters on tuberculosis treatment outcomes in Swaziland: a pragmatic interventional study." Infectious Diseases of Poverty 4, no. 1 (June 5, 2015). http://dx.doi.org/10.1186/s40249-015-0059-8.

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22

Dlamini, Nonhlanhla Christinah, Dar-Der Ji, and Li-Yin Chien. "Factors associated with isoniazid resistant tuberculosis among human immunodeficiency virus positive patients in Swaziland: a case-control study." BMC Infectious Diseases 19, no. 1 (August 20, 2019). http://dx.doi.org/10.1186/s12879-019-4384-6.

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23

Havlicek, Juliane, Beatrice Dachsel, Peter Slickers, Sönke Andres, Patrick Beckert, Silke Feuerriegel, Stefan Niemann, Matthias Merker, and Ines Labugger. "Rapid Microarray-Based Detection of Rifampin, Isoniazid, and Fluoroquinolone Resistance in Mycobacterium tuberculosis by Use of a Single Cartridge." Journal of Clinical Microbiology 56, no. 2 (December 6, 2017). http://dx.doi.org/10.1128/jcm.01249-17.

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ABSTRACTThe rapid and robust identification of mutations inMycobacterium tuberculosiscomplex (MTBC) strains mediating multidrug-resistant (MDR) and extensively drug-resistant (XDR) phenotypes is crucial to combating the MDR tuberculosis (TB) epidemic. Currently available molecular anti-TB drug susceptibility tests either are restricted to a single target or drug (i.e., the Xpert MTB/RIF test) or present a risk of cross-contamination due to the design limitations of the open platform (i.e., line probe assays). With a good understanding of the technical and commercial boundaries, we designed a test cartridge based on an oligonucleotide array into which dried reagents are introduced and which has the ability to identify MTBC strains resistant to isoniazid, rifampin, and the fluoroquinolones. The melting curve assay interrogates 43 different mutations in the rifampin resistance-determining region (RRDR) ofrpoB,rpoBcodon 572,katGcodon 315, theinhApromoter region, and the quinolone resistance-determining region (QRDR) ofgyrAin a closed cartridge system within 90 min. Assay performance was evaluated with 265 clinical MTBC isolates, including MDR/XDR, non-MDR, and fully susceptible isolates, from a drug resistance survey performed in Swaziland in 2009 and 2010. In 99.5% of the cases, the results were consistent with data previously acquired utilizing Sanger sequencing. The assay, which uses a closed cartridge system in combination with a battery-powered Alere q analyzer and which has the potential to extend the current gene target panel, could serve as a rapid and robust point-of-care test in settings lacking a comprehensive molecular laboratory infrastructure to differentiate TB patients infected with MDR and non-MDR strains and to assist clinicians with their early treatment decisions.

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