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Factors that influence the utilisation of ototoxicity monitoring services for patients on treatment for drug-resistant tuberculosis

Multi-drug resistance is increasingly becoming a challenge to tuberculosis control programmes globally. Treatment of multi-drug resistance tuberculosis (MDR-TB) includes aminoglycoside antibiotics which are known to cause hearing loss. Ototoxicity monitoring services are often provided to patients u...

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Main Author: Nhokwara, Primrose Tinashe
Other Authors: Rogers, Christine
Format: Thesis
Language:English
Published: Division of Communication Sciences and Disorders 2015
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access_status_str Open Access
author Nhokwara, Primrose Tinashe
author2 Rogers, Christine
author_browse Nhokwara, Primrose Tinashe
Rogers, Christine
author_facet Rogers, Christine
Nhokwara, Primrose Tinashe
author_sort Nhokwara, Primrose Tinashe
collection Thesis
description Multi-drug resistance is increasingly becoming a challenge to tuberculosis control programmes globally. Treatment of multi-drug resistance tuberculosis (MDR-TB) includes aminoglycoside antibiotics which are known to cause hearing loss. Ototoxicity monitoring services are often provided to patients undergoing treatment for MDR-TB for early detection of ototoxic hearing loss to facilitate alerting the patients and relevant medical staff about the presence and progression of any hearing loss. Previously, models of managing patients with MDR-TB required mandatory hospitalization for at least 6 months. This made it relatively easy to monitor the hearing status of patients during their stay in the hospital. However, with recent introduction of policy guidelines that support management of patients with MDR-TB on an outpatients basis, ototoxicity monitoring for these patients will need to be reorganized to align with the new policy guidelines. The extent of the uptake of these services when patients are accessing them as outpatients is however, unknown. This study therefore aimed to describe the patterns of utilisation and explore the barriers and factors that facilitate the use of ototoxicity monitoring services when provided on an outpatient basis in the Cape Town Metropolitan area, Western Cape, South Africa.
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:31:56.645Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2015
publishDateRange 2015
publishDateSort 2015
publisher Division of Communication Sciences and Disorders
publisherStr Division of Communication Sciences and Disorders
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source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/15683 Factors that influence the utilisation of ototoxicity monitoring services for patients on treatment for drug-resistant tuberculosis Nhokwara, Primrose Tinashe Rogers, Christine Ramma, Lebogang Audiology adherence exploratory survey MDR-TB ototoxicity monitoring service utilisation tuberculosis Multi-drug resistance is increasingly becoming a challenge to tuberculosis control programmes globally. Treatment of multi-drug resistance tuberculosis (MDR-TB) includes aminoglycoside antibiotics which are known to cause hearing loss. Ototoxicity monitoring services are often provided to patients undergoing treatment for MDR-TB for early detection of ototoxic hearing loss to facilitate alerting the patients and relevant medical staff about the presence and progression of any hearing loss. Previously, models of managing patients with MDR-TB required mandatory hospitalization for at least 6 months. This made it relatively easy to monitor the hearing status of patients during their stay in the hospital. However, with recent introduction of policy guidelines that support management of patients with MDR-TB on an outpatients basis, ototoxicity monitoring for these patients will need to be reorganized to align with the new policy guidelines. The extent of the uptake of these services when patients are accessing them as outpatients is however, unknown. This study therefore aimed to describe the patterns of utilisation and explore the barriers and factors that facilitate the use of ototoxicity monitoring services when provided on an outpatient basis in the Cape Town Metropolitan area, Western Cape, South Africa. 2015-12-08T11:40:20Z 2015-12-08T11:40:20Z 2015 Master Thesis Masters MSc http://hdl.handle.net/11427/15683 eng application/pdf Division of Communication Sciences and Disorders Faculty of Health Sciences University of Cape Town
spellingShingle Audiology
adherence
exploratory survey
MDR-TB
ototoxicity monitoring
service utilisation
tuberculosis
Nhokwara, Primrose Tinashe
Factors that influence the utilisation of ototoxicity monitoring services for patients on treatment for drug-resistant tuberculosis
thesis_degree_str Master's
title Factors that influence the utilisation of ototoxicity monitoring services for patients on treatment for drug-resistant tuberculosis
title_full Factors that influence the utilisation of ototoxicity monitoring services for patients on treatment for drug-resistant tuberculosis
title_fullStr Factors that influence the utilisation of ototoxicity monitoring services for patients on treatment for drug-resistant tuberculosis
title_full_unstemmed Factors that influence the utilisation of ototoxicity monitoring services for patients on treatment for drug-resistant tuberculosis
title_short Factors that influence the utilisation of ototoxicity monitoring services for patients on treatment for drug-resistant tuberculosis
title_sort factors that influence the utilisation of ototoxicity monitoring services for patients on treatment for drug resistant tuberculosis
topic Audiology
adherence
exploratory survey
MDR-TB
ototoxicity monitoring
service utilisation
tuberculosis
url http://hdl.handle.net/11427/15683
work_keys_str_mv AT nhokwaraprimrosetinashe factorsthatinfluencetheutilisationofototoxicitymonitoringservicesforpatientsontreatmentfordrugresistanttuberculosis