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Integrated management of childhood illness indicators of childhood tuberculous meningitis at a tertiary hospital in the Western Cape Province of South Africa
Thesis (MMed)--Stellenbosch University, 2015
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| Other Authors: | |
| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2017
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| _version_ | 1867613762340519936 |
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| access_status_str | Open Access |
| author | Grantham, Michele |
| author2 | Solomons, Regan |
| author_browse | Grantham, Michele Solomons, Regan |
| author_facet | Solomons, Regan Grantham, Michele |
| author_sort | Grantham, Michele |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MMed)--Stellenbosch University, 2015 |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/100628 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:41:16.700Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2017 |
| publishDateRange | 2017 |
| publishDateSort | 2017 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/100628 Integrated management of childhood illness indicators of childhood tuberculous meningitis at a tertiary hospital in the Western Cape Province of South Africa Grantham, Michele Solomons, Regan Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Paediatrics and Child Health UCTD Tuberculosis Meninges -- Tuberculosis Meningitis in children Tuberculosis in children Tuberculosis -- Hospitals -- South Africa Thesis (MMed)--Stellenbosch University, 2015 AFRIKAANSE OPSOMMING : Geen Afrikaanse opsomming geskikbaar nie ENGLISH 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. 2017-02-14T11:59:09Z 2017-02-14T11:59:09Z 2015-12 Thesis http://hdl.handle.net/10019.1/100628 en_ZA Stellenbosch University application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | UCTD Tuberculosis Meninges -- Tuberculosis Meningitis in children Tuberculosis in children Tuberculosis -- Hospitals -- South Africa Grantham, Michele Integrated management of childhood illness indicators of childhood tuberculous meningitis at a tertiary hospital in the Western Cape Province of South Africa |
| title | Integrated management of childhood illness indicators of childhood tuberculous meningitis at a tertiary hospital in the Western Cape Province of South Africa |
| title_full | Integrated management of childhood illness indicators of childhood tuberculous meningitis at a tertiary hospital in the Western Cape Province of South Africa |
| title_fullStr | Integrated management of childhood illness indicators of childhood tuberculous meningitis at a tertiary hospital in the Western Cape Province of South Africa |
| title_full_unstemmed | Integrated management of childhood illness indicators of childhood tuberculous meningitis at a tertiary hospital in the Western Cape Province of South Africa |
| title_short | Integrated management of childhood illness indicators of childhood tuberculous meningitis at a tertiary hospital in the Western Cape Province of South Africa |
| title_sort | integrated management of childhood illness indicators of childhood tuberculous meningitis at a tertiary hospital in the western cape province of south africa |
| topic | UCTD Tuberculosis Meninges -- Tuberculosis Meningitis in children Tuberculosis in children Tuberculosis -- Hospitals -- South Africa |
| url | http://hdl.handle.net/10019.1/100628 |
| work_keys_str_mv | AT granthammichele integratedmanagementofchildhoodillnessindicatorsofchildhoodtuberculousmeningitisatatertiaryhospitalinthewesterncapeprovinceofsouthafrica |