Table 3

Clinical actions: use of appropriate investigations (%)

Hospital A (n = 56)

Hospital B (n = 26)

Hospital C (n = 20)

Hospital D (n = 13)

NA

No exam

Omitted

Done

NA

No exam

Omitted

Done

NA

No exam

Omitted

Done

NA

No exam

Omitted

Done

Chest radiograph

0

-

38

63

0

-

35

65

0

-

35

65

0

-

0

100

Sputum Smear

0

-

52

48

4

-

42

54

10

-

85

5

15

-

0

85

Sputum Culture

0

-

75

25

4

-

54

42

10

-

90

0

15

-

0

85

LN aspiration

11

80

9

0

23

77

0

0

45

35

15

5

69

8

15

8

Pleural tap

66

21

2

11

0

96

0

4

10

70

0

20

69

8

8

15

Lumbar puncture

54

25

2

20

19

62

0

19

30

40

5

25

46

15

0

39

Other

25

-

68

7

8

-

89

4

10

-

45

45

54

-

0

46


The TB-PBPR tool was used to assess whether appropriate investigations were performed. We recorded 'NA' where the investigation was not applicable (for example, where 'Sputum Smear' had identified acid fast bacilli), we recorded 'no exam' where the relevant clinical examination was not documented, we recorded 'omitted' where an investigation was applicable but not performed, and we recorded 'done' where the investigation was performed. For example, in hospital C, lymph node (LN) aspiration was not applicable in 45% of patients and was not documented in 35% of patients. LN aspiration was omitted in 15% and done in 5% of the patients.

Field et al. BMC Public Health 2011 11:127   doi:10.1186/1471-2458-11-127

Open Data