Dataset Information

Evaluation of a short training course of chest X-ray interpretation for the diagnosis of paediatric TB.

ABSTRACT:

Background

Chest X-ray (CXR) interpretation is challenging for the diagnosis of paediatric TB. We assessed the performance of a three half-day CXR training module for healthcare workers (HCWs) at low healthcare levels in six high TB incidence countries.

Methods

Within the TB-Speed Decentralization Study, we developed a three half-day training course to identify normal CXR, CXR of good quality and identify six TB-suggestive features. We performed a pre-post training assessment on a pre-defined set of 20 CXR readings. We compared the proportion of correctly interpreted CXRs and the median reading score before and after the training using the McNemar test and a linear mixed model.

Results

Of 191 HCWs, 43 (23%) were physicians, 103 (54%) nurses, 18 (9.4%) radiology technicians and 12 (6.3%) other professionals. Of 2,840 CXRs with both assessment, respectively 1,843 (64.9%) and 2,277 (80.2%) were correctly interpreted during pre-training and post-training (P < 0.001). The median reading score improved significantly from 13/20 to 16/20 after the training, after adjusting by country, facility and profession (adjusted β = 3.31, 95% CI 2.44-4.47).

Conclusion

Despite some limitations of the course assessment that did not include abnormal non-TB suggestive CXR, study findings suggest that a short CXR training course could improve HCWs' interpretation skills in diagnosing paediatric TB.

SUBMITTER: Melingui BF

PROVIDER: S-EPMC11221594 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature

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Publications

Evaluation of a short training course of chest X-ray interpretation for the diagnosis of paediatric TB.

Melingui B F BF Leroy-Terquem E E Palmer M M Taguebue J-V JV Wachinou A P AP Gaudelus J J Salomao A A Bunnet D D Eap T C TC Borand L L Chabala C C Khosa C C Moh R R Mwanga-Amumpere J J Eang M T MT Manhiça I I Mustapha A A Beneteau S S Falzon L L Seddon J A JA Berteloot L L Wobudeya E E Marcy O O Bonnet M M Norval P Y PY

IJTLD open 20240201 2

<h4>Background</h4>Chest X-ray (CXR) interpretation is challenging for the diagnosis of paediatric TB. We assessed the performance of a three half-day CXR training module for healthcare workers (HCWs) at low healthcare levels in six high TB incidence countries.<h4>Methods</h4>Within the TB-Speed Decentralization Study, we developed a three half-day training course to identify normal CXR, CXR of good quality and identify six TB-suggestive features. We performed a pre-post training assessment on a ...[more]

PMID: 38966688

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Dataset Information

Evaluation of a short training course of chest X-ray interpretation for the diagnosis of paediatric TB.

Background

Methods

Results

Conclusion

Publications

Evaluation of a short training course of chest X-ray interpretation for the diagnosis of paediatric TB.

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