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2. Tools to accelerate falciparum malaria elimination in Cambodia: a meeting report

Author

Lek, Dysoley, Callery, James J., Nguon, Chea, Debackere, Mark, Sovannaroth, Siv, Tripura, Rupam, Wojnarski, Marius, Piola, Patrice, Khean, Soy Ty, Manion, Kylie, Nguon, Sokomar, Kunkel, Amber, Vernaeve, Lieven, Peto, Thomas J., Dantzer, Emily, Davoeung, Chan, Etienne, William, Dondorp, Arjen M., Tuseo, Luciano, von Seidlein, Lorenz, and Guintran, Jean-Olivier

Published
2020
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3. Coronavirus disease 2019 (COVID-19) among nonphysician healthcare personnel by work location at a tertiary-care center, Iowa, 2020–2021

Author

Kobayashi, Takaaki, primary, Heinemann, John, additional, Trannel, Alexandra, additional, Marra, Alexandre R., additional, Alsuhaibani, Mohammed, additional, Etienne, William, additional, Sheeler, Lorinda L., additional, Abosi, Oluchi, additional, Holley, Stephanie, additional, Kukla, Mary Beth, additional, Dains, Angelique, additional, Jenn, Kyle E., additional, Meacham, Holly, additional, Hanna, Beth, additional, Ford, Bradley, additional, Brust, Karen, additional, Wellington, Melanie, additional, Hartley, Patrick G., additional, Diekema, Daniel J., additional, and Salinas, Jorge L., additional

Published
2022
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4. Blood-culture ordering practices in patients with a central line at an academic medical center–Iowa, 2020

Author

Kovoor, Elias, primary, Kobayashi, Takaaki, additional, Sheeler, Lorinda, additional, Trannel, Alexandra, additional, Etienne, William, additional, Abosi, Oluchi, additional, Holley, Stephanie, additional, Kukla, Mary, additional, Dains, Angie, additional, Jenn, Kyle, additional, Meacham, Holly, additional, Hanna, Beth, additional, Marra, Alexandre, additional, Parsons, Meredith, additional, Ford, Bradley, additional, Wellington, Melanie, additional, Diekema, Daniel, additional, and Salinas, Jorge, additional

Published
2022
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5. COVID-19 incidence among nonphysician healthcare workers at a tertiary care center–Iowa, 2020–2021

Author

Kobayashi, Takaaki, primary, Heinemann, John, additional, Trannel, Alexandra, additional, Marra, Alexandre, additional, Etienne, William, additional, Abosi, Oluchi, additional, Holley, Stephanie, additional, Kukla, Mary, additional, Dains, Angie, additional, Jenn, Kyle, additional, Meacham, Holly, additional, Hanna, Beth, additional, Ford, Bradley, additional, Wellington, Melanie, additional, Hartley, Patrick, additional, Diekema, Daniel, additional, and Salinas, Jorge, additional

Published
2022
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6. Coronavirus disease 2019 (COVID-19) among nonphysician healthcare personnel by work location at a tertiary-care center, Iowa, 2020–2021

Author

Kobayashi, Takaaki, Heinemann, John, Trannel, Alexandra, Marra, Alexandre R., Alsuhaibani, Mohammed, Etienne, William, Sheeler, Lorinda L., Abosi, Oluchi, Holley, Stephanie, Kukla, Mary Beth, Dains, Angelique, Jenn, Kyle E., Meacham, Holly, Hanna, Beth, Ford, Bradley, Brust, Karen, Wellington, Melanie, Hartley, Patrick G., Diekema, Daniel J., and Salinas, Jorge L.

Abstract

AbstractWe describe COVID-19 cases among nonphysician healthcare personnel (HCP) by work location. The proportion of HCP with coronavirus disease 2019 (COVID-19) was highest in the emergency department and lowest among those working remotely. COVID-19 and non–COVID-19 units had similar proportions of HCP with COVID-19 (13%). Cases decreased across all work locations following COVID-19 vaccination.

Published
2023
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7. Association between job role and coronavirus disease 2019 (COVID-19) among healthcare personnel, Iowa, 2021

Author

Kobayashi, Takaaki, primary, Trannel, Alexandra, additional, Heinemann, John, additional, Marra, Alexandre R., additional, Etienne, William, additional, Abosi, Oluchi J., additional, Holley, Stephanie, additional, Dains, Angelique, additional, Jenn, Kyle E., additional, Meacham, Holly, additional, Schuessler, Barbara A., additional, Wendt, Linder, additional, Ten Eyck, Patrick, additional, Hanna, Beth, additional, Salinas, Jorge L., additional, Hartley, Patrick G., additional, Ford, Bradley, additional, Wellington, Melanie, additional, Brust, Karen B., additional, and Diekema, Daniel J., additional

Published
2022
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8. Blood culture practices in patients with a central line at an academic medical center—Iowa, 2020

Author

Kovoor, Elias, primary, Kobayashi, Takaaki, additional, Sheeler, Lorinda L., additional, Trannel, Alexandra, additional, Etienne, William, additional, Abosi, Oluchi, additional, Holley, Stephanie, additional, Dains, Angelique, additional, Jenn, Kyle E., additional, Meacham, Holly, additional, Hanna, Beth, additional, Marra, Alexandre R., additional, Parsons, Meredith, additional, Ford, Bradley, additional, Wellington, Melanie, additional, Diekema, Daniel J., additional, and Salinas, Jorge L., additional

Published
2022
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9. Stable Clostridioides difficile infection rates after the discontinuation of ultraviolet light for terminal disinfection at a tertiary care center, Iowa 2019-2020

Author

Abosi, Oluchi J., primary, Kobayashi, Takaaki, additional, Holley, Stephanie, additional, Kukla, Mary Elizabeth, additional, Dains, Angelique, additional, Alsuhaibani, Mohammed, additional, Marra, Alexandre R., additional, Jenn, Kyle E., additional, Meacham, Holly, additional, Sheeler, Lorinda L., additional, Etienne, William, additional, Trannel, Alexandra, additional, Garringer, Jon, additional, Millard, William, additional, Diekema, Daniel J., additional, Edmond, Michael B., additional, Wellington, Melanie, additional, and Salinas, Jorge L., additional

Published
2021
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10. Bat intrusions at a tertiary care center in Iowa, 2018–2020

Author

Alsuhaibani, Mohammed A., primary, Dains, Angelique, additional, Kobayashi, Takaaki, additional, Sheeler, Lorinda L., additional, Trannel, Alexandra, additional, Holley, Stephanie, additional, Marra, Alexandre R., additional, Abosi, Oluchi J., additional, Jenn, Kyle E., additional, Meacham, Holly, additional, Etienne, William, additional, Kukla, Mary E., additional, Millard, Bill, additional, Wellington, Melanie, additional, Diekema, Daniel J., additional, and Salinas, Jorge L., additional

Published
2021
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11. Coronavirus disease 2019 (COVID-19) incidence after exposures in shared patient rooms in a tertiary-care center in Iowa, July 2020–May 2021

Author

Trannel, Alexandra M., primary, Kobayashi, Takaaki, additional, Dains, Angelique, additional, Abosi, Oluchi J., additional, Jenn, Kyle E., additional, Meacham, Holly, additional, Sheeler, Lorinda L., additional, Etienne, William, additional, Kukla, Mary E., additional, Alsuhaibani, Mohammed, additional, Holley, Stephanie, additional, Strandberg, Kelsey, additional, Marra, Alexandre R., additional, Kritzman, Jeffrey, additional, Ford, Bradley, additional, Wellington, Melanie, additional, Diekema, Daniel J., additional, and Salinas, Jorge L., additional

Published
2021
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12. Bat Intrusions at a Tertiary Care Center, Iowa 2018–2020

Author

Alsuhaibani, Mohammed, primary, Kobayashi, Takaaki, additional, Sheeler, Lorinda, additional, Trannel, Alexandra, additional, Holley, Stephanie, additional, Abosi, Oluchi, additional, Jenn, Kyle, additional, Meacham, Holly, additional, Etienne, William, additional, Dains, Angie, additional, Kukla, Mary, additional, Millard, Bill, additional, Marra, Alexandre, additional, Wellington, Melanie, additional, Diekema, Daniel, additional, and Salinas, Jorge, additional

Published
2021
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13. Suspected COVID-19 Reinfections at a Tertiary Care Center, Iowa 2020

Author

Kobayashi, Takaaki, primary, Alsuhaibani, Mohammed, additional, Ortiz, Miguel, additional, Imborek, Katherine, additional, Holley, Stephanie, additional, Trannel, Alexandra, additional, Marra, Alexandre, additional, Etienne, William, additional, Jenn, Kyle, additional, Abosi, Oluchi, additional, Meacham, Holly, additional, Sheeler, Lorinda, additional, Dains, Angie, additional, Kukla, Mary, additional, McCray, Paul, additional, Perlman, Stanley, additional, Ford, Bradley, additional, Diekema, Daniel, additional, Wellington, Melanie, additional, Pezzulo, Alejandro, additional, and Salinas, Jorge, additional

Published
2021
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14. COVID-19 Conversion after Exposure in a Semiprivate Room at a Tertiary Care Center in Iowa, July–December 2020

Author

Trannel, Alexandra, primary, Kobayashi, Takaaki, additional, Abosi, Oluchi, additional, Jenn, Kyle, additional, Meacham, Holly, additional, Sheeler, Lorinda, additional, Etienne, William, additional, Dains, Angie, additional, Kukla, Mary, additional, Alsuhaibani, Mohammed, additional, Holley, Stephanie, additional, Marra, Alexandre, additional, Ford, Bradley, additional, Wellington, Melanie, additional, Diekema, Daniel, additional, and Salinas, Jorge, additional

Published
2021
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15. Coronavirus Disease 2019 (COVID-19) Admission Screening at a Tertiary-Care Center, Iowa 2020

Author

Alsuhaibani, Mohammed, primary, Kobayashi, Takaaki, additional, Trannel, Alexandra, additional, Holley, Stephanie, additional, Abosi, Oluchi, additional, Jenn, Kyle, additional, Meacham, Holly, additional, Sheeler, Lorinda, additional, Etienne, William, additional, Dains, Angie, additional, Kukla, Mary, additional, Ward, Emily, additional, Ford, Bradley, additional, Edmond, Michael, additional, Wellington, Melanie, additional, Diekema, Daniel, additional, and Salinas, Jorge, additional

Published
2021
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16. Impact of COVID-19 on Volume of Infection Prevention and Control Calls at a Tertiary-Care Center in Iowa, 2018–2020

Author

Alsuhaibani, Mohammed, primary, Kobayashi, Takaaki, additional, Holley, Stephanie, additional, Dains, Angie, additional, Abosi, Oluchi, additional, Jenn, Kyle, additional, Meacham, Holly, additional, Sheeler, Lorinda, additional, Etienne, William, additional, Trannel, Alexandra, additional, Kukla, Mary, additional, Marra, Alexandre, additional, Wellington, Melanie, additional, Diekema, Daniel, additional, and Salinas, Jorge, additional

Published
2021
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17. Molecular Epidemiology of Large COVID-19 Clusters at an Academic Medical Center, March–October 2020

Author

Kobayashi, Takaaki, primary, Ortiz, Miguel, additional, Holley, Stephanie, additional, Etienne, William, additional, Jenn, Kyle, additional, Abosi, Oluchi, additional, Meacham, Holly, additional, Sheeler, Lorinda, additional, Dains, Angie, additional, Kukla, Mary, additional, Trannel, Alexandra, additional, Marra, Alexandre, additional, Alsuhaibani, Mohammed, additional, McCray, Paul, additional, Perlman, Stanley, additional, Ford, Bradley, additional, Diekema, Daniel, additional, Wellington, Melanie, additional, Pezzulo, Alejandro, additional, and Salinas, Jorge, additional

Published
2021
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18. Coronavirus disease 2019 (COVID-19) admission screening and assessment of infectiousness at an academic medical center in Iowa, 2020

Author

Alsuhaibani, Mohammed A., primary, Kobayashi, Takaaki, additional, Trannel, Alexandra, additional, Holley, Stephanie, additional, Abosi, Oluchi J., additional, Jenn, Kyle E., additional, Meacham, Holly, additional, Sheeler, Lorinda, additional, Etienne, William, additional, Dains, Angelique, additional, Kukla, Mary E., additional, Ward, Emily, additional, Ford, Bradley, additional, Edmond, Michael B., additional, Wellington, Melanie, additional, Diekema, Daniel J., additional, and Salinas, Jorge L., additional

Published
2021
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19. Molecular epidemiology of large coronavirus disease 2019 (COVID-19) clusters before and after the implementation of routine serial testing at an academic medical center in Iowa, 2020

Author

Ortiz, Miguel E., primary, Kobayashi, Takaaki, additional, Imborek, Katherine, additional, Alsuhaibani, Mohammed, additional, Holley, Stephanie, additional, Trannel, Alexandra, additional, Marra, Alexandre R., additional, Etienne, William, additional, Jenn, Kyle E., additional, Abosi, Oluchi J., additional, Meacham, Holly, additional, Sheeler, Lorinda, additional, Dains, Angelique, additional, Kukla, Mary E., additional, McCray, Paul B., additional, Perlman, Stanley, additional, Ford, Bradley, additional, Diekema, Daniel J., additional, Wellington, Melanie, additional, Pezzulo, Alejandro A., additional, and Salinas, Jorge L., additional

Published
2021
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20. Additional file 1 of Tools to accelerate falciparum malaria elimination in Cambodia: a meeting report

Author

Dysoley Lek, Callery, James J., Chea Nguon, Debackere, Mark, Sovannaroth, Siv, Rupam Tripura, Wojnarski, Marius, Piola, Patrice, Soy Ty Khean, Manion, Kylie, Sokomar Nguon, Kunkel, Amber, Vernaeve, Lieven, Peto, Thomas J., Dantzer, Emily, Davoeung, Chan, Etienne, William, Dondorp, Arjen M., Tuseo, Luciano, Seidlein, Lorenz Von, and Jean-Olivier Guintran

Subjects
parasitic diseases
Abstract

Additional file 1: Figure S1. Number of P. falciparum infections treated using variations of mass drug administrations and screen and treat strategies

Published
2020
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21. Coronavirus disease 2019 (COVID-19) incidence after exposures in shared patient rooms in a tertiary-care center in Iowa, July 2020–May 2021

Author

Trannel, Alexandra M., Kobayashi, Takaaki, Dains, Angelique, Abosi, Oluchi J., Jenn, Kyle E., Meacham, Holly, Sheeler, Lorinda L., Etienne, William, Kukla, Mary E., Alsuhaibani, Mohammed, Holley, Stephanie, Strandberg, Kelsey, Marra, Alexandre R., Kritzman, Jeffrey, Ford, Bradley, Wellington, Melanie, Diekema, Daniel J., and Salinas, Jorge L.

Abstract

AbstractThe incidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) exposure in shared patient rooms was low at our institution: 1.8 per 1,000 shared-room patient days. However, the secondary attack rate (21.6%) was comparable to that reported in household exposures. Lengthier exposures were associated with SARS-CoV-2 conversion. Hospitals should implement measures to decrease shared-room exposures.

Published
2022
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22. Coronavirus Disease 2019 Serial Testing Among Hospitalized Patients in a Midwest Tertiary Medical Center, July–September 2020

Author

Kobayashi, Takaaki, primary, Trannel, Alexandra, additional, Holley, Stephanie A, additional, Alsuhaibani, Mohammed A, additional, Abosi, Oluchi J, additional, Jenn, Kyle E, additional, Meacham, Holly, additional, Sheeler, Lorinda L, additional, Etienne, William, additional, Dains, Angelique, additional, Casado, Fernando, additional, Kukla, Mary E, additional, Ward, Emily K, additional, Ford, Bradley, additional, Edmond, Michael B, additional, Wellington, Melanie, additional, Diekema, Daniel J, additional, and Salinas, Jorge L, additional

Published
2020
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23. Association between job role and coronavirus disease 2019 (COVID-19) among healthcare personnel, Iowa, 2021.

Author

Takaaki Kobayashi, Trannel, Alexandra, Heinemann, John, Marra, Alexandre R., Etienne, William, Abosi, Oluchi J., Holley, Stephanie, Dains, Angelique, Jenn, Kyle E., Meacham, Holly, Schuessler, Barbara A., Wendt, Linder, Eyck, Patrick Ten, Hanna, Beth, Salinas, Jorge L., Hartley, Patrick G., Ford, Bradley, Wellington, Melanie, Brust, Karen B., and Diekema, Daniel J.

Published
2022
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24. Coronavirus disease 2019 (COVID-19) admission screening and assessment of infectiousness at an academic medical center in Iowa, 2020

Author

Alsuhaibani, Mohammed A., Kobayashi, Takaaki, Trannel, Alexandra, Holley, Stephanie, Abosi, Oluchi J., Jenn, Kyle E., Meacham, Holly, Sheeler, Lorinda, Etienne, William, Dains, Angelique, Kukla, Mary E., Ward, Emily, Ford, Bradley, Edmond, Michael B., Wellington, Melanie, Diekema, Daniel J., and Salinas, Jorge L.

Abstract

AbstractObjective:Patients admitted to the hospital may unknowingly carry severe acute respiratory coronavirus virus 2 (SARS-CoV-2), and hospitals have implemented SARS-CoV-2 admission screening. However, because SARS-CoV-2 reverse-transcription polymerase chain reaction (RT-PCR) assays may remain positive for months after infection, positive results may represent active or past infection. We determined the prevalence and infectiousness of patients who were admitted for reasons unrelated to COVID-19 but tested positive for SARS-CoV-2 on admission screening.Methods:We conducted an observational study at the University of Iowa Hospitals & Clinics from July 7 to October 25, 2020. All patients admitted without suspicion of COVID-19 were included, and medical records of those with a positive admission screening test were reviewed. Infectiousness was determined using patient history, PCR cycle threshold (Ct) value, and serology.Results:In total, 5,913 patients were screened and admitted for reasons unrelated to COVID-19. Of these, 101 had positive admission RT-PCR results; 36 of these patients were excluded because they had respiratory signs/symptoms on admission on chart review. Also, 65 patients (1.1%) did not have respiratory symptoms. Finally, 55 patients had Ct values available and were included in this analysis. The median age of the final cohort was 56 years and 51% were male. Our assessment revealed that 23 patients (42%) were likely infectious. The median duration of in-hospital isolation was 5 days for those likely infectious and 2 days for those deemed noninfectious.Conclusions:SARS-CoV-2 was infrequent among patients admitted for reasons unrelated to COVID-19. An assessment of the likelihood of infectiousness using clinical history, RT-PCR Ct values, and serology may help in making the determination to discontinue isolation and conserve resources.

Published
2022
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26. Coronavirus Disease 2019 Serial Testing Among Hospitalized Patients in a Midwest Tertiary Medical Center, July–September 2020.

Author

Kobayashi, Takaaki, Trannel, Alexandra, Holley, Stephanie A, Alsuhaibani, Mohammed A, Abosi, Oluchi J, Jenn, Kyle E, Meacham, Holly, Sheeler, Lorinda L, Etienne, William, Dains, Angelique, Casado, Fernando, Kukla, Mary E, Ward, Emily K, Ford, Bradley, Edmond, Michael B, Wellington, Melanie, Diekema, Daniel J, and Salinas, Jorge L

Subjects
CROSS infection prevention, COVID-19, PREVENTION of communicable diseases, TERTIARY care, HOSPITAL care, DESCRIPTIVE statistics, SYMPTOMS, COVID-19 testing, ISOLATION (Hospital care)
Abstract

We implemented serial coronavirus disease 2019 testing for inpatients with a negative test on admission. The conversion rate (negative to positive) on repeat testing was 1%. We identified patients during their incubation period and hospital-onset cases, rapidly isolated them, and potentially reduced exposures. Serial testing and infectiousness determination were resource intensive. [ABSTRACT FROM AUTHOR]

Published
2021
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27. Bat intrusions at a tertiary care center in Iowa, 2018–2020

Author

Alsuhaibani, Mohammed A., Dains, Angelique, Kobayashi, Takaaki, Sheeler, Lorinda L., Trannel, Alexandra, Holley, Stephanie, Marra, Alexandre R., Abosi, Oluchi J., Jenn, Kyle E., Meacham, Holly, Etienne, William, Kukla, Mary E., Millard, Bill, Wellington, Melanie, Diekema, Daniel J., and Salinas, Jorge L.

Abstract

AbstractWe described the epidemiology of bat intrusions into a hospital and subsequent management of exposures during 2018–2020. Most intrusions occurred in older buildings during the summer and fall months. Hospitals need bat intrusion surveillance systems and protocols for bat handling, exposure management, and intrusion mitigation.

Published
2022
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28. Community participation during two mass anti-malarial administrations in Cambodia: lessons from a joint workshop

Author

Peto, Thomas J., primary, Debackere, Mark, additional, Etienne, William, additional, Vernaeve, Lieven, additional, Tripura, Rupam, additional, Falq, Gregoire, additional, Davoeung, Chan, additional, Nguon, Chea, additional, Rekol, Huy, additional, von Seidlein, Lorenz, additional, Dondorp, Arjen M., additional, Sanann, Nou, additional, Cheah, Phaik Yeong, additional, De Smet, Martin, additional, Pell, Christopher, additional, and Kindermans, Jean-Marie, additional

Published
2018
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29. How do low birth weight neonates fare two years after discharge from a low technology neonatal care unit in a rural district hospital in Burundi. Médecins Sans Frontières (MSF) Ministry of Health Burundi

Author

Boogaard, Wilma Van Den, Zuniga, Isabel, Manzi, Marcel, Bergh, Rafael Van Den, Caluwaerts, Séverine, Lefevre, Annabel, Kassi Nanan-N 'Zeth, Duchenne, Bruno, Etienne, William, Ndereye Juma, Ndelema, Brigitte, Reid, Tony, and MSF Paediatric Days

Published
2016
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33. Malaria PCR Detection in Cambodian Low-Transmission Settings: Dried Blood Spots Versus Venous Blood Samples

Author

Canier, Lydie, primary, Chea, Nguon, additional, Ken, Malen, additional, Bosman, Philippe, additional, Khim, Nimol, additional, Etienne, William, additional, Ménard, Didier, additional, Pannus, Pieter, additional, Khean, Chanra, additional, Alipon, SweetC, additional, Char, Meng Chuor, additional, Kim, Saorin, additional, Loch, Kaknika, additional, Stassijns, Jorgen, additional, De Smet, Martin, additional, Eam, Rotha, additional, Nackers, Fabienne, additional, and Kindermans, Jean-Marie, additional

Published
2015
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34. Plasmodium prevalence and artemisinin-resistant falciparum malaria in Preah Vihear Province, Cambodia: a cross-sectional population-based study

Author

Bosman, Philippe, primary, Stassijns, Jorgen, additional, Nackers, Fabienne, additional, Canier, Lydie, additional, Kim, Nimol, additional, Khim, Saorin, additional, Alipon, Sweet C, additional, Chuor Char, Meng, additional, Chea, Nguon, additional, Dysoley, Lek, additional, Van den Bergh, Rafael, additional, Etienne, William, additional, De Smet, Martin, additional, Ménard, Didier, additional, and Kindermans, Jean-Marie, additional

Published
2014
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35. Outbreak of Beriberi in a Prison in Côte D'Ivoire

Author

Ahoua, Laurence, primary, Etienne, William, additional, Fermon, Florence, additional, Godain, Graziella, additional, Brown, Vincent, additional, Kadjo, Kassy, additional, Bouaffou, Kouamé, additional, Legros, Dominique, additional, and Guerin, Philippe Jean, additional

Published
2007
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37. Suspected COVID-19 Reinfections at a Tertiary Care Center, Iowa, 2020.

Author

Kobayashi, Takaaki, Ortiz, Miguel E, Imborek, Katherine L, Alsuhaibani, Mohammed, Holley, Stephanie A, Trannel, Alexandra, Marra, Alexandre R, Etienne, William, Jenn, Kyle E, Abosi, Oluchi J, Meacham, Holly, Sheeler, Lorinda L, Dains, Angelique, Kukla, Mary E, McCray, Paul B, Perlman, Stanley, Ford, Bradley, Diekema, Daniel J, Wellington, Melanie, and Salinas, Jorge L

Subjects
COVID-19, COUGH, REINFECTION, MEDICAL personnel, TERTIARY care
Published
2021
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38. Self-administered treatment for tuberculosis among pastoralists in rural Ethiopia: how well does it work?

Author

Khogali, Mohammed, Zachariah, Rony, Reid, Tony, Alipon, Sweet C., Zimble, Stuart, Mahama, Gbane, Etienne, William, Veerman, Richard, Dahmane, Amine, Weyeyso, Tadiwos, Hassan, Abdu, and Harries, Anthony

Subjects
TUBERCULOSIS treatment, COHORT analysis, OPERATIONS research, TREATMENT effectiveness
Abstract

Objectives In the Somali Regional State, Ethiopia, where most of the population are pastoralists, conventional TB treatment strategies based on directly observed treatment (DOT) at health facilities are not adapted to the mobile pastoralist lifestyle and treatment adherence is poor. From a rural district, we report on treatment outcomes of a modified self-administered treatment (SAT) strategy for pastoralists with TB. Methods A descriptive cohort study was carried out between May 2010 and March 2012. The modified DOT strategy comprised a shorter intensive phase at the health facility (2 weeks for new patients, 8 weeks in the event of re-treatment), followed by self-administered TB treatment. Results A total of 390 patients started TB treatment. The overall treatment success rate was 81.2% (317/390); the rates of death, loss-to-follow up and treatment failure were 6.7% (26/390), 9.2% (36/390) and 0.3% (1/390) respectively. A considerable proportion (10/26, 38%) of deaths occurred during the first month of treatment. Conclusion In a pastoralist setting, a modified SAT strategy resulted in good treatment outcomes. If the global plan to eliminate TB by 2050 is to become a reality, it will be necessary to adapt TB services to client needs to ensure that all TB patients (including pastoralists) have access to TB treatment. [ABSTRACT FROM PUBLISHER]

Published
2014
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