Melingui BF, Leroy-Terquem E, Palmer M, Taguebue JV, Wachinou AP, Gaudelus J, Salomao A, Bunnet D, Eap TC, Borand L, Chabala C, Khosa C, Moh R, Mwanga-Amumpere J, Eang MT, Manhiça I, Mustapha A, Beneteau S, Falzon L, Seddon JA, Berteloot L, Wobudeya E, Marcy O, Bonnet M, Norval PY. Evaluation of a short training course of chest X-ray interpretation for the diagnosis of paediatric TB.
IJTLD OPEN 2024;
1:76-82. [PMID:
38966688 PMCID:
PMC11221594 DOI:
10.5588/ijtldopen.23.0484]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Accepted: 11/27/2023] [Indexed: 07/06/2024]
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.
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