Assessment on HIV Testing Among Newly Diagnosed Tuberculosis Patients at the National Hospital for Respiratory Diseases (NHRD) in Welisara, Sri Lanka during the first quarter of 2024
Journal Title: International Journal of Current Science Research and Review - Year 2025, Vol 8, Issue 01
Abstract
This study was aimed to assess and review the current practice of screening of HIV in TB patients within NHRD Welisara hospital against the recommended standard practice by the National Guideline and the cross-sectional study was conducted on newly diagnosed tuberculosis patients. Simple random sampling was used to collect data from a sample size of 163, with retrospective data gathered from patient ward records. Data quality was enhanced by reviewing clinic and laboratory records, and a secure Excel spreadsheet was maintained for data management. Results: Data indicated that 12.3% (n=20) lacked documentation for HIV testing. Of the 143 patients tested, only 43.4% (n=62) were tested while in the ward; others were tested at follow-up clinics. The average time from TB confirmation to HIV testing was 4.8 days (range: 0 to 36 days). Though average post-TB diagnosis hospital stay was 20.9 days (range: 0 to 129 days) for HIV tested patients, those without HIV testing had an average stay of 12 days (range: 0 to 40 days). The primary reason for not undergoing HIV testing was patient transfer, but with an average ward stay of 14.6 days post-TB diagnosis. Other factors included patient death, disappearance, or leaving against medical advice. Notably, four patients were discharged without HIV testing, having stayed 3 to 11 days post-TB diagnosis. Most patients (51.7%, n=74) were tested at the NHRD laboratory, while 39.9% (n=57) were tested at an STD clinic, and only 5.6% underwent RDTs in the ward. Conclusion: Those without HIV testing had prolonged hospital stays, suggesting missed opportunities. Underutilization of RDTs by ward staff needs attention. Incorporating HIV test results into the discharge checklist may prevent these oversights. Therefore, findings will be presented to the director-NHRD aiming to initiate a discussion and create an audit cycle.
Authors and Affiliations
Wasana W. D. O. , Gandharupan N. , Darshana G. K. P. , Kulathunge K. M. N. S. B.
Keywords
Related Articles
- EP ID EP756391
- DOI 10.47191/ijcsrr/V8-i1-51
- Views 55
- Downloads 0
Effects of Katuk Leaf (Sauropus androgynus L. Merr) Meal Supplementation on Physiological and Hematological Status of Peranakan Etawah Goats
The study aimed to determine the effect of supplementing katuk leaf meal in concentrate on physiological and haematological status of Etawah grade goats. The research took place at the Goat Breeding and Forage Production...
Leveraging Electronic Health Records (EHR) for Enhanced Patient Care
This study analyzes how electronic health records (EHR) can be utilized to enhance patient care. The objectives of the study are to; design predictive models to recognize patients are risk of developing some specific con...
Biomotor Skills in Pencak Silat Extracurricular Students at SMP Negeri 5 Tanjung Selor
In the pencak silat sport, biomotors are really needed to support the required movements. This research aims to determine the biomotor skills of pencak silat extracurricular students at SMP Negeri 5 Tanjung Selor. The ty...
Management of School Finance in a Depressed Economy Society: Imperative for Academic Performance of Students in Selected Secondary Schools
The study examined the management of school finance in a depressed economy in selected schools in Ado Local Government, Ekiti State. The study examined academic performance of students. The study adopted descriptive sur...
Predictive Maintenance Solution for Logistics Robotic Cell
The Industry 4.0 trend is known as being the next industrial revolution. The major change introduced by this concept, is the digitalization of the industry. The manufacturing field that has been already transformed into...