Community-Based Ototoxicity Monitoring for Drug-Resistant Tuberculosis in South Africa
An Evaluation Study
Bibliographic Data
| ID | 15465121 |
|---|---|
| Authors | Lucia Jane Stevenson (0000-0003-1472-765X, University of Pretoria, corresponding author), Leigh Biagio-de Jager (0000-0002-5095-8626, University of Pretoria), Marien Alet Graham (0000-0003-4071-9864, University of Pretoria), De Wet Swanepoel (0000-0001-8313-1636, Ear Science Institute Australia) |
| Year | 2021 |
| Volume | 18 |
| Issue | 21 |
| Pages | 11342-11342 |
| Publication date | 2021-10-28 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph182111342 |
| PMID | 34769860 |
| OpenAlex | W3209308370 |
| Language | EN |
| Citations received | 1 |
| References cited | 25 |
In response to the drug-resistant tuberculosis (DRTB) ototoxicity burden in South Africa, ototoxicity monitoring has been decentralised, with community health workers (CHWs) acting as facilitators. This study describes a community-based ototoxicity monitoring programme (OMP) for patients with DRTB. Findings are compared to the recommended guidelines for ototoxicity monitoring, the OMP protocol and published studies. This was a retrospective study of longitudinal ototoxicity monitoring of 831 patients with DRTB, using data collected at community-based clinics in the City of Cape Town between 2013 and 2017. Approximately half (46.8%) of the patients had an initial assessment conducted in accordance with the OMP protocol recommendations, and follow-up rates (79.5%) were higher than those of a similar DRTB programme. However, patients in this study were not monitored within the timeframes or with the regularity recommended by the guidelines or the OMP protocol. Extended high-frequency pure-tone audiometry (27.5%) was underutilised by testers and data recording was inconsistent (e.g., 37.7% of patient gender was not recorded by testers). Community-based OMP using CHWs to facilitate monitoring showed improvement over previous hospital-based reports, with more accessible services and higher follow-up rates. However, to improve OMP outcomes, OMP managers should reassess current protocols and data recording practices
Alternative medicine · Environmental health · Family medicine · Ototoxicity · Protocol (science · Tuberculosis · Ear Surgery and Otitis Media · Hearing Loss and Rehabilitation · Hearing, Cochlea, Tinnitus, Genetics · Medicine · Surgery
| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2025 - 2025 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |