Point-of-care testing improves diabetes management in a primary care clinic in South Africa

2017 ◽  
Vol 11 (3) ◽  
pp. 248-253 ◽  
Author(s):  
Lara A. Motta ◽  
Mark D.S. Shephard ◽  
Julie Brink ◽  
Stefan Lawson ◽  
Paul Rheeder
Keyword(s):  
South Africa ◽  
Primary Care ◽  
Diabetes Management ◽  
Point Of Care ◽  
Primary Care Clinic ◽  
Point Of Care Testing ◽  
Care Clinic

scholarly journals Time to Treatment and Patient Outcomes among TB Suspects Screened by a Single Point-of-Care Xpert MTB/RIF at a Primary Care Clinic in Johannesburg, South Africa

PLoS ONE ◽  
2013 ◽  
Vol 8 (6) ◽  
pp. e65421 ◽  
Author(s):  
Colleen F. Hanrahan ◽  
Katerina Selibas ◽  
Christopher B. Deery ◽  
Heather Dansey ◽  
Kate Clouse ◽  
...  
Keyword(s):  
South Africa ◽  
Primary Care ◽  
Patient Outcomes ◽  
Point Of Care ◽  
Single Point ◽  
Primary Care Clinic ◽  
Care Clinic ◽  
Time To Treatment

scholarly journals Point-of-care Xpert® MTB/RIF for smear-negative tuberculosis suspects at a primary care clinic in South Africa

2013 ◽  
Vol 17 (3) ◽  
pp. 368-372 ◽  
Author(s):  
A. Van Rie ◽  
L. Page-Shipp ◽  
C. F. Hanrahan ◽  
K. Schnippel ◽  
H. Dansey ◽  
...  
Keyword(s):  
South Africa ◽  
Primary Care ◽  
Point Of Care ◽  
Primary Care Clinic ◽  
Care Clinic ◽  
Smear Negative

scholarly journals High Uptake of Systematic HIV Counseling and Testing and TB Symptom Screening at a Primary Care Clinic in South Africa

PLoS ONE ◽  
2014 ◽  
Vol 9 (9) ◽  
pp. e105428 ◽  
Author(s):  
Annelies Van Rie ◽  
Kate Clouse ◽  
Colleen Hanrahan ◽  
Katerina Selibas ◽  
Ian Sanne ◽  
...  
Keyword(s):  
South Africa ◽  
Primary Care ◽  
Primary Care Clinic ◽  
High Uptake ◽  
Care Clinic ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Symptom Screening ◽  
Counseling And Testing

scholarly journals Impact of Xpert MTB/RIF for TB Diagnosis in a Primary Care Clinic with High TB and HIV Prevalence in South Africa: A Pragmatic Randomised Trial

PLoS Medicine ◽  
2014 ◽  
Vol 11 (11) ◽  
pp. e1001760 ◽  
Author(s):  
Helen S. Cox ◽  
Slindile Mbhele ◽  
Neisha Mohess ◽  
Andrew Whitelaw ◽  
Odelia Muller ◽  
...  
Keyword(s):  
South Africa ◽  
Primary Care ◽  
Randomised Trial ◽  
Primary Care Clinic ◽  
Hiv Prevalence ◽  
Care Clinic

scholarly journals Effect of a Mobile Phone–Based Glucose-Monitoring and Feedback System for Type 2 Diabetes Management in Multiple Primary Care Clinic Settings: Cluster Randomized Controlled Trial

10.2196/16266 ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. e16266 ◽  
Author(s):  
Yeoree Yang ◽  
Eun Young Lee ◽  
Hun-Sung Kim ◽  
Seung-Hwan Lee ◽  
Kun-Ho Yoon ◽  
...  
Keyword(s):  
Primary Care ◽  
Mobile Phone ◽  
Diabetes Management ◽  
Primary Care Clinic ◽  
Intervention Group ◽  
Glucose Monitoring ◽  
Feedback System ◽  
Control Group ◽  
Care Clinic ◽  
Cluster Randomized

Background Recent evidence of the effectiveness of mobile phone–based diabetes management systems is generally based on studies conducted in tertiary hospitals or professional diabetes clinics. Objective This study aimed to evaluate the clinical efficacy and applicability of a mobile phone–based glucose-monitoring and feedback system for the management of type 2 diabetes mellitus (T2DM) in multiple primary care clinic settings. Methods In this multicenter, cluster-randomized controlled, open trial, 13 primary care clinics in Seoul and other large cities in South Korea were voluntarily recruited. Overall, 150 (9 clinics) and 97 (4 clinics) participants with T2DM were assigned to the intervention and control groups, respectively (2:1 allocation). Every month, participants in both groups attended face-to-face physicians’ consultation for the management of diabetes in the clinic. For the intervention group, participants were required to upload their daily self-monitoring of blood glucose (SMBG) results using the mobile phone app in addition to outpatient care for 3 months. The results were automatically transmitted to the main server. Physicians had to check their patients’ SMBG results through an administrator’s website and send a short feedback message at least once a week. At baseline and 3 months, both groups had anthropometry and blood tests, including hemoglobin A1c (HbA1c), and responded to questionnaires about treatment satisfaction and compliance. Results At 3 months, participants in the intervention group showed significantly more improvement in HbA1c (adjusted mean difference to control −0.30%, 95% CI −0.50 to −0.11; P=.003) and fasting plasma glucose (−17.29 mg/dL, 95% CI −29.33 to −5.26; P=.005) than those in the control group. In addition, there was significantly more reduction in blood pressure, and the score regarding treatment satisfaction and motivation for medication adherence increased more in the intervention group than in the control group. In the subgroup analyses, the effect on glycemic control was more significant among younger patients and higher baseline HbA1c levels. Conclusions The mobile phone–based glucose-monitoring and feedback system was effective in glycemic control when applied in primary care clinic settings. This system could be utilized effectively with diverse institutions and patients. Trial Registration Clinical Research Information Service (CRIS) https://tinyurl.com/tgqawbz

scholarly journals Geographical Profiles of COVID-19 Outbreak in Tokyo: An Analysis of the Primary Care Clinic–Based Point-of-Care Antibody Testing

2020 ◽  
Vol 11 ◽  
pp. 215013272094269 ◽  
Author(s):  
Morihito Takita ◽  
Tomoko Matsumura ◽  
Kana Yamamoto ◽  
Erika Yamashita ◽  
Kazutaka Hosoda ◽  
...  
Keyword(s):  
Primary Care ◽  
Point Of Care ◽  
Herd Immunity ◽  
Primary Care Clinic ◽  
The Other ◽  
Cumulative Number ◽  
Antibody Testing ◽  
Care Clinic ◽  
Entire Cohort ◽  
Pcr Test

Introduction: The primary care clinic plays a major role in triage for coronavirus disease 2019 (COVID-19), where seroprevalence in the setting of primary care clinic remains less clear. As a point-of-care immunodiagnostic test for the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the serosurvey represents an alternative to the polymerase chain reaction (PCR) test to measure the magnitude of COVID-19 outbreak in the communities lacking sufficient diagnostic capability for PCR testing. Methods: We assessed seropositivity for the SARS-CoV-2 IgG between April 21 and May 20, 2020, at 2 primary care clinics in Tokyo, Japan. Results: The overall positive percentage of SARS-CoV-2 IgG was 3.83% (95% confidence interval [CI]: 2.76-5.16) for the entire cohort (n = 1071). The 23 special wards of central Tokyo exhibited a significantly higher prevalence compared with the other areas of Tokyo after classification by residence ( P = .02, 4.68% [3.08-6.79] vs 1.83 [0.68-3.95] in central and suburban Tokyo, respectively). In central Tokyo, the southern area showed the highest seroprevalence compared with the other areas (7.92% [3.48-15.01]), corresponding to the cumulative number of confirmed COVID-19 patients by PCR test reported by the Tokyo Metropolitan Government. Conclusion: The seroprevalence surveyed in this study was too low for herd immunity, suggesting the need for robust disease control and prevention. A regional-level approach, rather than state- or prefectural-level, could be of importance in ascertaining detailed profiles of the COVID-19 outbreak.

Patient referral from nurses to doctors in a nurse-led HIV primary care clinic in South Africa: implications for training and support

AIDS Care ◽  
2010 ◽  
Vol 22 (11) ◽  
pp. 1332-1339 ◽  
Author(s):  
Kartik K. Venkatesh ◽  
Guy de Bruyn ◽  
Mark N. Lurie ◽  
Kgotso Lentle ◽  
Nkeko Tshabangu ◽  
...  
Keyword(s):  
South Africa ◽  
Primary Care ◽  
Primary Care Clinic ◽  
Care Clinic ◽  
Patient Referral ◽  
Hiv Primary Care ◽  
Training And Support
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