This Week In The Bmj

Educational outreach improves TB control

BMJ 2005; 331 doi: https://doi.org/10.1136/bmj.331.7519.0-b (Published 29 September 2005) Cite this as: BMJ 2005;331:0-b

An educational outreach programme that trains nurse practitioners to diagnose and treat tuberculosis seems to be a promising solution for improving quality of care without extra staff in resource poor countries. A pragmatic cluster randomised controlled trial by Fairall and colleagues (p 750) included 1999 patients presenting with cough or difficult breathing to 40 South African primary care clinics staffed by nurses. Nurses in the intervention arm diagnosed more tuberculosis and prescribed more corticosteroids, while antibiotic prescribing did not significantly differ between the arms.


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Credit: KAREL PRINSLOO/AP