Evid Based Nurs 9:58 doi:10.1136/ebn.9.2.58
  • Quality improvement

Educational outreach visits to primary care nurses improved tuberculosis detection and treatment of obstructive lung disease

 Q Do educational outreach visits to nurse practitioners improve tuberculosis detection and management of respiratory illness in primary care clinics in rural South Africa?



cluster randomised controlled trial.




blinded (patients and data collectors).

GraphicFollow up period:

1 and 4 months after intervention began.


40 large primary care clinics in Free State province, South Africa.


1999 patients ⩾15 years of age (mean age 45 y, 65% women) who had difficult breathing on presentation or in the past 6 months, current cough for ⩾7 days, recurrent cough in the past 6 months, or current cough with temperature >38°C or respiratory rate ⩾30 breaths/minute. Patients referred elsewhere for urgent treatment were excluded. …

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