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

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

METHODS

Embedded ImageDesign:

cluster randomised controlled trial.

Embedded ImageAllocation:

concealed.

Embedded ImageBlinding:

blinded (patients and data collectors).

Embedded ImageFollow up period:

1 and 4 months after intervention began.

Embedded ImageSetting:

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

Embedded ImagePatients:

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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