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Fallo al no testar a niños de madres infectadas con VIH en Sudáfrica: Implicaciones de las estrategias para el testaje del VIH en niños en edad preescolar
Author(s) -
Groen Reinou S.,
Leow Jeffrey J.,
Sadasivam Vijay,
Kushner Adam L.
Publication year - 2011
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2011.02868.x
Subject(s) - medicine , low and middle income countries , ultrasound , developing country , environmental health , gynecology , radiology , economic growth , economics
Summary Objective To determine the indications for using ultrasound, in low‐ and middle‐income countries (LMICs) and to assess whether its use alters clinical management. Methods Literature review. We conducted a Pubmed search on the clinical use of ultrasound in LMIC for articles published between January 2000 and December 2010, recording country of origin, speciality and whether ultrasound use led to a change in management. Results Fifty‐eight articles were identified from 32 countries and represented nine specialties. Ultrasound was most commonly used for assisting with the diagnosis of obstetrical conditions, followed by intra‐abdominal conditions such as liver abscesses and intussusceptions. Clinical management was altered in >30% of cases. Conclusion Ultrasound is a highly valuable diagnostic tool in LMICs and its use should be considered essential for all district medical facilities. The use could be applied more widely, eg., for tropical and non‐communicable diseases. Additional research is needed to further characterize the impact of task shifting on ultrasound use in LMICs.