Point-of-care ultrasound for tuberculosis management in Sub-Saharan Africa-a balanced SWOT analysis

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dc.contributor.authorVéronique Suttels
dc.contributor.authorJacques Daniel Du Toit
dc.contributor.authorArnauld Attannon Fiogbé
dc.contributor.authorAblo Prudence Wachinou
dc.contributor.authorBrice Guendehou
dc.contributor.authorFrédéric Alovokpinhou
dc.contributor.authorPéricles Toukoui
dc.contributor.authorAboudou Rassisou Hada
dc.contributor.authorFadyl Sefou
dc.contributor.authorPrudence Vinasse
dc.contributor.authorGinette Makpemikpa
dc.contributor.authorDiane Capo-Chichi
dc.contributor.authorElena Garcia
dc.contributor.authorThomas Brahier
dc.contributor.authorKristina Keitel
dc.contributor.authorKhadidia Ouattara
dc.contributor.authorYacouba Cissoko
dc.contributor.authorSeydina Alioune Beye
dc.contributor.authorPierre-André Mans
dc.contributor.authorGildas Agodokpessi
dc.contributor.authorNoémie Boillat-Blanco
dc.contributor.authorMary Anne Hartley
dc.date.accessioned2024-04-30T06:32:37Z
dc.date.available2024-04-30T06:32:37Z
dc.date.issued2022-10
dc.description.abstractPoint-of-care ultrasound (POCUS) is an increasingly accessible skill, allowing for the decentralization of its use to nonspecialist healthcare workers to guide routine clinical decision-making. The advent of ultrasound-on-a-chip has transformed the technology into a portable mobile health device. Because of its high sensitivity to detect small consolidations, pleural effusions, and subpleural nodules, POCUS has recently been proposed as a sputum-free likely triage tool for tuberculosis (TB). To make an objective assessment of the potential and limitations of POCUS in routine TB management, we present a Strengths, Weaknesses, Opportunities and Threats (SWOT) analysis based on a review of the relevant literature and focusing on Sub-Saharan Africa (SSA). We identified numerous strengths and opportunities of POCUS for TB management, e.g., accessible, affordable, easy to use and maintain, expedited diagnosis, extrapulmonary TB detection, safer pleural/pericardial puncture, use in children/pregnant women/people living with HIV, targeted screening of TB contacts, monitoring TB sequelae, and creating artificial intelligence decision support. Weaknesses and external threats such as operator dependency, lack of visualization of central lung pathology, poor specificity, lack of impact assessments and data from SSA must be taken into consideration to ensure that the potential of the technology can be fully realized in research as in practice.
dc.description.librarianPM2023
dc.facultyFaculty of Health Sciences
dc.identifier.urihttps://hdl.handle.net/10539/38399
dc.language.isoen
dc.schoolPublic Health
dc.subjectPoint-of-care ultrasound; Sub-Saharan Africa; Tuberculosis
dc.titlePoint-of-care ultrasound for tuberculosis management in Sub-Saharan Africa-a balanced SWOT analysis
dc.typeArticle
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