Thinking Outside the Box to Diagnosis TB Through Use of TB LAM Test in a Chemist- A Case of Jamb Pharmacy, Mombasa

Jamb pharmacy is located in Migadini, Changamwe sub county-Mombasa county. It’s a densely populated place with people of different economic status. The pharmacy is quite busy and serves approximately 50-100 people per day. The business is run and owned by Sylvester Mbuvi a pharmaceutical technologist assisted with three staffs on a daily basis.

A journey of a thousand miles starts with one stem and as the Swahili saying goes, “Nyota njema huonekana asubuhi” really confirms the dedication of the proprietor of this facility. He was positive from the onset of the project engagement supported by PS Kenya, he attended and participated fully during the training. The provider was very active and showed the eager to learn new things. He was also one provider who asked a lot of questions and sought clarification where possible and where he didn’t understand.

On 26th November 2020 a client who had been frequenting the pharmacy came, she had a 1 year and four-month-old baby who had been seen at different private facilities with complains of cough, failure to thrive and fever. She had also been brought at the same pharmacy with the same complains at two different occasions. Upon further consultation, the mother to the child stated that she had a house help who had been coughing for almost one month. The house help was tested for HIV at the same pharmacy and the test was positive. She was referred to Bomu to be started on HAART.

Baby ‘Zuhura’, (not her really names) had all classical signs of TB:

  • Failure to gain weight
  • Persistent fever
  • Cough
  • Poor milestones development.

The proprietor of Jamb pharmacy decided to do the unthinkable at the private sector, sent the patient for TB LAM test owing the challenge of getting a sputum sample for Gene expert from under 5 years. The LAM test apparently turned positive and the patient was initiated on TB treatment at a nearby private facility (Bomu Hospital). Jamb were very proud to have saved life and their having little efforts in finding missing TB cases realized.

Related Posts

mahjong ways modal kecil saat libur lebaran untung maksimaljalan cuan mahjong ways tiap putaran1937 mahjong sangat menawan1938 mahjong gak perlu waktu lama1939 mahjong sangat memuaskan1940 mahjong diatas langitpanen cuan di game mahjong winsscatter hitam mahjong ways 2kemenangan datang tanpa di undang mahjong ways 2rahasia jackpot mudah mahjong ways 2hadiah fantastis tanpa undi mahjong wins 3ABC1131 Slot Dana Gacorakun game server filipinateknik mahjong ways 2ciri akun game gacor calon maxwinakun gacor princessakun gacor mahjongjalan menuju jackpot mahjong wins 3sensasi cuan ngalir mahjong winskemenangan terbukti jelas mahjong ways 2pola kemenangan rahasia mahjong ways 2kemenangan menantimu di mahjong ways dan mahjong wins 3jalan pintas menang spektakuler mahjong ways 3mesin cetak cuan mahjong winsgame seru cuan tumpah mahjong wins 3main mahjong wins black scatterkekuatan dadu mahjong ways 2main mahjong dompet makin beratcuan ngalir tanpa henti mahjong ways 2jackpot menggoda mahjong wayspanen cuan beruntun mahjong ways 2kisah fahmi trik sweet bonanza rutin kirim uang orang tuaformula pola spiral mahjong ways 2 perkalian x2000algoritma mahjong ways ramadan lebih stabil dan gacorheylink macauklubheylink asiaklubheylink hksbetheylink kapten76heylink mpoxoheylink garuda76garuda76asiaklubmacauklubrawit303amp rawit303ABC1131mpoxlABC1131 AMP