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Comparison of clinical and photographic assessment of trachoma

Roper, K G; Taylor, H R

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AIMS The aim of the study was to determine the rates of trachoma in Aboriginal communities and to compare clinical assessment with photographic assessment for the presence of signs of trachoma. METHODS Five Aboriginal communities in the Katherine region of the Northern Territory, Australia, were assessed for the presence of trachoma. Trachoma was diagnosed by clinical eye examination using a fine grading based on the World Health Organization (WHO) simplified grading system. Photographs were...[Show more]

dc.contributor.authorRoper, K G
dc.contributor.authorTaylor, H R
dc.date.accessioned2016-02-01T03:22:49Z
dc.identifier.issn0007-1161
dc.identifier.urihttp://hdl.handle.net/1885/96188
dc.description.abstractAIMS The aim of the study was to determine the rates of trachoma in Aboriginal communities and to compare clinical assessment with photographic assessment for the presence of signs of trachoma. METHODS Five Aboriginal communities in the Katherine region of the Northern Territory, Australia, were assessed for the presence of trachoma. Trachoma was diagnosed by clinical eye examination using a fine grading based on the World Health Organization (WHO) simplified grading system. Photographs were taken of the left eye of every person and graded using the fine grading system. The clinical assessment was compared with the photographic assessment for each person using the fine grading system. RESULTS A total of 1316 people out of 1545 (85.2%) were screened for trachoma from five communities, with 1254 photographs being compared with clinical assessment scores. The overall prevalence of active trachoma was greater than 10% across the five communities, and greater than 20% in two communities. CONCLUSION Active trachoma in young people and scarring in older people remain as problems in Aboriginal communities. Photographic assessment is a useful technique, but in comparison with clinical assessment it can result in overestimation of scoring for trachoma for inflammation.
dc.description.sponsorshipKatrina Roper conducted this study as part of her scholarship in the Master of Applied Epidemiology (MAE) degree at the Australian National University. The MAE program is funded by the Australian Government Department of Health and Ageing. This study was funded by grants from the Bennelong Foundation, cbm Australia, the Fred Hollows Foundation and the Myer Foundation.
dc.publisherBMJ Publishing Group
dc.rightsCopyright the author/s.
dc.sourceBritish Journal of Ophthalmology
dc.subjectadolescent
dc.subjectadult
dc.subjectage distribution
dc.subjectaged
dc.subjectaged, 80 and over
dc.subjectchild
dc.subjectchild, preschool
dc.subjectdiagnostic techniques, ophthalmological
dc.subjectfemale
dc.subjecthumans
dc.subjectinfant
dc.subjectinfant, newborn
dc.subjectmale
dc.subjectmass screening
dc.subjectmiddle aged
dc.subjectnorthern territory
dc.subjectoceanic ancestry group
dc.subjectphotography
dc.subjectprevalence
dc.subjectseverity of illness index
dc.subjecttrachoma
dc.subjectyoung adult
dc.titleComparison of clinical and photographic assessment of trachoma
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume93
dc.date.issued2009
local.identifier.absfor111301
local.identifier.ariespublicationu4326120xPUB324
local.type.statusPublished Version
local.contributor.affiliationRoper, Katrina, College of Medicine, Biology and Environment, CMBE Research School of Population Health, Natl Centre for Epidemiology & Population Health, The Australian National University
local.contributor.affiliationTaylor, Hugh R, University of Melbourne, Australia
local.description.embargo2059-03-19
local.identifier.essn1468-2079
local.bibliographicCitation.issue6
local.bibliographicCitation.startpage811
local.bibliographicCitation.lastpage814
local.identifier.doi10.1136/bjo.2008.144147
dc.date.updated2016-02-24T10:56:08Z
local.identifier.scopusID2-s2.0-66749109526
CollectionsANU Research Publications

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