Active Case Finding Among Homeless People as a Means of Reducing the Incidence of Pulmonary Tuberculosis in General Population

2016 ◽  
pp. 67-76 ◽  
Author(s):  
J. Romaszko ◽  
A. Siemaszko ◽  
M. Bodzioch ◽  
A. Buciński ◽  
A. Doboszyńska
Keyword(s):  
General Population ◽  
Pulmonary Tuberculosis ◽  
Homeless People ◽  
Case Finding ◽  
Active Case Finding ◽  
Active Case

scholarly journals Blood-based host biomarker diagnostics in active case finding for pulmonary tuberculosis: A diagnostic case-control study

2021 ◽  
pp. 100776
Author(s):  
Flora Martinez Figueira Moreira ◽  
Renu Verma ◽  
Paulo Cesar Pereira dos Santos ◽  
Alessandra Leite ◽  
Andrea da Silva Santos ◽  
...  
Keyword(s):  
Pulmonary Tuberculosis ◽  
Case Control Study ◽  
Case Control ◽  
Case Finding ◽  
Active Case Finding ◽  
Active Case ◽  
Control Study

Mass screening for active case finding of pulmonary tuberculosis in the Russian Federation: how to save costs

2019 ◽  
Vol 23 (7) ◽  
pp. 830-837
Author(s):  
E. Bogdanova ◽  
O. Mariandyshev ◽  
S. G. Hinderaker ◽  
E. Nikishova ◽  
A. Kulizhskaya ◽  
...  
Keyword(s):  
Pulmonary Tuberculosis ◽  
Mass Screening ◽  
Russian Federation ◽  
Case Finding ◽  
Active Case Finding ◽  
Active Case ◽  
The Russian Federation

scholarly journals Active Case Finding of Pulmonary Tuberculosis through Screening of Respiratory Symptomatics Using Sputum Microscopy: Is It Time to Change the Paradigm?

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Eva Carolina del Portillo-Mustieles ◽  
Rafael Laniado-Laborín
Keyword(s):  
Pulmonary Tuberculosis ◽  
Sputum Sample ◽  
Upper Airway ◽  
Case Finding ◽  
Active Case Finding ◽  
Active Case ◽  
Sputum Microscopy ◽  
Two Samples ◽  
Airway Symptoms ◽  
Positive Smear

Background.One of the main strategies for the early detection of pulmonary tuberculosis (PTB) is through the screening of individuals with symptoms compatible with PTB. Although this is programmatic strategy for active case finding, its yield is not well known.Objective.To determine the yield of pulmonary tuberculosis active case finding through the screening of respiratory symptomatic (RS) patients at a general hospital.Methods.RS patients were defined as subjects complaining of cough and/or sputum for a period of 2 or more weeks. Outpatients and their companions were approached while they waited in the outpatient care areas of the hospital to detect RS. Two samples from different days or 2 samples taken 2 hours apart on the same day were collected.Results.122 RS patients were identified. Fifty-seven patients (46.7%) had at least one sputum sample analyzed. Three patients presented a positive smear and 2 were culture positive; neither had upper airway symptoms. None of the patients with productive cough and upper airway symptoms had a positive smear (). Only 19 (33.3%) returned to the laboratory to retrieve their results.Conclusion.Current strategy to screen RS patients based only on clinical data has a low compliance. Specific strategies to increase compliance (removal of barriers, incentives, etc.) should be implemented.

scholarly journals Impact of Active Case Finding on Treatment Outcomes in Adult Pulmonary Tuberculosis Patients

2021 ◽  
Vol 99 (7) ◽  
pp. 33-40
Author(s):  
S. А. Sterlikov ◽  
V. B. Gаlkin ◽  
B. M. Mаliev ◽  
А. А. Shirokovа ◽  
V. А. Khorotetto ◽  
...  
Keyword(s):  
Pulmonary Tuberculosis ◽  
Treatment Outcomes ◽  
Lung Tissue ◽  
Case Finding ◽  
Adjusted Relative Risk ◽  
Active Case Finding ◽  
Tissue Destruction ◽  
Tuberculosis Patients ◽  
Active Case ◽  
Risk Of Death

The objective: to assess the effect of active finding of tuberculosis cases on the frequency of bacterial excretion, lung tissue destruction, and treatment outcomes.Subjects and Methods. The characteristics of adult patients (newly detected - new cases and those with relapsed pulmonary tuberculosis) were studied in 2 phases: a) 1,404 cases, including 814 actively found, at detection; b) the outcomes of the completed first course of chemotherapy in 946 patients, including 565 actively detected, registered for treatment in 2017 and 2018. Adjusted relative risk (aOR) and statistical significance of differences were calculated.Results. Patients detected actively versus those detected by self presentation to a medical unit had a lower level of positive results of smear microscopy (aOR = 2.7; p < 0.01) and lung tissue destruction (aOR = 1.4; p = 0.01), but the level of positive culture was equal (aOR = 0.9; p = 0.6).  Active case finding had no effect on treatment failure rate but if a patient is HIV negative and young, it reduced the risk of death in tuberculosis patients during treatment (aOR = 0.3; p < 0.01). Active case finding, along with no history of previous treatment, negative HIV status, and older age were inversely associated with treatment interruption (aOR = 0.3; p < 0.01).

scholarly journals Tuberculosis among never-jailed drug abusers

2001 ◽  
Vol 7 (3) ◽  
pp. 461-464
Author(s):  
M. Askarian ◽  
A. Karmi
Keyword(s):  
High Risk ◽  
General Population ◽  
Pulmonary Tuberculosis ◽  
Skin Test ◽  
Risk Groups ◽  
Case Finding ◽  
Drug Abusers ◽  
Drug Addicts ◽  
Active Case Finding ◽  
Over 40 Years

The best way to control tuberculosis in a community is active case-finding and treatment among high-risk groups. Upon admission to a correctional centre in 1997, 319 never-jailed drug addicts were enrolled in the present study. Statistically significant differences in skin-test positivity were found among males over 40 years old, those unemployed and injecting drug abusers. Among the sample, 8 cases of pulmonary tuberculosis were found. This is approximately 170 times the rate in the general population. Because of cost and time, we recommend the screening of drug addicts by mini-radiography instead of tuberculin skin test at admission.

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