scholarly journals Active Tuberculosis Case Finding in Port-au-Prince, Haiti: Experiences, Results, and Implications for Tuberculosis Control Programs

2016 ◽  
Vol 2016 ◽  
pp. 1-11 ◽  
Author(s):  
Guesly J. Delva ◽  
Ingrid Francois ◽  
Cassidy W. Claassen ◽  
Darwin Dorestan ◽  
Barbara Bastien ◽  
...  
Keyword(s):  
Case Finding ◽  
Case Detection ◽  
Tuberculosis Case ◽  
Community Screening ◽  
Control Programs ◽  
Number Needed To Screen ◽  
Laboratory Services ◽  
Smear Negative ◽  
Hiv Negative

Background. Haiti has the highest tuberculosis (TB) prevalence in the Americas with 254 cases per 100,000 persons. Case detection relies on passive detection and TB services in many regions suffer from poor diagnostic and clinical resources.Methods.Mache Chache(“Go and Seek”) was a TB REACH Wave 3 funded TB case finding project in Port-au-Prince between July 2013 and September 2014, targeting four intervention areas with insufficient TB diagnostic performance.Results. Based on a verbal symptom screen emphasizing the presence of cough, the project identified 11,150 (11.75%) of all screened persons as TB subjects and 2.67% as smear-positive (SS+) TB cases. Enhanced case finding and strengthening of laboratory services led to a 59% increase in bacteriologically confirmed cases in the evaluation population. In addition, smear grades dropped significantly, suggesting earlier case detection. Xpert® MTB/RIF was successfully introduced and improved TB diagnosis in HIV-infected, smear-negative clinic patients, but not in HIV-negative, smear-negative TB suspects in the community. However, the number needed to screen for one additional SS+ case varied widely between clinic and community screening activities.Conclusion. Enhanced and active TB case finding in Haiti can improve TB diagnosis and care. However, screening algorithms have to be tailored to individual settings, necessitating long-term commitment.

scholarly journals Acceptability of active case finding with a seed-and-recruit model to improve tuberculosis case detection and linkage to treatment in Cambodia: A qualitative study

PLoS ONE ◽  
2019 ◽  
Vol 14 (7) ◽  
pp. e0210919 ◽  
Author(s):  
Sovannary Tuot ◽  
Alvin Kuo Jing Teo ◽  
Danielle Cazabon ◽  
Say Sok ◽  
Mengieng Ung ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Case Finding ◽  
Case Detection ◽  
Active Case Finding ◽  
Tuberculosis Case ◽  
Active Case

scholarly journals Estimating the Impact of Tuberculosis Case Detection in Constrained Health Systems: An Example of Case-Finding in South Africa

2019 ◽  
Vol 188 (6) ◽  
pp. 1155-1164 ◽  
Author(s):  
Thomas Sumner ◽  
Fiammetta Bozzani ◽  
Don Mudzengi ◽  
Piotr Hippner ◽  
Rein M Houben ◽  
...  
Keyword(s):  
South Africa ◽  
Health Systems ◽  
Case Finding ◽  
Case Detection ◽  
Tuberculosis Case ◽  
The Impact

Utilizing chest X-ray based active case finding approach for early tuberculosis case detection in Pakistan

2019 ◽  
Author(s):  
Shifa Habib ◽  
Kiran Azeemi ◽  
S. M. Asad Zaidi ◽  
Wafa Jamal ◽  
Talha Kazmi ◽  
...  
Keyword(s):  
Case Finding ◽  
Case Detection ◽  
Active Case Finding ◽  
Tuberculosis Case ◽  
X Ray ◽  
Active Case ◽  
Chest X Ray

scholarly journals Outcome of Tuberculosis Case Surveillance at Kano Central Correctional Center, North-west Nigeria: A Need for Routine Active Case Findings for TB in Nigerian Correctional Centers

2021 ◽  
pp. 37-45
Author(s):  
M. Tukur ◽  
B. Odume ◽  
M. Bajehson ◽  
C. Dimpka ◽  
S. Useni ◽  
...  
Keyword(s):  
Public Health Intervention ◽  
Control Programme ◽  
Case Finding ◽  
P Value ◽  
Fisher Exact Test ◽  
Tuberculosis Case ◽  
North West ◽  
Active Case ◽  
Number Needed To Screen ◽  
Experienced Radiologist

Aim: To demonstrate the need for routine active TB case finding in Nigerian correctional centers through a TB case surveillance intervention at the largest correctional centre in the most populous state in Nigeria by KNCV Tuberculosis Foundation Nigeria. Study Design: It was a retrospective review of public health intervention data derived from the mass TB screening of Kano central correctional centre inmates in Kano state, Nigeria. Methodology: A digital X-ray with artificial intelligence (AI) was used for mass TB screening of 1,967 consenting inmates at the Kano central correctional centre in Kano state, Nigeria, from 21st September to 2nd October 2020. Participants with CAD4TB score ≥ 60 had a GeneXpert assessment of their sputa for TB diagnosis. Where sputum production was not possible, or GeneXpert result was negative, expert clinical evaluation of the presumptive radiogram was carried out by experienced radiologist. Data from the project were extracted and analysed for this report. Proportions and means were compared with Fisher Exact test and Student t-test, respectively. A p-value of < 0.05 was considered statistically significant. Results: Overall, 1,967 inmates were screened for TB and 92 (4.7%) presumptive were identified - males (4.8%, 91/92), females (1.9%, 1/92). Out of the 92 presumptive, 21 males were diagnosed as TB cases giving a TB prevalence of 1.1% among the inmates and 22.8% among presumptive. One of the TB cases had multi-drug resistant TB. The number needed to screen (NNS) was 94. All TB cases were enrolled in treatment. Conclusion: The prevalence of TB at the Kano central correctional centre during the mass TB screening project was high. The National Tuberculosis Control Programme of Nigeria should accelerate the planned paradigm shift from passive to active case-finding for TB in Nigerian correctional centers.

scholarly journals Impact of COVID-19 Pandemic on the Tuberculosis Case Findings of India: Exploration of the Magnitude of the Threats as Well as the Available Opportunity to Mitigate the Threats

2021 ◽  
Author(s):  
Abhijit Dey
Keyword(s):  
Data Analysis ◽  
Literature Review ◽  
Open Source ◽  
Relevant Literature ◽  
Secondary Data ◽  
Integrated Approach ◽  
Secondary Data Analysis ◽  
Case Finding ◽  
Case Detection ◽  
Tuberculosis Case

Introduction: Due to COVID-19 pandemic, performance of many program has been declined and Tuberculosis (TB) program is not an exception. TB case detection and notification has been recognized as one of worst hit area. The objective of this study was to explore the TB notification status of India during this pandemic and explore options to mitigate the issue. Methods: A secondary data analysis was performed on open source TB notification database of India. Relevant literature review was done to find out remedies based on the different initiative taken by different states of India. Results: In 2020, total TB notification decreased in all the states in comparison to 2019. The percentage of loss in the country was 34%. Private TB notification also decreased in 2020 in all the states except in Jharkhand. The percentage of loss in private TB notification in the country was 35%. Notification started declining in the month of February 2020 and it was lowest in the month of April-2020. The trend of notification began to improve since May 2020 when the States started taking innovative initiatives like Integrated TB Covid Case Search. Conclusion: Due to the ongoing COVID-19 pandemic the notifications of TB cases declined noticeably which has a serious implication in terms of silent spread within household and community. But the picture can be improved with integrated approach for TB-COVID case finding and management.

scholarly journals Impact of COVID-19 Pandemic on the Tuberculosis Case Findings of India: Exploration of the Magnitude of the Threats as Well as the Available Opportunity to Mitigate the Threats

2021 ◽  
Author(s):  
Abhijit Dey ◽  
Arista Lahiri ◽  
Sweety Suman Jha ◽  
Arup Kumar Chakrabartty
Keyword(s):  
Data Analysis ◽  
Literature Review ◽  
Open Source ◽  
Relevant Literature ◽  
Secondary Data ◽  
Integrated Approach ◽  
Secondary Data Analysis ◽  
Case Finding ◽  
Case Detection ◽  
Tuberculosis Case

Introduction: Due to COVID-19 pandemic, performance of many program has been declined and Tuberculosis (TB) program is not an exception. TB case detection and notification has been recognized as one of worst hit area. The objective of this study was to explore the TB notification status of India during this pandemic and explore options to mitigate the issue. Methods: A secondary data analysis was performed on open source TB notification database of India. Relevant literature review was done to find out remedies based on the different initiative taken by different states of India. Results: In 2020, total TB notification decreased in all the states in comparison to 2019. The percentage of loss in the country was 34%. Private TB notification also decreased in 2020 in all the states except in Jharkhand. The percentage of loss in private TB notification in the country was 35%. Notification started declining in the month of February 2020 and it was lowest in the month of April-2020. The trend of notification began to improve since May 2020 when the States started taking innovative initiatives like Integrated TB Covid Case Search. Conclusion: Due to the ongoing COVID-19 pandemic the notifications of TB cases declined noticeably which has a serious implication in terms of silent spread within household and community. But the picture can be improved with integrated approach for TB-COVID case finding and management.

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