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A structured 2-week...
A structured 2-week follow-up visit in the cascade of care for TB increases case detection
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- Rudolf, F. (author)
- INDEPTH Network, Guinea Bissau; Aarhus Univ Hosp, Denmark; Aarhus Univ Hosp, Denmark
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- Abate, E. (author)
- Ethiopian Publ Hlth Inst, Ethiopia; Univ Gondar, Ethiopia
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Moges, B. (author)
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- Gomes, V. F. (author)
- INDEPTH Network, Guinea Bissau; Minist Saude, Guinea Bissau
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- Mendes, A. M. (author)
- INDEPTH Network, Guinea Bissau
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- Sifna, A. (author)
- INDEPTH Network, Guinea Bissau; Minist Saude, Guinea Bissau
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- Fekadu, H. (author)
- Univ Gondar, Ethiopia
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- Bizuneh, S. (author)
- Univ Gondar, Ethiopia
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- Wejse, C. (author)
- INDEPTH Network, Guinea Bissau; Aarhus Univ Hosp, Denmark; Aarhus Univ, Denmark
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- Schön, Thomas (author)
- Linköpings universitet,Avdelningen för inflammation och infektion,Medicinska fakulteten,Region Östergötland, Klinisk mikrobiologi
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(creator_code:org_t)
- INT UNION AGAINST TUBERCULOSIS LUNG DISEASE (I U A T L D), 2024
- 2024
- English.
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In: The International Journal of Tuberculosis and Lung Disease. - : INT UNION AGAINST TUBERCULOSIS LUNG DISEASE (I U A T L D). - 1027-3719 .- 1815-7920. ; 28:3, s. 148-153
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.5...
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Abstract
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- OBJECTIVES: Delayed detection in TB due to structural and diagnostic shortcomings is pivotal for disease transmission, morbidity and mortality. We investigated whether an inclusive screening, followed by a structured clinical follow-up (FU) could improve case -finding. METHODS: Patients were recruited from health centres in Bissau, Guinea-Bissau, and Gondar, Ethiopia. A routine FU was done at Week 2. If persisting symptoms were found, patients were investigated using chest X-ray (CXR) and Xpert (R) MTB/RIF, followed by a medical consultation. The main outcome were additional TB patients diagnosed by applying the FU strategy. RESULTS: Of 3,571 adults, 3,285 (95%) were examined at Week 2 FU, where 2,491 (72%) were asymptomatic. Screening patients presenting with cough > 2 weeks alone contributed to the diagnosis of 93 patients (45% of all patients diagnosed here), whereas a TBscore > 3 increased this by 18 (9%); adding a Week 2 FU yielded an additional 94 (46%) patients. Among the 794 (24%) with persisting symptoms, 25 were diagnosed using Xpert and 69 at clinical FU, which constituted 46% (94/205) of the total TB patients diagnosed. CONCLUSION: A Week 2 FU visit, which can be nested into routine healthcare, increased the diagnosis of TB patients by two -fold and avoids diagnostic gaps in the cascade -of -care.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
Keyword
- epidemiology; tuberculosis; case-finding; cascade of care; TBscore
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Rudolf, F.
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Abate, E.
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Moges, B.
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Gomes, V. F.
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Mendes, A. M.
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Sifna, A.
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show more...
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Fekadu, H.
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Bizuneh, S.
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Wejse, C.
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Schön, Thomas
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Respiratory Medi ...
- Articles in the publication
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The Internationa ...
- By the university
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Linköping University