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A structured 2-week...
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Rudolf, F.INDEPTH Network, Guinea Bissau; Aarhus Univ Hosp, Denmark; Aarhus Univ Hosp, Denmark
(författare)
A structured 2-week follow-up visit in the cascade of care for TB increases case detection
- Artikel/kapitelEngelska2024
Förlag, utgivningsår, omfång ...
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INT UNION AGAINST TUBERCULOSIS LUNG DISEASE (I U A T L D),2024
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:liu-203796
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-203796URI
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https://doi.org/10.5588/ijtld.23.0435DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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Funding Agencies|Novo Nordisk Foundation; Scandinavian Society for Anti- microbial Chemotherapy Foundation (Stockholm, Sweden); Swedish Research Council (Stockholm, Sweden); Gondar University (Gondar, Ethiopia)
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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.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Abate, E.Ethiopian Publ Hlth Inst, Ethiopia; Univ Gondar, Ethiopia
(författare)
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Moges, B.
(författare)
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Gomes, V. F.INDEPTH Network, Guinea Bissau; Minist Saude, Guinea Bissau
(författare)
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Mendes, A. M.INDEPTH Network, Guinea Bissau
(författare)
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Sifna, A.INDEPTH Network, Guinea Bissau; Minist Saude, Guinea Bissau
(författare)
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Fekadu, H.Univ Gondar, Ethiopia
(författare)
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Bizuneh, S.Univ Gondar, Ethiopia
(författare)
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Wejse, C.INDEPTH Network, Guinea Bissau; Aarhus Univ Hosp, Denmark; Aarhus Univ, Denmark
(författare)
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Schön, ThomasLinköpings universitet,Avdelningen för inflammation och infektion,Medicinska fakulteten,Region Östergötland, Klinisk mikrobiologi(Swepub:liu)thosc49
(författare)
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INDEPTH Network, Guinea Bissau; Aarhus Univ Hosp, Denmark; Aarhus Univ Hosp, DenmarkEthiopian Publ Hlth Inst, Ethiopia; Univ Gondar, Ethiopia
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:The International Journal of Tuberculosis and Lung Disease: INT UNION AGAINST TUBERCULOSIS LUNG DISEASE (I U A T L D)28:3, s. 148-1531027-37191815-7920
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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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visa fler...
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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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- MEDICIN OCH HÄLSOVETENSKAP
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och Klinisk medicin
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och Lungmedicin och ...
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