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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 ...

  • INT UNION AGAINST TUBERCULOSIS LUNG DISEASE (I U A T L D),2024
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:liu-203796
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-203796URI
  • https://doi.org/10.5588/ijtld.23.0435DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Funding Agencies|Novo Nordisk Foundation; Scandinavian Society for Anti- microbial Chemotherapy Foundation (Stockholm, Sweden); Swedish Research Council (Stockholm, Sweden); Gondar University (Gondar, Ethiopia)
  • 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 ...)

  • Abate, E.Ethiopian Publ Hlth Inst, Ethiopia; Univ Gondar, Ethiopia (författare)
  • Moges, B. (författare)
  • Gomes, V. F.INDEPTH Network, Guinea Bissau; Minist Saude, Guinea Bissau (författare)
  • Mendes, A. M.INDEPTH Network, Guinea Bissau (författare)
  • Sifna, A.INDEPTH Network, Guinea Bissau; Minist Saude, Guinea Bissau (författare)
  • Fekadu, H.Univ Gondar, Ethiopia (författare)
  • Bizuneh, S.Univ Gondar, Ethiopia (författare)
  • Wejse, C.INDEPTH Network, Guinea Bissau; Aarhus Univ Hosp, Denmark; Aarhus Univ, Denmark (författare)
  • Schön, ThomasLinköpings universitet,Avdelningen för inflammation och infektion,Medicinska fakulteten,Region Östergötland, Klinisk mikrobiologi(Swepub:liu)thosc49 (författare)
  • 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

  • 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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