文章基本信息

标题：Comparative yield of different active TB case finding interventions in a large urban TB project in central Uganda: a descriptive study
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作者：Andrew Kazibwe ; Andrew Kazibwe ; Fred Twinomugisha 等
期刊名称：African Health Sciences
印刷版ISSN：1680-6905
电子版ISSN：1729-0503
出版年度：2021
卷号：21
期号：3
页码：975-984
DOI：10.4314/ahs.v21i3.3
语种：English
出版社：Makerere University Medical School（Uganda)
摘要：Introduction Systematic screening for TB among patients presenting to care and among high risk populations is recommended to improve TB case finding. We aimed to describe the comparative yield of three TB screening approaches implemented by a large urban TB project in central Uganda. Methods We abstracted data on the screening cascade from 65 health facilities and their surrounding communities (numbers screened, with presumptive TB, receiving a diagnostic test and diagnosed with TB) from the different clinic and community TB registers. Results From January 2018 to December 2019, 93,378 (24%) of all patients screened at health facilities had presumptive TB; 77,381 (82.9%) received a diagnostic test and 14,305 (18.5%) were diagnosed with TB. The screening yield (the number of patients diagnosed with TB out of all patients screened) was 0.3% and was three times higher among men than women (0.6% vs 0.2% p<0.01). During targeted community screening interventions, 9874 (21.1%) of all patients screened had presumptive TB; 7034 (71.2%) of these received a diagnostic test and 1699 (24.2%) were diagnosed with TB. The screening yield was higher among men, (3.7% vs 3.3% p<0.01) and highest among children 0–14 (4.8% vs 3.2% p<0.01). Conclusion Targeted community TB screening interventions improve access to TB diagnosis for men and children 0–14 years.
关键词：Tuberculosis;screening;community;Uganda