evaluation of a tuberculosis active case finding project in peri-urban areas, myanmar: 2014-2016

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2018
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Abstract
Objectives: We assessed the effect of an active case finding (ACF) project on tuberculosis (TB) case notification and the yields from a household and neigbourhood intervention (screening contacts of historical index TB patients diagnosed >24 months ago) and a community intervention (screening attendants of health education sessions/mobile clinics). Design: Cross-sectional analysis of project records, township TB registers and annual TB reports. Results: In the household and neigbourhood intervention, of 56,709 people screened, 1,076 were presumptive TB and 74 patients were treated for active TB with a screening yield of 0.1% and a yield from presumptive cases of 6.9%. In the community intervention, of 162,881 people screened, 4,497 were presumptive TB and 984 were treated for active TB with a screening yield of 0.6% and yield from presumptive cases of 21.9%. Of active TB cases, 94% were new, 89% were pulmonary, 44% were bacteriologically-confirmed and 5% had HIV. Case notification rates per 100,000 in project townships increased from 142 during baseline (2011-2013) to 148 during intervention (2014-2016) periods. Conclusions: The yield from household and neigbourhood intervention was lower than community intervention. This finding highlights reconsidering the strategy of screening of contacts from historical index cases. Strategies to reach high-risk groups should be explored for future ACF interventions to increase yield of TB. Keywords: Tuberculosis, Community-based active case finding, TB screening, Myanmar
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aye2018internationalevaluation Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Sandar Aye;Suman S. Majumdar;Myo Minn Oo;Jaya Prasad Tripathy;S. Satyanarayana;Nang Thu Thu Kyaw;Khine Wut Yee Kyaw;Nay Lynn Oo;Saw Thein;Myat Kyaw Thu;Kyaw Thu Soe;Si Thu Aung
Journal israel journal of chemistry
Year 2018
DOI
DOI not found
URL
http://www.sciencedirect.com/science/article/pii/S1201971218300481
Keywords
Infectious and parasitic diseases

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