Drug-Resistant Tuberculosis Case-Finding Strategies: Scoping Review.

Autor:	van Wyk SS; Centre for Evidence Based Health Care, Division of Epidemiology and Biostatistics, Department of Global Health Stellenbosch University, Cape Town, South Africa., Nliwasa M; Helse Nord Tuberculosis Initiative, Kamuzu University of Health Sciences, Blantyre, Malawi., Lu FW; Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan., Lan CC; Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan., Seddon JA; Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.; Department of Infectious Disease, Imperial College London, London, United Kingdom., Hoddinott G; Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.; School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, Australia., Viljoen L; Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa., Günther G; Department of Pulmonary Medicine and Allergology, Inselspital, Bern University Hospital, Bern, Switzerland.; Department of Human, Biological & Translational Medical Science, School of Medicine, University of Namibia, Windhoek, Namibia., Ruswa N; National TB and Leprosy Programme, Ministry of Health and Social Services, Windhoek, Namibia., Shah NS; Departments of Epidemiology and Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, United States., Claassens M; Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.; Department of Infectious Disease, Imperial College London, London, United Kingdom.; Department of Human, Biological & Translational Medical Science, School of Medicine, University of Namibia, Windhoek, Namibia.
Jazyk:	angličtina
Zdroj:	JMIR public health and surveillance [JMIR Public Health Surveill] 2024 Jun 26; Vol. 10, pp. e46137. Date of Electronic Publication: 2024 Jun 26.
DOI:	10.2196/46137
Abstrakt:	Background: Finding individuals with drug-resistant tuberculosis (DR-TB) is important to control the pandemic and improve patient clinical outcomes. To our knowledge, systematic reviews assessing the effectiveness, cost-effectiveness, acceptability, and feasibility of different DR-TB case-finding strategies to inform research, policy, and practice, have not been conducted and the scope of primary research is unknown. Objective: We therefore assessed the available literature on DR-TB case-finding strategies. Methods: We looked at systematic reviews, trials, qualitative studies, diagnostic test accuracy studies, and other primary research that sought to improve DR-TB case detection specifically. We excluded studies that included patients seeking care for tuberculosis (TB) symptoms, patients already diagnosed with TB, or were laboratory-based. We searched the academic databases of MEDLINE, Embase, The Cochrane Library, Africa-Wide Information, CINAHL (Cumulated Index to Nursing and Allied Health Literature), Epistemonikos, and PROSPERO (The International Prospective Register of Systematic Reviews) using no language or date restrictions. We screened titles, abstracts, and full-text articles in duplicate. Data extraction and analyses were carried out in Excel (Microsoft Corp). Results: We screened 3646 titles and abstracts and 236 full-text articles. We identified 6 systematic reviews and 61 primary studies. Five reviews described the yield of contact investigation and focused on household contacts, airline contacts, comparison between drug-susceptible tuberculosis and DR-TB contacts, and concordance of DR-TB profiles between index cases and contacts. One review compared universal versus selective drug resistance testing. Primary studies described (1) 34 contact investigations, (2) 17 outbreak investigations, (3) 3 airline contact investigations, (4) 5 epidemiological analyses, (5) 1 public-private partnership program, and (6) an e-registry program. Primary studies were all descriptive and included cross-sectional and retrospective reviews of program data. No trials were identified. Data extraction from contact investigations was difficult due to incomplete reporting of relevant information. Conclusions: Existing descriptive reviews can be updated, but there is a dearth of knowledge on the effectiveness, cost-effectiveness, acceptability, and feasibility of DR-TB case-finding strategies to inform policy and practice. There is also a need for standardization of terminology, design, and reporting of DR-TB case-finding studies. (©Susanna S van Wyk, Marriott Nliwasa, Fang-Wen Lu, Chih-Chan Lan, James A Seddon, Graeme Hoddinott, Lario Viljoen, Gunar Günther, Nunurai Ruswa, N Sarita Shah, Mareli Claassens. Originally published in JMIR Public Health and Surveillance (https://publichealth.jmir.org), 26.06.2024.)
Databáze:	MEDLINE
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