Tuberculosis screening in household contacts of pulmonary tuberculosis patients in an urban setting

Autor: Saraswathy Jagadeesan, Banurekha Velayutham, Bella Devaleenal, Sriram Selvaraju, Dhanalakshmi Angamuthu, Priscilla Rebecca, Dina Nair, Basilea Watson, Lavanya Jayabal, Srikanth Tripathy
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Bacterial Diseases
Male
Health Screening
Urban Population
Physiology
Epidemiology
Antitubercular Agents
0302 clinical medicine
Medical Conditions
Medicine and Health Sciences
Mass Screening
Public and Occupational Health
030212 general & internal medicine
Medical Personnel
Registries
Antibiotic prophylaxis
Young adult
Child
Family Characteristics
Multidisciplinary
medicine.diagnostic_test
Organic Compounds
Sputum examination
Drugs
Immunosuppressives
Body Fluids
Professions
Chemistry
Infectious Diseases
Child
Preschool
Physical Sciences
Medicine
Tuberculosis Diagnosis and Management
Female
Anatomy
Research Article
Adult
medicine.medical_specialty
Tuberculosis
Adolescent
Science
India
Tuberculosis screening
03 medical and health sciences
Young Adult
Pulmonary tuberculosis
Diagnostic Medicine
Internal medicine
medicine
Humans
Tuberculosis
Pulmonary
Pharmacology
business.industry
Organic Chemistry
Sputum
Chemical Compounds
Health Plan Implementation
Biology and Life Sciences
Antibiotic Prophylaxis
medicine.disease
Tropical Diseases
Mucus
030228 respiratory system
Medical Risk Factors
Alcohols
People and Places
Feasibility Studies
Population Groupings
Contact Tracing
Chest radiograph
business
Tb treatment
Follow-Up Studies
Program Evaluation
Zdroj: PLoS ONE
PLoS ONE, Vol 15, Iss 10, p e0240594 (2020)
ISSN: 1932-6203
Popis: BackgroundHousehold contacts (HHC) of tuberculosis (TB) patients are at risk of TB infection and disease. The study assessed the utility of "Household contact card and register" for screening of HHC of pulmonary TB (PTB) patients for TB and explored the reasons for HHC not being screened and followed-up.MethodsThe "Household contact card and register" was implemented by the Health Care Workers (HCW) of the TB Control Programme in Chennai District for screening HHC of index PTB patients initiated on treatment between June and August, 2018. Contacts were required to be screened within 2 months of treatment initiation of the index patient. Details collected included age, gender, smoking, alcohol use, immunosuppressive conditions and TB treatment. Symptom screening along with chest radiograph and or sputum examination was attempted. Follow-up TB screening at 6 and 12 months were performed. Screening of HHC was compared pre and post implementation phase. Proportions were computed for the data analysed.ResultsHHC information was documented for 93% (1268/1364) of Index PTB patients. The main reasons of non-listing of HHC in 96 PTB patients were HCW non-availability or non-co-operation of the HHC. There were 2150 (80%) contacts who were screened for TB. Inconvenient time, feeling healthy, stigma, out-station visit were the main reasons for 537 contacts not undergoing TB screening. Anti-TB treatment was initiated in 21 (1%) of contacts diagnosed with TB. Preventive therapy was initiated in 59% (81/138) of contacts aged Conclusion"Household contact card and register" is a useful tool for HCWs for TB screening in HHC of PTB patients. Reasons for non-adherence to contact screening needs to be addressed.
Databáze: OpenAIRE
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