Your browser doesn't support javascript.
loading
Programmatic implications of a sub-national TB prevalence survey in India.
Prathiksha, G; Selvaraju, S; Thiruvengadam, K; Frederick, A; Murugesan, H; Rajendran, P; Nagarajan, K; Kumar, M; Krishnan, R; Kumaran, P; Selvavinayagam, T S; Padmapriyadarsini, C.
Afiliação
  • Prathiksha G; ICMR-National Institute for Research in Tuberculosis, Chennai.
  • Selvaraju S; ICMR-National Institute for Research in Tuberculosis, Chennai.
  • Thiruvengadam K; ICMR-National Institute for Research in Tuberculosis, Chennai.
  • Frederick A; Directorate of Medical and Rural Health Services, Chennai.
  • Murugesan H; ICMR-National Institute for Research in Tuberculosis, Chennai.
  • Rajendran P; ICMR-National Institute for Research in Tuberculosis, Chennai.
  • Nagarajan K; ICMR-National Institute for Research in Tuberculosis, Chennai.
  • Kumar M; ICMR-National Institute for Research in Tuberculosis, Chennai.
  • Krishnan R; ICMR-National Institute for Research in Tuberculosis, Chennai.
  • Kumaran P; ICMR-National Institute for Research in Tuberculosis, Chennai.
  • Selvavinayagam TS; Directorate of Public Health and Preventive Medicine, Chennai, India.
  • Padmapriyadarsini C; ICMR-National Institute for Research in Tuberculosis, Chennai.
Int J Tuberc Lung Dis ; 28(7): 348-353, 2024 Jul 01.
Article em En | MEDLINE | ID: mdl-38961546
ABSTRACT
BACKGROUNDSubnational TB estimates are crucial for making informed decisions to tailor TB control activities to local TB epidemiology.<a class="decs" id="22045">METHODS</a>A cross-sectional survey was conducted among 143,005 individuals in Tamil Nadu, India. Participants were screened for symptoms and underwent chest X-ray (CXR). Participants with symptoms of TB and/or abnormal CXR were tested for TB using Xpert, smear, and liquid culture.RESULTSThe prevalence of microbiologically confirmed pulmonary TB (MCPTB) was 212 (95% CI 184-239) per 100,000 population. The prevalence-to-notification ratio (PN) in the state was 2.05 (95% CI 1.8-2.29). Low body mass index and diabetes together had a population attributable fraction of 54.15 (95% CI 45.68-61.97). Approximately 39% of the TB cases were asymptomatic and were identified only by CXR screening. In the general population, only 26.9% sought care at a health facility among those with symptoms suggestive of TB.CONCLUSIONThe programme needs to prioritise screening with CXR to potentially detect cases earlier and curtail the transmission and upscale molecular tests in the selected population to increase the yield of case finding. Innovative health education strategies must be devised to address health-seeking behaviour..
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tuberculose Pulmonar / Programas de Rastreamento Limite: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Male / Middle aged País/Região como assunto: Asia Idioma: En Revista: Int J Tuberc Lung Dis Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tuberculose Pulmonar / Programas de Rastreamento Limite: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Male / Middle aged País/Região como assunto: Asia Idioma: En Revista: Int J Tuberc Lung Dis Ano de publicação: 2024 Tipo de documento: Article