Screening for tuberculosis in family and household contacts in a rural area in Ethiopia over a 20-month period

International Journal of Mycobacteriology
Jose Manuel RamosMiguel Górgolas

Abstract

The purpose of this study is to describe the experience of the completion of the Tuberculosis (TB) Contact Screening Logbook (TB-CSL). The TB-CSL was retrospectively analyzed from July 2007 until June 2012. During the study period, 122 patients were included in the TB-CSL; however, 17 (13.9%) patients with TB were written in the TB-CSL, but without registering any contacts. Of the 105 TB patients with contacts registered, the family and household contacts were finally performed in 68 index TB patients (55.7% of TB patients). These 68 index TB cases had 299 family and household contacts; the median contact per patient was 4.4 (±1.9). Of the 299 contacts, 160 (53.5%) were screened. The median of those screened per patient was 2.3 (±1.9). Of the 160 family and household contacts screened, 34 (31.3%) of them were children ⩽5years of age. TB was diagnosed after screening in 16 (10.1%) contacts. Isoniazid preventive therapy was prescribed in 22 of 34 (64%) children <5years of age. Alternative methods should be implemented in rural areas to improve TB screening contacts, especially in children under 5years of age.

References

Sep 1, 2012·The European Respiratory Journal·Gregory J FoxGuy B Marks
Feb 15, 2013·The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·K LönnrothM Raviglione

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