Active Tuberculosis Case Finding in Port-au-Prince, Haiti: Experiences, Results, and Implications for Tuberculosis Control Programs
Joint Authors
Delva, Guesly J.
Francois, Ingrid
Claassen, Cassidy W.
Dorestan, Darwin
Bastien, Barbara
Medina-Moreno, Sandra
Fort, Dumesle St.
Buchwald, Ulrike K.
Redfield, Robert R.
Source
Tuberculosis Research and Treatment
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-09-05
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Background.
Haiti has the highest tuberculosis (TB) prevalence in the Americas with 254 cases per 100,000 persons.
Case detection relies on passive detection and TB services in many regions suffer from poor diagnostic and clinical resources.
Methods.
Mache Chache (“Go and Seek”) was a TB REACH Wave 3 funded TB case finding project in Port-au-Prince between July 2013 and September 2014, targeting four intervention areas with insufficient TB diagnostic performance.
Results.
Based on a verbal symptom screen emphasizing the presence of cough, the project identified 11,150 (11.75%) of all screened persons as TB subjects and 2.67% as smear-positive (SS+) TB cases.
Enhanced case finding and strengthening of laboratory services led to a 59% increase in bacteriologically confirmed cases in the evaluation population.
In addition, smear grades dropped significantly, suggesting earlier case detection.
Xpert® MTB/RIF was successfully introduced and improved TB diagnosis in HIV-infected, smear-negative clinic patients, but not in HIV-negative, smear-negative TB suspects in the community.
However, the number needed to screen for one additional SS+ case varied widely between clinic and community screening activities.
Conclusion.
Enhanced and active TB case finding in Haiti can improve TB diagnosis and care.
However, screening algorithms have to be tailored to individual settings, necessitating long-term commitment.
American Psychological Association (APA)
Delva, Guesly J.& Francois, Ingrid& Claassen, Cassidy W.& Dorestan, Darwin& Bastien, Barbara& Medina-Moreno, Sandra…[et al.]. 2016. Active Tuberculosis Case Finding in Port-au-Prince, Haiti: Experiences, Results, and Implications for Tuberculosis Control Programs. Tuberculosis Research and Treatment،Vol. 2016, no. 2016, pp.1-11.
https://search.emarefa.net/detail/BIM-1120266
Modern Language Association (MLA)
Delva, Guesly J.…[et al.]. Active Tuberculosis Case Finding in Port-au-Prince, Haiti: Experiences, Results, and Implications for Tuberculosis Control Programs. Tuberculosis Research and Treatment No. 2016 (2016), pp.1-11.
https://search.emarefa.net/detail/BIM-1120266
American Medical Association (AMA)
Delva, Guesly J.& Francois, Ingrid& Claassen, Cassidy W.& Dorestan, Darwin& Bastien, Barbara& Medina-Moreno, Sandra…[et al.]. Active Tuberculosis Case Finding in Port-au-Prince, Haiti: Experiences, Results, and Implications for Tuberculosis Control Programs. Tuberculosis Research and Treatment. 2016. Vol. 2016, no. 2016, pp.1-11.
https://search.emarefa.net/detail/BIM-1120266
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1120266