Screening for active tuberculosis in high-risk groups

M. A. Jiménez-Fuentes, C. Milaauge, M. N.Altet Gómez, J. Solsona Peiro, M. L. De Souza Galvao, J. Maldonado, I. Molina-Pinargote, A. Orcau, J. A. Cayla

Research output: Contribution to journalArticle

Abstract

OBJECTIVE : To evaluate an active case-finding strategy among drug users (DUs), economically disadvantaged individuals and recent immigrants from hyperendemic countries, a population at high risk of developing tuberculosis (TB).

METHODS: Retrospective, observational study carried out by the Tuberculosis Unit of the City of Barcelona from September 2009 to December 2012. All participants underwent chest X-ray and were screened for symptoms.

RESULTS : Of 5982 participants screened, 30 TB cases were detected (total prevalence 0.5%): 26 were pulmonary, 8 were smear-positive and 2 were resistant to multiple drugs. Directly observed treatment was advised for 19 patients (63%). TB prevalence in the recent immigrants group was significantly greater (1.77%) than in all other groups studied: economically disadvantaged individuals 0.30% (RR 5.9, 95%CI 2.30-15.14); DUs 0.62% (RR 2.05, 95%CI 0.91-4.64), non-recent immigrants 0.41% (RR 4.31, 95%CI 1.68-11.4); and all native-born individuals 0.41% (RR 4.33, 95%CI 1.71-10.92). The rate was much greater than the estimated prevalence for the general population of the city (20 cases/100 000 population).

CONCLUSIONS: In high-risk groups, active case finding can be used as a public health intervention to detect a large number of TB cases.

Original languageEnglish (US)
Pages (from-to)1459-1465
Number of pages7
JournalInternational Journal of Tuberculosis and Lung Disease
Volume18
Issue number12
DOIs
StatePublished - Dec 1 2014

Keywords

  • Active case finding
  • Chest radiograph
  • Drug users
  • Homeless
  • Immigrants
  • Tuberculosis

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Infectious Diseases

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  • Cite this

    Jiménez-Fuentes, M. A., Milaauge, C., Gómez, M. N. A., Peiro, J. S., De Souza Galvao, M. L., Maldonado, J., Molina-Pinargote, I., Orcau, A., & Cayla, J. A. (2014). Screening for active tuberculosis in high-risk groups. International Journal of Tuberculosis and Lung Disease, 18(12), 1459-1465. https://doi.org/10.5588/ijtld.14.0271