Tuberculosis clinical units improve contact tracing

S. Brugueras, A. Orcau, J. P. Millet, L. Espinosa, A. De Andrés, P. Gorrindo, J. A. Caylà

Research output: Contribution to journalArticle

Abstract

INTRODUCTION: The Barcelona Tuberculosis Programme was established in 1987, and in 2007 five tuberculosis (TB) clinical units were created to improve the follow-up of cases and contacts. This included the designation of a nurse for case management. OBJECTIVE : To assess the impact of the TB clinical units on the screening programme for TB contacts. METHODS : Before-after population-based study before (2003-2007) and after (2008-2013) the creation of the clinical units. To determine which factors were related to contact tracing, we fitted a multivariate logistic regression model to estimate odds ratios (OR) with their 95% confidence intervals (CIs). RESULT S : Following the creation of the clinical units, the proportion of prescriptions for latent tuberculous infection among contacts in the clinical units increased from 40.7% to 57.4% (P < 0.001), and treatment adherence from 75.9% to 80.3% (P<0.035). One factor associated with contact tracing was receiving care after the creation of the clinical units (2008-2013) (OR 1.2, 95%CI 1.0-1.3). During the second period, receiving care outside the clinical units reduced the probability of contact tracing (OR 0.7, 95%CI 0.5-0.9). CONCLUS ION: The creation of the TB clinical units represents an organisational improvement for the study and management of contacts of patients with TB.

Original languageEnglish (US)
Pages (from-to)1572-1579
Number of pages8
JournalInternational Journal of Tuberculosis and Lung Disease
Volume20
Issue number12
DOIs
StatePublished - Dec 1 2016
Externally publishedYes

Keywords

  • Case management
  • Effectiveness
  • Epidemiology
  • Public health
  • Surveillance

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Infectious Diseases

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    Brugueras, S., Orcau, A., Millet, J. P., Espinosa, L., De Andrés, A., Gorrindo, P., & Caylà, J. A. (2016). Tuberculosis clinical units improve contact tracing. International Journal of Tuberculosis and Lung Disease, 20(12), 1572-1579. https://doi.org/10.5588/ijtld.16.0147