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 language | English (US) |
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Pages (from-to) | 1572-1579 |
Number of pages | 8 |
Journal | International Journal of Tuberculosis and Lung Disease |
Volume | 20 |
Issue number | 12 |
DOIs | |
State | Published - Dec 1 2016 |
Keywords
- Case management
- Effectiveness
- Epidemiology
- Public health
- Surveillance
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine
- Infectious Diseases