Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2012 Aug;16(8):1030-2.
doi: 10.5588/ijtld.11.0736. Epub 2012 Jun 6.

Lessons learned during tuberculosis screening in public medical clinics in Francistown, Botswana

E Bloss  1 , R Makombe, E Kip, M Smit, J Chirenda, V M Gammino, T Creek, J E Oeltmann
Affiliations

Lessons learned during tuberculosis screening in public medical clinics in Francistown, Botswana

E Bloss et al. Int J Tuberc Lung Dis. 2012 Aug.

Abstract
in English, French, Spanish

In Botswana, where one quarter of the adult population is infected with the human immunodeficiency virus and the annual tuberculosis (TB) incidence is among the highest globally, intensified TB case finding is needed in health care facilities to detect and treat TB cases early and prevent transmission. During August-December 2009, TB screening was implemented among adults at patient intake in five clinics in Francistown. Among 11 779 TB screenings at intake, 926 were positive. Nineteen patients were diagnosed with TB. Routine TB screening at intake was operationally feasible, but had low yield. Innovative case-finding strategies are needed in Botswana.

Au Botswana, où un quart des adultes sont infectés par le virus de l’immunodéficience humaine et où l’incidence annuelle de la tuberculose (TB) se situe parmi les plus élevées du monde, un dépistage intensifié des cas de TB s’impose dans les services de soins de santé afin de détecter et de traiter précocement les cas de TB et de prévenir sa transmission. Au cours de la période août-décembre 2009, on a mis en œuvre un dépistage de la TB chez les adultes à l’admission dans cinq dispensaires de Francistown. Parmi les 11 779 dépistages de TB à l’ad-mission, 926 ont été positifs. On a diagnostiqué la TB chez 19 patients. Le dépistage de routine de la TB lors de l’admission est opérationnellement réalisable, mais ne permet qu’un rendement minime. Des stratégies innovantes de dépistage des cas s’imposent au Botswana.

En Botsuana, donde un cuarto de la población adulta padece de la infección por el virus de la inmunodeficiencia humana, se observa una incidencia anual de tuberculosis (TB) de las más altas del mundo. Es preciso intensificar la búsqueda de casos en los centros de atención sanitaria, con el fin de detectar y tratar en forma temprana los casos de TB y evitar la transmisión de la enfermedad. Entre agosto y diciembre del 2009 se introdujo una forma de detección sistemática de la TB en los adultos, en el momento de su recepción en cinco consultorios generales de Francistown. Se practicaron 11 779 detecciones sistematicás y se obtuvieron 926 resultados positivos. Se estableció el diagnostico de TB en 19 pacientes. La detección sistemática de la TB en el momento de la admisión al consultorio fue operativamente factible, pero ofreció un bajo rendimiento diagnóstico. Es preciso encontrar estrategias innovadoras de busqueda de casos de TB en Botsuana.

PubMed Disclaimer

Figures

Figure
Figure
Primary reason for visit and results of TB screening in public medical clinics in Francistown, Botswana. TB = tuberculosis
See this image and copyright information in PMC

References

    1. World Health Organization. WHO report 2011: global tuberculosis control. WHO/HTM/TB/2011.16. Geneva, Switzerland: WHO, 2011.
    1. Joint United Nations Programme on HIV/AIDS. 2006 report on the global AIDS epidemic. Geneva, Switzerland: UNAIDS, 2006. http://www.unaids.org/en/KnowledgeCentre/HIVData/ GlobalReport/2006/defa... Accessed April 2012.
    1. Ministry of Health. Botswana National Tuberculosis Programme manual. Gaborone, Botswana: MOH, 2011.
    1. World Health Organization. Interim policy on collaborative TB/HIV activities. WHO/HTM/TB/2004.330. WHO/HTM/ HIV/2004.1. Geneva, Switzerland: WHO, 2004.
    1. Ministry of Health. Botswana National Tuberculosis Programme manual. Gaborone, Botswana: MOH, 2007.

Publication types

MeSH terms

LinkOut - more resources