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. 2016 Mar 21;6(1):15-8.
doi: 10.5588/pha.15.0035. Epub 2016 Jan 25.

Experience of active tuberculosis case finding in nearly 5 million households in India

B M Prasad  1 , S Satyanarayana  2 , S S Chadha  1 , A Das  1 , B Thapa  1 , S Mohanty  1 , S Pandurangan  1 , E R Babu  1 , J Tonsing  1 , K S Sachdeva  3
Affiliations

Experience of active tuberculosis case finding in nearly 5 million households in India

B M Prasad et al. Public Health Action. .

Abstract
in English, French, Spanish

In India, to increase tuberculosis (TB) case detection under the National Tuberculosis Programme, active case finding (ACF) was implemented by the Global Fund-supported Project Axshya, among high-risk groups in 300 districts. Between April 2013 and December 2014, 4.9 million households covering ~20 million people were visited. Of 350 047 presumptive pulmonary TB cases (cough of ⩾2 weeks) identified, 187 586 (54%) underwent sputum smear examination and 14 447 (8%) were found to be smear-positive. ACF resulted in the detection of a large number of persons with presumptive pulmonary TB and smear-positive TB. Ensuring sputum examination of all those with presumptive TB was a major challenge.

En Inde, le projet Axshya (soutenu par le Fonds Mondial) a mis en œuvre une recherche active des cas (ACF) afin d'en augmenter la détection sous l'égide du Programme Révisé National Contre la Tuberculose auprès des groupes à risque dans 300 districts. Entre avril 2013 et décembre 2014, 4,9 millions de foyers, soit environ 20 millions de personnes, ont été visités. De 350 047 cas présumés de tuberculose (TB) pulmonaire (toux ⩾2 semaines) identifiés, 187 586 (54%) ont bénéficié d'un examen de frottis de crachats et 14 447 (8%) ont eu un frottis positif. L'ACF a abouti à la détection d'un grand nombre de personnes présumées atteintes de TB pulmonaire et de TB à frottis positif. Assurer l'examen des crachats de tous les cas avec suspicion de TB a été un défi majeur.

Con el propósito de aumentar la detección de casos en la India, el Proyecto Axshya (financiado por el Fondo Mundial) introdujo un mecanismo de búsqueda activa de casos (ACF), dirigido a los grupos de alto riesgo en 300 distritos, en el marco del Programa Nacional Revisado Contra la Tuberculosis. De abril del 2013 a diciembre del 2014 se visitaron 4,9 millones de hogares, que cubrían una población cercana a 20 millones de personas. Se detectaron 350 047 casos con presunción de tuberculosis (TB) pulmonar (tos con una duración de ⩾2 semanas), se practicó la baciloscopia del esputo a 187 586 personas (54%), de las cuales 14 447 obtuvieron un resultado positivo (8%). La ACF dio lugar a la detección de un gran número de personas con presunción de TB pulmonar y baciloscopia positiva del esputo. La realización del examen microscópico del esputo en todas estas personas representó un gran desafío.

Keywords: India; active case finding; project Axshya; tuberculosis.

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Figures

FIGURE
FIGURE
Map of India depicting the districts and states (shaded in grey) where active tuberculosis case finding was implemented under Project Axshya.
See this image and copyright information in PMC

References

    1. World Health Organization. Global tuberculosis report 2014. Geneva, Switzerland: WHO; 2014. WHO/HTM/TB/2014.08. http://apps.who.int/iris/bitstream/10665/137094/1/9789241564809_eng.pdf Accessed December 2015.
    1. Pai M, Das J. Management of tuberculosis in India: time for a deeper dive into quality. Natl Med J India. 2013;26:65–68. - PubMed
    1. Satyanarayana S, Nair S A, Chadha S S et al. From where are tuberculosis patients accessing treatment in India? Results from a cross-sectional community based survey of 30 districts. PLOS ONE. 2011;6:e24160. - PMC - PubMed
    1. Sreeramareddy C T, Qin Z Z, Satyanarayana S, Subbaraman R, Pai M. Delays in diagnosis and treatment of pulmonary tuberculosis in India: a systematic review. Int J Tuberc Lung Dis. 2014;18:255–266. - PMC - PubMed
    1. Kapoor S K, Raman A V, Sachdeva K S, Satyanarayana S. How did the TB patients reach DOTS services in Delhi? A study of patient treatment seeking behavior. PLOS ONE. 2012;7:e42458. - PMC - PubMed

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