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Are patients with pulmonary tuberculosis who are identified through active case finding in the community different than those identified in healthcare facilities?

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dc.date.accessioned 2020-11-10T10:15:59Z
dc.date.available 2020-11-10T10:15:59Z
dc.date.issued 2017-02-07 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/10650
dc.description.abstract The lack of healthcare access contributes to large numbers of tuberculosis (TB) cases being missed and has led to renewed interest in outreach approaches to increase detection. It is however unclear whether outreach activities increase case detection or merely identify patients before they attend health facilities. We compared adults with cough of >2 weeks??? duration recruited in health facilities (1202 participants) or in urban slums (2828 participants) in Nigeria. Participants provided demographic and clinical information and were screened using smear microscopy. The characteristics of smear-positive and smear-negative individuals were compared stratified by place of enrolment. Two hundred nine health facility participants (17.4%) and 485 community-based participants (16.9%) were smear positive for pulmonary TB. Community-based smear-positive cases were older (mean age, 36.3 vs. 31.8 years), had longer cough duration (10.3 vs. 6.8 weeks) and longer duration of weight loss (4.6 vs. 3.6 weeks) than facility-based cases; and they complained more of fever (87.4% vs. 74.6%), chest pain (89.0% vs. 67.0%) and anorexia (79.5% vs. 55.5%). Community smear-negative participants were older (mean, 39.4 vs. 34.0 years), were more likely to have symptoms and were more likely to have symptoms of longer duration than smear-negative facility-based participants. Patients with pulmonary TB identified in the community had more symptoms and longer duration of illness than facility-based patients, which appeared to be due to factors differentially affecting access to healthcare. Community-based activities targeted at urban slum populations may identify a different TB case population than that accessing stationary services. en
dc.format.medium Print en
dc.subject TUBERCULOSIS en
dc.subject NIGERIA en
dc.title Are patients with pulmonary tuberculosis who are identified through active case finding in the community different than those identified in healthcare facilities? en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume 15 en
dc.BudgetYear 2016/17 en
dc.ResearchGroup HIV/AIDS, STIs and TB en
dc.SourceTitle New Microbes and New Infections en
dc.ArchiveNumber 9584 en
dc.URL http://ktree.hsrc.ac.za/doc_read_all.php?docid=17624 en
dc.PageNumber 35-39 en
dc.outputnumber 8449 en
dc.bibliographictitle Abdurrahman, S.T., Lawson, L., Blakiston, M., Obasanya, J., Yassin, M.A., Anderson, R.M., Oladimeji, O., Ramsay, A. & Cuevas, L.E. (2017) Are patients with pulmonary tuberculosis who are identified through active case finding in the community different than those identified in healthcare facilities?. <i>New Microbes and New Infections</i>. 15:35-39. en
dc.publicationyear 2017 en
dc.contributor.author1 Abdurrahman, S.T. en
dc.contributor.author2 Lawson, L. en
dc.contributor.author3 Blakiston, M. en
dc.contributor.author4 Obasanya, J. en
dc.contributor.author5 Yassin, M.A. en
dc.contributor.author6 Anderson, R.M. en
dc.contributor.author7 Oladimeji, O. en
dc.contributor.author8 Ramsay, A. en
dc.contributor.author9 Cuevas, L.E. en


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