Yield of TB screening in prisons in Tajikistan
BACKGROUND: The rate of TB in prison institutions is estimated to be 23 times higher than in the general population. Limited documentation exists regarding TB screening in Tajikistan's prisons. This study aims to report findings from a TB screening conducted in prison facilities in Tajikistan....
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| Format: | Article |
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International Union Against Tuberculosis and Lung Disease (The Union)
2024-08-01
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| Series: | IJTLD Open |
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| Online Access: | https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2024/00000001/00000008/art00003 |
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| author | S. Moe M. Asozoda A. Aung Z. Dusmatova F. Akintore E. Nshimiyimana A. Zavqibekov N. Sitali W.K. Mulanda T. Cullip A. Sinha |
| author_facet | S. Moe M. Asozoda A. Aung Z. Dusmatova F. Akintore E. Nshimiyimana A. Zavqibekov N. Sitali W.K. Mulanda T. Cullip A. Sinha |
| author_sort | S. Moe |
| collection | DOAJ |
| description | BACKGROUND: The rate of TB in prison institutions is estimated to be 23 times higher than in the general population. Limited documentation exists regarding TB screening in Tajikistan's prisons. This study aims to report findings from a TB screening conducted in prison facilities in Tajikistan. METHODS: A systematic TB screening was conducted between July 2022 and September 2023, following a locally adapted algorithm based on WHO recommendations. The screening yield was calculated as the proportion of confirmed TB cases, with categorical variables compared using a χ 2 test. RESULTS: A total of 7,223 screenings were conducted, identifying 31 TB cases, including 17 drug-susceptible TB cases, eight drug-resistant TB cases, and six clinically diagnosed cases. The overall screening yield was 0.43%. Notably, the screening yield was 3.4% among individuals with at least one TB symptom and 0.03% among those without TB symptoms (P < 0.001). CONCLUSION: The identified rate of TB in these prisons is five times higher than in the general population. Symptomatic individuals had a higher likelihood of TB diagnosis, and using chest X-rays significantly improved screening yield. We recommend increasing the capacity for chest X-ray testing to enhance TB prevention and control within prison settings. |
| format | Article |
| id | doaj-art-bcfc84c949844ec0ae502b356f655c0a |
| institution | Kabale University |
| issn | 3005-7590 |
| language | English |
| publishDate | 2024-08-01 |
| publisher | International Union Against Tuberculosis and Lung Disease (The Union) |
| record_format | Article |
| series | IJTLD Open |
| spelling | doaj-art-bcfc84c949844ec0ae502b356f655c0a2025-01-22T12:14:14ZengInternational Union Against Tuberculosis and Lung Disease (The Union)IJTLD Open3005-75902024-08-011834434810.5588/ijtldopen.24.02723Yield of TB screening in prisons in TajikistanS. Moe0M. Asozoda1A. Aung2Z. Dusmatova3F. Akintore4E. Nshimiyimana5A. Zavqibekov6N. Sitali7W.K. Mulanda8T. Cullip9A. Sinha10Médecins Sans Frontières, Dushanbe, Tajikistan;Penitentiary Medical Service Department, Ministry of Justice, Dushanbe, Tajikistan;Médecins Sans Frontières, Dushanbe, Tajikistan;Médecins Sans Frontières, Dushanbe, Tajikistan;Médecins Sans Frontières, Dushanbe, Tajikistan;Médecins Sans Frontières, Dushanbe, Tajikistan;Médecins Sans Frontières, Dushanbe, Tajikistan;Médecins Sans Frontières (MSF), Berlin, Germany;Médecins Sans Frontières, Dushanbe, Tajikistan;MSF, London, UKMSF, London, UKBACKGROUND: The rate of TB in prison institutions is estimated to be 23 times higher than in the general population. Limited documentation exists regarding TB screening in Tajikistan's prisons. This study aims to report findings from a TB screening conducted in prison facilities in Tajikistan. METHODS: A systematic TB screening was conducted between July 2022 and September 2023, following a locally adapted algorithm based on WHO recommendations. The screening yield was calculated as the proportion of confirmed TB cases, with categorical variables compared using a χ 2 test. RESULTS: A total of 7,223 screenings were conducted, identifying 31 TB cases, including 17 drug-susceptible TB cases, eight drug-resistant TB cases, and six clinically diagnosed cases. The overall screening yield was 0.43%. Notably, the screening yield was 3.4% among individuals with at least one TB symptom and 0.03% among those without TB symptoms (P < 0.001). CONCLUSION: The identified rate of TB in these prisons is five times higher than in the general population. Symptomatic individuals had a higher likelihood of TB diagnosis, and using chest X-rays significantly improved screening yield. We recommend increasing the capacity for chest X-ray testing to enhance TB prevention and control within prison settings.https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2024/00000001/00000008/art00003active case-findingprisontuberculosis screening |
| spellingShingle | S. Moe M. Asozoda A. Aung Z. Dusmatova F. Akintore E. Nshimiyimana A. Zavqibekov N. Sitali W.K. Mulanda T. Cullip A. Sinha Yield of TB screening in prisons in Tajikistan IJTLD Open active case-finding prison tuberculosis screening |
| title | Yield of TB screening in prisons in Tajikistan |
| title_full | Yield of TB screening in prisons in Tajikistan |
| title_fullStr | Yield of TB screening in prisons in Tajikistan |
| title_full_unstemmed | Yield of TB screening in prisons in Tajikistan |
| title_short | Yield of TB screening in prisons in Tajikistan |
| title_sort | yield of tb screening in prisons in tajikistan |
| topic | active case-finding prison tuberculosis screening |
| url | https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2024/00000001/00000008/art00003 |
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