Multicenter Screening of Diabetic Patients for Detecting New Cases of Tuberculosis: an Approach to Intensify the Case Detection Rate of Tuberculosis in Developing Countries with High Prevalence of Diabetes

Overview

Journal J Prev Med Hyg

Specialty Public Health

Date 2020 Jan 23

PMID 31967091

Citations 2

Authors

M Gadallah

W Abdelmoniem

M Fawzy

A Mokhtar

A Mohsen

Affiliations

Soon will be listed here.

Abstract

Introduction: Tuberculosis (TB) is a major public health problem in most of developing countries. Meanwhile, the prevalence of type 2 diabetes mellitus (DM) is also increasing rapidly.

Objectives: To describe the feasibility of implementing screening test for tuberculosis among diabetic patients and identifying factors associated with high detection rate.

Methods: Study Design: Multi-center cross-sectional study. This study was implemented in the governmental healthcare settings. To diagnose TB among diabetics, we used a symptom-based questionnaire that included the symptoms of suspected TB according to the guidelines of National Tuberculosis Program in Egypt.

Results: Among 4283 adult diabetics, 14 TB cases were diagnosed; 9 known TB cases and 5 newly detected cases. The number needed to detect one new case of TB was 855. Male diabetics and who those suffered from liver disease experienced a significantly higher prevalence of TB and a higher detection rate of new active cases.

Conclusions: Screening for TB among diabetics in routine governmental healthcare services was successfully implemented. Screening DM patients in countries with a high prevalence of DM will reveal a significant number of active TB cases, which will in turn improve the case detection rate of TB.

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