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Implementing a Large-Scale Systematic Tuberculosis Screening Program in Correctional Facilities in South Africa.
- Source :
-
Open Forum Infectious Diseases . Jan2015, Vol. 2 Issue 1, p1-1. 1p. - Publication Year :
- 2015
-
Abstract
- Background. Tuberculosis (TB) prevalence is high in correctional facilities in southern Africa. With support from local South African nongovernmental organizations, the South African Department of Correctional Services initiated a program of systematically screening newly admitted and current inmates for symptoms followed by GeneXpert Mycobacterium tuberculosis (MTB)/rifampicin (Rif) for microbiologic testing of symptomatic inmates.Methods. We conducted a program evaluation during a 5-month window describing program reach, effectiveness, adoption within the facilities, cost, and opportunities for sustainability. This evaluation included 4 facilities (2 large and 2 smaller) with a total daily census of 20 700 inmates.Results. During the 5-month evaluation window from May to September 2013, 7426 inmates were screened at the 4 facilities. This represents screening 87% of all new admits (the remaining new admits were screened by correctional staff only and are not included in these statistics) and 23% of the daily inmate census, reaching 55% of the overall screening target as calculated per annum. The reach ranged from 57% screened during these 5 months at one of the smaller facilities to 13% at the largest facility. Two hundred one cases of pulmonary TB were diagnosed, representing 2.1% of the screened population; 93% had documented initiation of TB treatment. The cost per TB case identified was $1513, excluding treatment costs (with treatment costs it was $1880).Conclusions. We reached a large number of inmates with high-volume screening and effectively used GeneXpert MTB/Rif to diagnose pulmonary TB and rapidly initiate treatment. The cost was comparable to other screening programs. [ABSTRACT FROM PUBLISHER]
- Subjects :
- *TUBERCULOSIS diagnosis
*INTERFERON gamma release tests
*TUBERCULIN test
*PRISONS
Subjects
Details
- Language :
- English
- ISSN :
- 23288957
- Volume :
- 2
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Open Forum Infectious Diseases
- Publication Type :
- Academic Journal
- Accession number :
- 100514088
- Full Text :
- https://doi.org/10.1093/ofid/ofu121