Prevalence of Mycobacterium tuberculosis in sputum and reported symptoms among clinic attendees compared to a community survey in rural South Africa
In: Clinical Infectious Diseases; Govender, I., Karat, A.S., Olivier, 2022, S. 314
Online
academicJournal
Zugriff:
From Crossref journal articles via Jisc Publications Router ; History: epub 2021-12-03, issued 2021-12-03 ; Background Tuberculosis (TB) case finding efforts typically target symptomatic people attending health facilities. We compared the prevalence of Mycobacterium tuberculosis (Mtb) sputum culture-positivity among adult clinic attendees in rural South Africa with a concurrent, community-based estimate from the surrounding demographic surveillance area (DSA). Methods Clinic: Randomly-selected adults (≥18 years) attending two primary healthcare clinics were interviewed and requested to give sputum for mycobacterial culture. HIV and antiretroviral therapy (ART) status were based on self-report and record review. Community: All adult (≥15 years) DSA residents were invited to a mobile clinic for health screening, including serological HIV testing; those with ≥1 TB symptom (cough, weight loss, night sweats, fever) or abnormal chest radiograph were asked for sputum. Results Clinic: 2,055 patients were enrolled (76.9% female, median age 36 years); 1,479 (72.0%) were classified HIV-positive (98.9% on ART) and 131 (6.4%) reported ≥1 TB symptom. Of 20/2,055 (1.0% [95% CI 0.6–1.5]) with Mtb culture-positive sputum, 14 (70%) reported no symptoms. Community: 10,320 residents were enrolled (68.3% female, median age 38 years); 3,105 (30.3%) tested HIV-positive (87.4% on ART) and 1,091 (10.6%) reported ≥1 TB symptom. Of 58/10,320 (0.6% [95% CI 0.4–0.7]) with Mtb culture-positive sputum, 45 (77.6%) reported no symptoms. In both surveys, sputum culture positivity was associated with male sex and reporting >1 TB symptom. Conclusions In both clinic and community settings, most participants with Mtb culture-positive sputum were asymptomatic. TB screening based only on symptoms will miss many people with active disease in both settings. ; A correction has been published: Clinical Infectious Diseases, ciac244, https://doi.org/10.1093/cid/ciac244 An error appeared in the corrected proof publication of this article [Govender I, ...
Titel: |
Prevalence of Mycobacterium tuberculosis in sputum and reported symptoms among clinic attendees compared to a community survey in rural South Africa
|
---|---|
Autor/in / Beteiligte Person: | Govender, Indira ; Karat, Aaron S. ; Olivier, Stephen ; Baisley, Kathy ; Beckwith, Peter ; Dayi, Njabulo ; Dreyer, Jaco ; Gareta, Dickman ; Gunda, Resign ; Kielmann, Karina ; Koole, Olivier ; Mhlongo, Ngcebo ; Modise, Tshwaraganang ; Moodley, Sashen ; Mpofana, Xolile ; Ndung’u, Thumbi ; Pillay, Deenan ; Siedner, Mark J. ; Smit, Theresa ; Surujdeen, Ashmika ; Wong, Emily B. ; Grant, Alison D. |
Link: | |
Zeitschrift: | Clinical Infectious Diseases; Govender, I., Karat, A.S., Olivier, 2022, S. 314 |
Veröffentlichung: | Oxford University Press, 2022 |
Medientyp: | academicJournal |
ISSN: | 1537-6591 (print) ; 1058-4838 (print) |
DOI: | 10.1093/cid/ciab970 |
Schlagwort: |
|
Sonstiges: |
|