Rio de Janeiro State University, Rio de Janeiro, Rio de Janeiro.
Rio de Janeiro State University, Rio de Janeiro, Rio de Janeiro, Fundação Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro, Brazil.
Int J Tuberc Lung Dis. 2018 Mar 1;22(3):258-263. doi: 10.5588/ijtld.17.0256.
According to World Health Organization (WHO) estimates, the under-reporting rate for tuberculosis (TB) in Cape Verde between 2006 and 2012 was 49%. However, the WHO recognises the challenges associated with this estimation process and recommends implementing other methods, such as record linkage, to combat TB under-reporting.
To estimate and analyse under-reporting of cases by TB surveillance health units and to evaluate TB cases retrieved from other TB diagnostic sources in Praia, Cape Verde, from 2006 to 2012.
This cross-sectional study evaluated under-reporting using the following data: 1) the under-reporting index from TB reporting health units (RHUs), where the number of validated TB cases from RHUs was compared with data from the National Programme for the Fight against Tuberculosis and Leprosy (NPFTL); and 2) the under-reporting index among overall data sources, or a comparison of the number of all validated TB cases from all sources with NPFTL data.
The TB under-reporting rate was 40% in Praia during the study period, and results were influenced by laboratory findings.
The TB under-reporting rate was very similar to the rate estimated by the WHO. TB surveillance must be improved to reduce under-reporting.
根据世界卫生组织（WHO）的估计，2006 年至 2012 年期间佛得角的结核病（TB）漏报率为 49%。然而，WHO 认识到这种估计过程存在挑战，并建议采用记录关联等其他方法来对抗结核病漏报。
估计和分析结核病监测卫生单位的病例漏报情况，并评估 2006 年至 2012 年在佛得角普拉亚从其他结核病诊断来源中检索到的结核病病例。
这项横断面研究使用以下数据评估漏报情况：1）从结核病报告卫生单位（RHU）的漏报指数，其中将 RHU 验证的结核病病例数与国家结核病和麻风病防治方案（NPFTL）的数据进行比较；2）所有数据源的漏报指数，或所有来源的所有验证结核病病例数与 NPFTL 数据的比较。
在研究期间，普拉亚的结核病漏报率为 40%，结果受到实验室结果的影响。
结核病漏报率与 WHO 估计的非常相似。必须加强结核病监测以减少漏报。
