Linde L, van Niekerk L B, le Roux K W, Wilson M, Brooks M B, van de Water B J
Boston University School of Public Health, Boston, USA.
Zithulele District Hospital, Eastern Cape Department of Health, South Africa.
Public Health Action. 2024 Dec 1;14(4):186-189. doi: 10.5588/pha.24.0031. eCollection 2024 Dec.
Four clinics implemented an intervention to increase TB household contact identification and evaluation in rural Eastern Cape, South Africa. We applied a care cascade framework to assess gaps in evaluation and treatment initiation from April 2021 to June 2023. We identified 1,698 contacts of 287 individuals with TB. The majority of contacts (71%) were screened; 9% of those with symptoms were fully evaluated, and of these, 14% were diagnosed with active TB. This intervention substantially increased TB contact identification and evaluation compared to prior efforts in the same area; however, additional barriers limited the ability to identify and treat secondary cases.
四家诊所实施了一项干预措施，以增加南非东开普省农村地区结核病家庭接触者的识别和评估。我们应用了一个护理级联框架，以评估2021年4月至2023年6月期间在评估和治疗启动方面存在的差距。我们识别出了287名结核病患者的1698名接触者。大多数接触者（71%）接受了筛查；有症状的接触者中9%得到了全面评估，其中14%被诊断为活动性结核病。与该地区之前的努力相比，这项干预措施大幅增加了结核病接触者的识别和评估；然而，其他障碍限制了识别和治疗二代病例的能力。
