Omotayo S A, Chukwuogo O, Ogbudebe C, Egbule D, Opara P, Bot T, Chukwu E, Nwadike P, Gordon I, Ezekhaigbe C, Yakubu A, Odume B
KNCV Nigeria, Abuja, Nigeria.
RedAid, Enugu State, Nigeria.
Public Health Action. 2025 Mar 1;15(1):38-43. doi: 10.5588/pha.24.0045. eCollection 2025 Mar.
Despite recent progress in TB notification rates, 6.2% of the 3.1 million 'missing' people with TB globally are from Nigeria. Identifying these 'missing' cases will improve TB control efforts in Nigeria.
This paper aims to describe the outcome of an intensified TB case-finding strategy in northern Nigeria.
An intensified TB case-finding strategy was implemented in four states in northern Nigeria from October 2021 to September 2022. Trained ad-hoc staff screened hospital attendees and linked identified persons with presumptive TB to diagnosis using a hub and spoke approach. People with confirmed TB were linked to treatment. Contributions of the strategy to the national TB notification rates for each state were assessed.
A total of 1.17 million individuals were screened for TB across the four project States. 64,079 people with presumptive TB were identified, of which 10.1% were diagnosed with TB and 97% of those diagnosed were placed on treatment. Averagely, 33.3% of the TB cases notified from each state were contributions from the hospital-based Intensified TB case-finding intervention.
Facility-based intensified TB case-finding results in significant improvement in TB notification rates and a good strategy to improve the identification of missing TB cases in Nigeria.
尽管最近结核病通报率有所提高，但全球310万“失踪”结核病患者中有6.2%来自尼日利亚。识别这些“失踪”病例将改善尼日利亚的结核病防控工作。
本文旨在描述尼日利亚北部强化结核病病例发现策略的成果。
2021年10月至2022年9月，在尼日利亚北部四个州实施了强化结核病病例发现策略。经过培训的临时工作人员对医院就诊者进行筛查，并采用“中心-辐条”模式将确诊为疑似结核病的人员转诊至诊断机构。确诊结核病的患者被转诊至治疗机构。评估了该策略对每个州国家结核病通报率的贡献。
在四个项目州共对117万人进行了结核病筛查。共识别出64079名疑似结核病患者，其中10.1%被确诊为结核病，97%确诊患者接受了治疗。平均而言，每个州通报的结核病病例中有33.3%来自基于医院的强化结核病病例发现干预措施。
基于医疗机构的强化结核病病例发现显著提高了结核病通报率，是改善尼日利亚“失踪”结核病病例识别的有效策略。
