A comparison between passive and active case finding in TB control in the Arkhangelsk region
Background: In Russia, active case finding (ACF) for certain population groups has been practiced uninterruptedly for many decades, but no studies comparing ACF and passive case finding (PCF) approaches in Russia have been published. Objective: The aim of this study was to describe the main differen...
Published in: | International Journal of Circumpolar Health |
---|---|
Main Authors: | , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Taylor & Francis Group
2014
|
Subjects: | |
Online Access: | https://doi.org/10.3402/ijch.v73.23515 https://doaj.org/article/ccbfb659b1cc4b128c698f93b1f9cbae |
id |
ftdoajarticles:oai:doaj.org/article:ccbfb659b1cc4b128c698f93b1f9cbae |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:ccbfb659b1cc4b128c698f93b1f9cbae 2023-05-15T15:08:24+02:00 A comparison between passive and active case finding in TB control in the Arkhangelsk region Vladimir N. Kuznetsov Andrej M. Grjibovski Andrey O. Mariandyshev Eva Johansson Gunnar A. Bjune 2014-02-01T00:00:00Z https://doi.org/10.3402/ijch.v73.23515 https://doaj.org/article/ccbfb659b1cc4b128c698f93b1f9cbae EN eng Taylor & Francis Group http://www.circumpolarhealthjournal.net/index.php/ijch/article/download/23515/pdf_1 https://doaj.org/toc/2242-3982 2242-3982 doi:10.3402/ijch.v73.23515 https://doaj.org/article/ccbfb659b1cc4b128c698f93b1f9cbae International Journal of Circumpolar Health, Vol 73, Iss 0, Pp 1-10 (2014) tuberculosis diagnostic delay active and passive case finding Arctic medicine. Tropical medicine RC955-962 article 2014 ftdoajarticles https://doi.org/10.3402/ijch.v73.23515 2022-12-31T07:20:03Z Background: In Russia, active case finding (ACF) for certain population groups has been practiced uninterruptedly for many decades, but no studies comparing ACF and passive case finding (PCF) approaches in Russia have been published. Objective: The aim of this study was to describe the main differences in symptoms and diagnostic delay between patients who come to TB services through PCF and ACF strategies. Methods: A cross-sectional study was conducted among 453 new pulmonary tuberculosis (PTB) patients, who met criteria of TB diagnostic delay in Arkhangelsk. Results: ACF patients used self-treatment more often than PCF patients (90.1% vs. 24.6%) and 36.3% of them were alcohol abusers (as opposed to only 26.2% of PCF patients). The median patient delay (PD) in PCF was 4 weeks, IQR (1–8 weeks), and less than 1 week in ACF. Twenty-three per cent of the PCF patients were seen by a medical provider within the first week of their illness onset. Conclusion: Patients diagnosed through ACF tended to under-report their TB symptoms and showed low attention to their own health. However, ACF allowed for discovering TB patients earlier than PCF, and this was also the case for alcohol abusing patients. PCF systems should be supplemented with ACF strategies. Article in Journal/Newspaper Arctic Arkhangelsk Circumpolar Health International Journal of Circumpolar Health Directory of Open Access Journals: DOAJ Articles Arctic International Journal of Circumpolar Health 73 1 23515 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
tuberculosis diagnostic delay active and passive case finding Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
tuberculosis diagnostic delay active and passive case finding Arctic medicine. Tropical medicine RC955-962 Vladimir N. Kuznetsov Andrej M. Grjibovski Andrey O. Mariandyshev Eva Johansson Gunnar A. Bjune A comparison between passive and active case finding in TB control in the Arkhangelsk region |
topic_facet |
tuberculosis diagnostic delay active and passive case finding Arctic medicine. Tropical medicine RC955-962 |
description |
Background: In Russia, active case finding (ACF) for certain population groups has been practiced uninterruptedly for many decades, but no studies comparing ACF and passive case finding (PCF) approaches in Russia have been published. Objective: The aim of this study was to describe the main differences in symptoms and diagnostic delay between patients who come to TB services through PCF and ACF strategies. Methods: A cross-sectional study was conducted among 453 new pulmonary tuberculosis (PTB) patients, who met criteria of TB diagnostic delay in Arkhangelsk. Results: ACF patients used self-treatment more often than PCF patients (90.1% vs. 24.6%) and 36.3% of them were alcohol abusers (as opposed to only 26.2% of PCF patients). The median patient delay (PD) in PCF was 4 weeks, IQR (1–8 weeks), and less than 1 week in ACF. Twenty-three per cent of the PCF patients were seen by a medical provider within the first week of their illness onset. Conclusion: Patients diagnosed through ACF tended to under-report their TB symptoms and showed low attention to their own health. However, ACF allowed for discovering TB patients earlier than PCF, and this was also the case for alcohol abusing patients. PCF systems should be supplemented with ACF strategies. |
format |
Article in Journal/Newspaper |
author |
Vladimir N. Kuznetsov Andrej M. Grjibovski Andrey O. Mariandyshev Eva Johansson Gunnar A. Bjune |
author_facet |
Vladimir N. Kuznetsov Andrej M. Grjibovski Andrey O. Mariandyshev Eva Johansson Gunnar A. Bjune |
author_sort |
Vladimir N. Kuznetsov |
title |
A comparison between passive and active case finding in TB control in the Arkhangelsk region |
title_short |
A comparison between passive and active case finding in TB control in the Arkhangelsk region |
title_full |
A comparison between passive and active case finding in TB control in the Arkhangelsk region |
title_fullStr |
A comparison between passive and active case finding in TB control in the Arkhangelsk region |
title_full_unstemmed |
A comparison between passive and active case finding in TB control in the Arkhangelsk region |
title_sort |
comparison between passive and active case finding in tb control in the arkhangelsk region |
publisher |
Taylor & Francis Group |
publishDate |
2014 |
url |
https://doi.org/10.3402/ijch.v73.23515 https://doaj.org/article/ccbfb659b1cc4b128c698f93b1f9cbae |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic Arkhangelsk Circumpolar Health International Journal of Circumpolar Health |
genre_facet |
Arctic Arkhangelsk Circumpolar Health International Journal of Circumpolar Health |
op_source |
International Journal of Circumpolar Health, Vol 73, Iss 0, Pp 1-10 (2014) |
op_relation |
http://www.circumpolarhealthjournal.net/index.php/ijch/article/download/23515/pdf_1 https://doaj.org/toc/2242-3982 2242-3982 doi:10.3402/ijch.v73.23515 https://doaj.org/article/ccbfb659b1cc4b128c698f93b1f9cbae |
op_doi |
https://doi.org/10.3402/ijch.v73.23515 |
container_title |
International Journal of Circumpolar Health |
container_volume |
73 |
container_issue |
1 |
container_start_page |
23515 |
_version_ |
1766339772668706816 |