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    Apr 18, 2021
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    Household screening and multidrug-resistant tuberculosis

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    Authors
    Cox, H
    van Cutsem, G
    Affiliation
    Burnet Institute for Medical Research and Public Health, Centre for Population Health, Melbourne, Australia; Médecins Sans Frontières, Cape Town, South Africa
    Issue Date
    2010-12-09
    Submitted date
    2011-03-08
    
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    Journal
    Lancet
    Abstract
    Of the estimated half a million people who develop multidrug resistant (MDR) tuberculosis each year, less than 7% are diagnosed and only 1 in 5 of these have access to eff ective treatment.1 To control this epidemic, dramatically increased efforts are required to scale up case detection and treatment provision. In The Lancet, Mercedes Becerra and colleagues2 report the yield of additional MDR tuberculosis diagnoses that are found by screening household contacts of index cases in Lima, Peru. This study—the largest of its kind to date—found that more than 2% of 4503 household contacts had active tuberculosis at the time the index case was diagnosed. Incident tuberculosis was also found at a rate of 1624 cases per 100 000 person-years over 4 years follow-up. These results support recommendations for active screening of household contacts of people with MDR tuberculosis,3 and provide valuable lessons for other programmes striving to improve case detection and to reduce community transmission of MDR tuberculosis.
    URI
    http://hdl.handle.net/10144/124085
    DOI
    10.1016/S0140-6736(10)61390-6
    PubMed ID
    21145582
    Additional Links
    http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2810%2961390-6/fulltext
    Type
    Article
    Language
    en
    ISSN
    1474-547X
    ae974a485f413a2113503eed53cd6c53
    10.1016/S0140-6736(10)61390-6
    Scopus Count
    Collections
    TB

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