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dc.contributor.authorIsaakidis, P
dc.contributor.authorFerlazzo, G
dc.contributor.authorDas, M
dc.contributor.authorPasupuleti, D
dc.contributor.authorSloan, S
dc.contributor.authorHossain, F
dc.contributor.authorKalon, S
dc.contributor.authorMansoor, H
dc.contributor.authorRao, S
dc.date.accessioned2020-01-08T15:41:15Z
dc.date.available2020-01-08T15:41:15Z
dc.date.issued2019-12-21
dc.date.submitted2020-01-07
dc.identifier.issn2414-6366
dc.identifier.doi10.3390/tropicalmed5010001
dc.identifier.urihttp://hdl.handle.net/10144/619564
dc.description.abstractAbstract: Médecins Sans Frontières (MSF) has been providing diagnosis and treatment for patients with tuberculosis (TB) via mobile clinics in conflict-affected border areas of Chhattisgarh, India since 2009. The study objectives were to determine the proportion of patients diagnosed with TB and those who were lost-to-follow-up (LTFU) prior to treatment initiation among patients with presumptive TB between April 2015 and August 2018. The study also compared bacteriological confirmation and pretreatment LTFU during two time periods: a) April 2015–August 2016 and b) April 2017–August 2018 (before and after the introduction of GeneXpert as a first diagnostic test). Community health workers (CHW) supported patient tracing. This study was a retrospective analysis of routine program data. Among 1042 patients with presumptive TB, 376 (36%) were diagnosed with TB. Of presumptive TB patients, the pretreatment LTFU was 7%. Upon comparing the two time-periods, bacteriological confirmation increased from 20% to 33%, while pretreatment LTFU decreased from 11% to 4%. TB diagnosis with GeneXpert as the first diagnostic test and CHW-supported patient tracing in a mobile-clinic model of care shows feasibility for replication in similar conflict-affected, hard to reach areas.en_US
dc.language.isoenen_US
dc.publisherMDPI AGen_US
dc.rightsWith thanks to the Journal for Tropical Medicine and Infectious Diseaseen_US
dc.titleGeneXpert and Community Health Workers Supported Patient Tracing for Tuberculosis Diagnosis in Conflict-Affected Border Areas in Indiaen_US
dc.typejournal-article
dc.identifier.journalTropical Medicine and Infectious Diseaseen_US
dc.source.volume5
dc.source.issue1
dc.source.beginpage1
refterms.dateFOA2020-01-08T15:41:16Z


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