Tuberculosis Case Finding in Kulon Progo District, Yogyakarta, Indonesia: Passive versus Active Case Finding Using Mobile Chest X-ray

Kaku, John Silwanus and Ahmad, Riris Andono and Main, Stephanie and Oktofiana, Dwi and Dwihardiani, Bintari and Triasih, Rina and du Cros, Philipp and Chan, Geoffrey (2024) Tuberculosis Case Finding in Kulon Progo District, Yogyakarta, Indonesia: Passive versus Active Case Finding Using Mobile Chest X-ray. Tropical Medicine and Infectious Disease, 9 (4). pp. 1-11. ISSN 24146366

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Abstract

Active-case finding (ACF) using chest X-ray is an essential method of finding and diagnosing Tuberculosis (TB) cases that may be missed in Indonesia’s routine TB case finding. This study compares active and passive TB case-finding strategies. A retrospective study of TB case notification was conducted. Data between 1 January and 31 December 2021, was used. The population in this study were TB cases notified from Kulon Progo District health facilities, including those found through routine activities or active-case findings. A total of 249 TB cases were diagnosed in Kulon Progo in 2021, and 102 (41) were bacteriologically confirmed. The TB patients’ ages ranged from 0 to 85 years (median 52, IQR 31–61). The majority of cases were male (59, 147/249) and mostly among people aged 15–59 (61.4, 153/249). The proportion of clinical TB diagnoses among cases found from active-case findings was 74.7 (68/91) while the proportion among passive-case findings was 50 (79/158). Active-case finding contributed 91 (36.5) TB cases to the total cases detected in Kulon Progo in 2021. The use of chest X-rays in active-case findings likely contributed to the detection of a higher proportion of clinical TB than in passive-case findings. © 2024 by the authors.

Item Type: Article
Additional Information: Cited by: 0; All Open Access, Gold Open Access, Green Open Access
Uncontrolled Keywords: adolescent; adult; algorithm; Article; child; controlled study; female; health care facility; human; Indonesia; infant; intermethod comparison; major clinical study; male; newborn; retrospective study; screening; thorax radiography; tuberculosis; tuberculosis control
Subjects: R Medicine > RN Non Surgical Divisions
R Medicine > RP Public Health and Nutrition
Divisions: Faculty of Medicine, Public Health and Nursing > Non Surgical Divisions
Depositing User: Ngesti Gandini
Date Deposited: 14 Mar 2025 07:58
Last Modified: 14 Mar 2025 07:58
URI: https://ir.lib.ugm.ac.id/id/eprint/15769

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