Screening for tuberculosis and LTBI in diabetes patients, Pohnpei, Federated States of Micronesia

descriptionPublicationkeyboard_double_arrow_right Article 01 Jun 2014 English Publisher:International Union Against Tuberculosis and Lung DiseaseJournal:Public Health Action, volume 4, pages S53-S55 (eissn: 2220-8372,

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Authors: R R, Defang; R, Brostrom; S, Ram; E, Johnson; P S, Perman;

doi: 10.5588/pha.13.0081

pmid: 26477289

pmc: PMC4547597

Screening for tuberculosis and LTBI in diabetes patients, Pohnpei, Federated States of Micronesia

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Abstract

A retrospective cohort study was performed in Pohnpei, a small Pacific Island, to evaluate the feasibility and results of screening adult diabetes (DM) patients for tuberculosis (TB) and latent tuberculous infection (LTBI) using a symptom screen, tuberculin skin testing and chest radiography. Of 79 patients, 65 (82%) completed screening. Two (3%) patients with active TB and 16 (25%) with LTBI were referred for anti-tuberculosis treatment and isonia-zid preventive therapy, respectively. It is feasible and worthwhile to screen diabetes patients for TB, but a number of changes are needed to improve both the screening process and the diagnostic yield.

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