Source: Annual Congress 2005 - Biological and treatment aspects of tuberculosis
Disease area: Respiratory infections

Abstract

FILHA (Finnish Lung Health Association) in collaboration with the Estonian National Tuberculosis Program began implementing the WHO-recommended DOTS-plus strategy for MDRTB in Estonia in 2002. In Estonia, the proportion of patients with newly diagnosed active TB that are homeless has increased from 3,5% in 1998 to 11% in 2003. A pilot project to identify TB patients using active case finding was conducted among the homeless in Ida-Virumaa region over a four months in 2004, March-April and October-November. During this time, half of all homeless residents at 21 shelters were screened for TB through physician interviews and chest radiography. Out 3150 residents admitted to the shelters, 1803 (57%) were screened. Of these 37 (2%) TB suspects were identified. For those who were suspected to have TB sputum smear and culture was done. Of the 10 patients diagnosed with active pulmonary TB, 9 were bacteriologically confirmed, 1 patient was smear/culture negative. The period prevalence of active TB was 555 per 100000 homeless persons screened in Ida-Virumaa. This is 13 times higher than the notification rate in Ida-Virumaa by the passive case finding (41,9 per 100000 in 2004) and in whole country (41,3 per 100000 in 2004). Active case finding is useful in identifying homeless persons with TB in Estonia.

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Citations should be made in the following way:
V. Iljina, V. Hollo, K. Vink, M. Danilovits, K. Kliiman (Kohtla-Jarve, Tallinn, Tartu, Estonia). Strengthening the DOTS-Plus TB Control Programme in Estonia 2002-2004 (a pilot project for intensified case finding in high-risk groups in the Ida-Virumaa region). Eur Respir J 2005; 26: Suppl. 49, 2909

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