Interventions to increase tuberculosis case detection at primary healthcare or community-level services

Mhimbira, Francis A, Cuevas, Luis ORCID: https://orcid.org/0000-0002-6581-0587, Dacombe, Russell ORCID: https://orcid.org/0000-0002-6705-1537, Mkopi, Abdallah and Sinclair, David (2017) 'Interventions to increase tuberculosis case detection at primary healthcare or community-level services'. Cochrane Database of Systematic Reviews, Vol 11, CD011432.

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Abstract

BACKGROUND:
Pulmonary tuberculosis is usually diagnosed when symptomatic individuals seek care at healthcare facilities, and healthcare workers have a minimal role in promoting the health-seeking behaviour. However, some policy specialists believe the healthcare system could be more active in tuberculosis diagnosis to increase tuberculosis case detection.

OBJECTIVES:
To evaluate the effectiveness of different strategies to increase tuberculosis case detection through improving access (geographical, financial, educational) to tuberculosis diagnosis at primary healthcare or community-level services.

SEARCH METHODS:
We searched the following databases for relevant studies up to 19 December 2016: the Cochrane Infectious Disease Group Specialized Register; the Cochrane Central Register of Controlled Trials (CENTRAL), published in the Cochrane Library, Issue 12, 2016; MEDLINE; Embase; Science Citation Index Expanded, Social Sciences Citation Index; BIOSIS Previews; and Scopus. We also searched the World Health Organization International Clinical Trials Registry Platform (WHO ICTRP), ClinicalTrials.gov, and the metaRegister of Controlled Trials (mRCT) for ongoing trials.

SELECTION CRITERIA:
Randomized and non-randomized controlled studies comparing any intervention that aims to improve access to a tuberculosis diagnosis, with no intervention or an alternative intervention.

DATA COLLECTION AND ANALYSIS:
Two review authors independently assessed trials for eligibility and risk of bias, and extracted data. We compared interventions using risk ratios (RR) and 95% confidence intervals (CI). We assessed the certainty of the evidence using the GRADE approach.

Item Type:	Article
Subjects:	WA Public Health > WA 20.5 Research (General) WF Respiratory System > Tuberculosis > WF 200 Tuberculosis (General) WF Respiratory System > Tuberculosis > WF 220 Diagnosis. Prognosis WY Nursing > WY 106 Community health nursing WY Nursing > WY 153 Communicable disease nursing
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI):	https://doi.org/10.1002/14651858.CD011432.pub2
SWORD Depositor:	JISC Pubrouter
Depositing User:	Stacy Murtagh
Date Deposited:	05 Dec 2017 13:11
Last Modified:	08 Dec 2020 14:02
URI:	https://archive.lstmed.ac.uk/id/eprint/7920

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