Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

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

John Silwanus Kaku
* ,
Riris Andono Ahmad
ORCID logo ,
Stephanie Main
,
Dwi Oktofiana
,
Bintari Dwihardiani
,
Rina Triasih
,
Philipp Du Cros
,
Geoffrey Chan
ORCID logo
Version 1 : Received: 27 November 2023 / Approved: 28 November 2023 / Online: 28 November 2023 (10:25:24 CET)

A peer-reviewed article of this Preprint also exists.

Kaku, J.S.; Ahmad, R.A.; Main, S.; Oktofiana, D.; Dwihardiani, B.; Triasih, R.; du Cros, P.; Chan, G. Tuberculosis Case Finding in Kulon Progo District, Yogyakarta, Indonesia: Passive versus Active Case Finding Using Mobile Chest X-ray. Trop. Med. Infect. Dis. 2024, 9, 75. Kaku, J.S.; Ahmad, R.A.; Main, S.; Oktofiana, D.; Dwihardiani, B.; Triasih, R.; du Cros, P.; Chan, G. Tuberculosis Case Finding in Kulon Progo District, Yogyakarta, Indonesia: Passive versus Active Case Finding Using Mobile Chest X-ray. Trop. Med. Infect. Dis. 2024, 9, 75.

Abstract

Active-case finding (ACF) using chest X-ray is an essential method of finding and diagnosing 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 January 1 and December 31, 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 finding. A total of 255 TB cases were diagnosed in Kulon Progo in 2021, and 106 (41.6%) were bacteriologically confirmed. The TB patients' mean age was 46.3 (SD 21.4, range 0-85 years). The majority of cases were male (58.8%) and mostly among people aged 16-60 years old (63.5%). ACF diagnosed 91 TB cases (35.7% total cases, 91/255). The proportion of clinical TB cases (n=68, 74.7%) among those found through ACF was higher than found through passive-case finding. Use of chest X-ray in ACF likely contributed to the detection of a higher proportion of clinical TB than bacteriologically confirmed.

Keywords

tuberculosis; active-case finding; mobile chest X-ray

Subject

Public Health and Healthcare, Public Health and Health Services

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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