Journal of Family Medicine and Primary Care

ORIGINAL ARTICLE
Year
: 2020  |  Volume : 9  |  Issue : 7  |  Page : 3701--3706

Active case finding of tuberculosis among household contacts of newly diagnosed tuberculosis patients: A community-based study from southern Haryana


Suraj Chawla1, Vikas Gupta2, Neeraj Gour1, Kashish Grover3, Pawan Kumar Goel1, Pankaj Kaushal4, Navraj Singh4, Ravish Ranjan4 
1 Department of Community Medicine, SHKM Government Medical College, Nalhar, Haryana, India
2 Department of Community Medicine, Government Medical College, Shahdol, Madhya Pradesh, India
3 Department of Community Medicine, MMIMSR, Mullana, Haryana, India
4 Department of Community Medicine, PGIMS, Rohtak, Haryana, India

Correspondence Address:
Dr. Vikas Gupta
Assistant Professor, Department of Community Medicine, Government Medical College, Shahdol, Madhya Pradesh
India

Background: Active case-finding is provider-initiated and implies systematic searching for TB in individuals who would not spontaneously present to a health service, and bringing them into care for diagnosis and treatment. Aim: The present study was carried out with the objective to assess the yield and feasibility of active case finding strategy among household contacts of newly diagnosed pulmonary TB cases and to determine risk factors in household contact. Methods: This community-based study with cross-sectional design was conducted among the household contacts of all newly diagnosed microbiologically confirmed pulmonary TB patients registered at Tuberculosis Unit (TU), Nuh. Investigator conducted house to house visit and met respective index case and his/her household contacts to build the rapport. Results: In the present study, there were 55 sputum smear-positive index cases and 356 household contacts of index cases. The most common symptom among screening positive household contacts was cough followed by weight loss. A substantial proportion (83.8%) of symptom positive household contacts were investigated for tuberculosis and among them, 18.9% were found to be positive for tuberculosis. The overall prevalence of TB cases among household contacts was found to be 1.97%. Conclusion: The present study concludes that household contact screening for active case finding for TB is a feasible and efficient tool that can potentially result in earlier diagnosis and treatment of active TB, thus minimizing the severity and decreasing transmission. It can also contribute toward improving treatment outcomes, health sequelae, and the social and economic consequences of TB.


How to cite this article:
Chawla S, Gupta V, Gour N, Grover K, Goel PK, Kaushal P, Singh N, Ranjan R. Active case finding of tuberculosis among household contacts of newly diagnosed tuberculosis patients: A community-based study from southern Haryana.J Family Med Prim Care 2020;9:3701-3706


How to cite this URL:
Chawla S, Gupta V, Gour N, Grover K, Goel PK, Kaushal P, Singh N, Ranjan R. Active case finding of tuberculosis among household contacts of newly diagnosed tuberculosis patients: A community-based study from southern Haryana. J Family Med Prim Care [serial online] 2020 [cited 2020 Sep 21 ];9:3701-3706
Available from: http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=7;spage=3701;epage=3706;aulast=Chawla;type=0