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Table 1 Results from TB case finding activities in clinics in Accra Metropolis from July 2010 to December 2013

From: Provider initiated tuberculosis case finding in outpatient departments of health care facilities in Ghana: yield by screening strategy and target group

 

OPD

HIV

Diabetes

Contacts

Total

Indicators

2-week cough

>24-hour cough

Total

>24-hour

cough

>24-hour cough

Total

Total

Number of facilities

7

3

10

7

2

10

 

(A) Number of people screened

1,522,297

1,360,846

2,883,143

57,265

6,866

6,783

2,954,057

(B) Number of presumptive TB patients identified

9,648

11,211

20,859

2,751

495

457

24562

(C) Number of people tested/evaluated for TB disease

8,358

10,100

18,458

2,610

441

381

21890

(D) Number of people diagnosed with all forms of TB

1,259

1,261

2,520

570

25

47

3162

(E) Number of people diagnosed with SS+ TB

787

803

1590

205

14

24

1833

% presumptive TB cases among those screened (B/A)

0.63%

0.82%

0.72%

4.80%

7.21%

6.74%

0.83%

95%CI

(0.62-0.65)

(0.81-0.84)

(0.71-0.73)

(4.63-5.00)

(6.60-7.82)

(6.14-7.33)

 

% people tested for TB among presumptive TB patients (C/B)

86.6%

90.1%

88.5%

94.9%

89.1%

83.4%

89.1%

95%CI

(86.0-87.3)

(89.5-90.6)

(88.1-88.9)

(94.1-95.7)

(86.3-91.8)

(80.0-86.8)

 

% SS+ TB patients among those tested (E/C)

9.4%

8.0%

8.6%

7.9%

3.2%

6.3%

8.4%

95%CI

(8.8-10.0)

(7.4-8.5)

(8.2-9.0)

(6.8-8.9)

(1.5-4.8)

(3.9-8.7)

 

patients with all forms of TB among those screened (D/A) per 100,000

82.7

92.7

87.4

995.4

364.1

692.9

107.0

95%CI

(78.1-87.3)

(87.6-97.8)

(84.0-90.8)

(914.1-1076.7)

(221.6-506.6)

(495.5-890.3)

 

SS+TB patients among those screened (E/A) per 100,000

51.7

59.0

55.1

358.0

203.9

353.8

62.1

95%CI

(48.1-55.3)

(54.9-63.1)

(52.4-57.9)

(309.1-406.9)

(97.2-310.6)

(212.5-495.1)

 

% SS+ve TB patients among total number of TB patients (E/D)

62.5%

63.7%

63.1%

36.0%

56.0%

51.1%

58.0%

95%CI

(59.8-65.2)

(61.0-66.3)

(61.2-65.0)

(32.0-40.0)

(36.5-75.5)

(36.8-65.4)

 

Number Needed to Screen to find one TB patient all forms (NNS1) (A/D)

1209

1079

1144

100

275

144

934

95%CI

(1145-1280)

(1022-1142)

(1101-1190)

(93-109)

(197-451)

(112-202)

 

Number Needed to Screen to find one SS+TB patient (NNS2) (A/E)

1934

1695

1813

279

490

283

1612

95%CI

(1808-2080)

(1584-1821)

(1727-1908)

(246-324)

(322-1029)

(202-471)

 
  1. >2-week cough – screening approach using a history of cough of 2 or more weeks with or without other TB symptoms; >24-hour cough – screening approach using a history of cough of >24 hours as well a history of any of the following symptoms fever, weight loss and drenching night sweats. 95% CI – 95% Confidence intervals