Tuberculosis case finding and treatment in the central prison of Qazvin province
Abstract number: 1733_1104
Salehi Shahidi S., Assefzadeh M., Barghi R.Gh.
Objectives: This study is aimed at determining tuberculosis prevalence in the central prison of Qazvin province.
Methods: It was a cross-sectional study started from April 2004 to July 2005 which use active case finding based on clinical signs and symptoms (persistent cough more than 2 weeks, weight loss, fever, night sweats, decreased appetite) and a minimum of 3 morning sputum samples of TB suspects for microscopic exam.
Results: A total number of 768 prisoners including 95% males and 5% females were examined. 75% of them were in 2140 age-group. 5.3% of total examined were tuberculosis suspects. 7 smear-positive TB cases were found who were all males. 6 cases were in 2140 age group. All of the cases were addicted to cigarette and drug. In general the tuberculosis prevalence was 911 per 100,000. Directly observed short course treatment was started for all 7 patients. 4 cases were cured, 1 case treatment completed and 2 cases were failed who one of them was cured after prescription of Category2 regimen, the other one interrupted his treatment after having been released from the prison.
Conclusion: In our study, the tuberculosis prevalence in evaluated prisoners was 911 per 100,000. It was 227 times more than smear positive tuberculosis prevalence and 113 times more than total tuberculosis prevalence of the province in the same year. In a separate study in Central Qazvin prison in 1999, it was found out that the tuberculosis prevalence was 136 per 100,000. This increasing trend of tuberculosis in Central Qazvin Prison from 136 to 911 per 100,000 in about 5 years is possibly because of an increased accuracy of active case finding and increased predisposing factors for tuberculosis infection/reactivation in the prison. Since there are no limitation and physical barriers for tuberculosis as restricting factors this increasing trend can be an alarm for spreading the disease in the society. Therefore there should be continuous training programmes for both staff and prisoners.
We had two cases of treatment failure (28.5%) which were higher than the same result in non-prisoner patients (2.9%) may be due to noncompliance of the prisoners to the treatment, multiple lung cavities which were found in chest X-rays of both failure of treatment cases, smoking and drug addiction. Therefore arrangements should be made in such a way that all inmates must refrain from smoking and drug abuse and their treatment should be performed under more supervision and care.
|Session name:||European Society of Clinical Microbiology and Infectious Diseases|
|Location:||ICC, Munich, Germany|
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