Variability in distribution and use of tuberculosis diagnostic tests in Kenya: a cross-sectional survey.

ABSTRACT:

Background

Globally, 40% of all tuberculosis (TB) cases, 65% paediatric cases and 75% multi-drug resistant TB (MDR-TB) cases are missed due to underreporting and/or under diagnosis. A recent Kenyan TB prevalence survey found that a significant number of TB cases are being missed here. Understanding spatial distribution and patterns of use of TB diagnostic tests as per the guidelines could potentially help improve TB case detection by identifying diagnostic gaps.

Methods

We used 2015 Kenya National TB programme data to map TB case notification rates (CNR) in different counties, linked with their capacity to perform diagnostic tests (chest x-rays, smear microscopy, Xpert MTB/RIF®, culture and line probe assay). We then ran hierarchical regression models for adults and children

SUBMITTER: Oliwa JN 

PROVIDER: S-EPMC6048895 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature