Surveillance for tuberculosis in a rural community in The Philippines
OBJECTIVE: To conduct a prospective community-based survey to generate epidemiological data on TB among patients seeking care in public health centres in a rural municipality in the Philippines.
DESIGN: Prospective surveillance and follow-up of presumptive TB cases from May 2013 to July 2015.
RESULTS: Of 1622 participants with presumptive TB, 468 (28.8%) (95%CI 26.6–31.1) were diagnosed with TB. The annual TB case notification rate in San Juan was 212 (95%CI 184–242) per 100 000 population. There were nine TB-attributable deaths during the study period. Only 8.8% (95%CI 6.2–11.32) of the cases were children aged <15 years; 274 (58.5%) cases were bacteriologically confirmed. Of 210 isolates tested for antimicrobial resistance, 49 (23.3%, 95%CI 17.58–29.02) were resistant. Resistance to isoniazid (INH) was common (n = 33, 15.7%); multidrug-resistant TB was 1.9%.
CONCLUSION: TB remains an important health problem in the Philippines. We identified low case detection of TB in children and high INH resistance rates in this rural community.
Keywords: Mycobacterium tuberculosis; prospective surveillance; pulmonary disease
Document Type: Research Article
Affiliations: 1: National Institutes of Health, University of the Philippines Manila, Manila, The Philippines 2: Research Institute for Tropical Medicine, Manila, The Philippines 3: National Teacher Training Center for the Health Professions, University of the Philippines Manila, Manila, The Philippines
Publication date: November 1, 2016
The International Journal of Tuberculosis and Lung Disease (IJTLD) is for clinical research and epidemiological studies on lung health, including articles on TB, TB-HIV and respiratory diseases such as COVID-19, asthma, COPD, child lung health and the hazards of tobacco and air pollution. Individuals and institutes can subscribe to the IJTLD online or in print – simply email us at [email protected] for details.
The IJTLD is dedicated to understanding lung disease and to the dissemination of knowledge leading to better lung health. To allow us to share scientific research as rapidly as possible, the IJTLD is fast-tracking the publication of certain articles as preprints prior to their publication. Read fast-track articles.
- Editorial Board
- Information for Authors
- Subscribe to this Title
- International Journal of Tuberculosis and Lung Disease
- Public Health Action
- Ingenta Connect is not responsible for the content or availability of external websites
Receive new issue alert- Access Key
- Free content
- Partial Free content
- New content
- Open access content
- Partial Open access content
- Subscribed content
- Partial Subscribed content
- Free trial content