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Open Access Screening for tuberculosis and LTBI in diabetes patients, Pohnpei, Federated States of Micronesia

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A retrospective cohort study was performed in Pohnpei, a small Pacific Island, to evaluate the feasibility and results of screening adult diabetes (DM) patients for tuberculosis (TB) and latent tuberculous infection (LTBI) using a symptom screen, tuberculin skin testing and chest radiography. Of 79 patients, 65 (82%) completed screening. Two (3%) patients with active TB and 16 (25%) with LTBI were referred for anti-tuberculosis treatment and isonia-zid preventive therapy, respectively. It is feasible and worthwhile to screen diabetes patients for TB, but a number of changes are needed to improve both the screening process and the diagnostic yield.
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Keywords: Pacific Islands; bi-directional screening; diabetes mellitus; tuberculosis

Document Type: Short Communication

Affiliations: 1: Pohnpei State Department of Health Services, Kolonia, Pohnpei, Federated States of Micronesia 2: Division of TB Elimination, Centers for Disease Control and Prevention, Atlanta, Georgia, USA 3: Fiji National University, Suva, Fiji

Publication date: June 21, 2014

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  • Public Health Action (PHA), The Union's quarterly open access on-line journal, provides a platform for its mission 'Health solutions for the poor'. PHA addresses the need for show-casing operational research that addresses issues in health systems and services. It publishes high-quality scientific research that provides new knowledge to improve access, equity, quality and efficiency of health systems and services.

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