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Article

Tuberculosis Case Finding in Kulon Progo District, Yogyakarta, Indonesia: Passive versus Active Case Finding Using Mobile Chest X-ray

by
John Silwanus Kaku
1,*,
Riris Andono Ahmad
1,2,
Stephanie Main
3,
Dwi Oktofiana
4,
Bintari Dwihardiani
1,
Rina Triasih
1,5,
Philipp du Cros
3 and
Geoffrey Chan
3
1
Center for Tropical Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia
2
Department of Biostatistics, Epidemiology and Population Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia
3
International Development, Burnet Institute, Melbourne, VIC 3000, Australia
4
Kulon Progo District Health Office, Yogyakarta 55611, Indonesia
5
Department of Pediatric, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Yogyakarta 55281, Indonesia
*
Author to whom correspondence should be addressed.
Trop. Med. Infect. Dis. 2024, 9(4), 75; https://doi.org/10.3390/tropicalmed9040075
Submission received: 21 November 2023 / Revised: 24 February 2024 / Accepted: 16 March 2024 / Published: 4 April 2024
(This article belongs to the Special Issue Implementing TB Elimination Approaches in Indonesia: Operational Research on Case Finding, Treatment and Prevention of TB in Yogyakarta and Timika)
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Abstract

Active-case finding (ACF) using chest X-ray is an essential method of finding and diagnosing Tuberculosis (TB) cases that may be missed in Indonesia’s routine TB case finding. This study compares active and passive TB case-finding strategies. A retrospective study of TB case notification was conducted. Data between 1 January and 31 December 2021, was used. The population in this study were TB cases notified from Kulon Progo District health facilities, including those found through routine activities or active-case findings. A total of 249 TB cases were diagnosed in Kulon Progo in 2021, and 102 (41%) were bacteriologically confirmed. The TB patients’ ages ranged from 0 to 85 years (median 52, IQR 31–61). The majority of cases were male (59%, 147/249) and mostly among people aged 15–59 (61.4%, 153/249). The proportion of clinical TB diagnoses among cases found from active-case findings was 74.7% (68/91) while the proportion among passive-case findings was 50% (79/158). Active-case finding contributed 91 (36.5%) TB cases to the total cases detected in Kulon Progo in 2021. The use of chest X-rays in active-case findings likely contributed to the detection of a higher proportion of clinical TB than in passive-case findings.
Keywords: Tuberculosis; active-case finding; mobile chest X-ray Tuberculosis; active-case finding; mobile chest X-ray

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MDPI and ACS Style

Kaku, J.S.; Ahmad, R.A.; Main, S.; Oktofiana, D.; Dwihardiani, B.; Triasih, R.; du Cros, P.; Chan, G. Tuberculosis Case Finding in Kulon Progo District, Yogyakarta, Indonesia: Passive versus Active Case Finding Using Mobile Chest X-ray. Trop. Med. Infect. Dis. 2024, 9, 75. https://doi.org/10.3390/tropicalmed9040075

AMA Style

Kaku JS, Ahmad RA, Main S, Oktofiana D, Dwihardiani B, Triasih R, du Cros P, Chan G. Tuberculosis Case Finding in Kulon Progo District, Yogyakarta, Indonesia: Passive versus Active Case Finding Using Mobile Chest X-ray. Tropical Medicine and Infectious Disease. 2024; 9(4):75. https://doi.org/10.3390/tropicalmed9040075

Chicago/Turabian Style

Kaku, John Silwanus, Riris Andono Ahmad, Stephanie Main, Dwi Oktofiana, Bintari Dwihardiani, Rina Triasih, Philipp du Cros, and Geoffrey Chan. 2024. "Tuberculosis Case Finding in Kulon Progo District, Yogyakarta, Indonesia: Passive versus Active Case Finding Using Mobile Chest X-ray" Tropical Medicine and Infectious Disease 9, no. 4: 75. https://doi.org/10.3390/tropicalmed9040075

APA Style

Kaku, J. S., Ahmad, R. A., Main, S., Oktofiana, D., Dwihardiani, B., Triasih, R., du Cros, P., & Chan, G. (2024). Tuberculosis Case Finding in Kulon Progo District, Yogyakarta, Indonesia: Passive versus Active Case Finding Using Mobile Chest X-ray. Tropical Medicine and Infectious Disease, 9(4), 75. https://doi.org/10.3390/tropicalmed9040075

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