Affiliations 

  • 1 Universiti Kebangsaan Malaysia Medical Centre
  • 2 Management and Science University
  • 3 Universiti Malaysia Sabah
Int J Public Health Res, 2018;8(1):924-932.
MyJurnal

Abstract

Introduction Tuberculosis (TB) is a major global health challenge especially in low- and
middle-income countries reflects improper, delayed or missed diagnosis.
Contact screening should be utilized both as an efficient and effective
targeted approach to intensify TB case finding.
Methods Through a comprehensive systematic literature review of online database,
this paper aims at providing an insight into the current practice of TB contact
screening and to provide evidence based practice for formulation of
appropriate policies in low- and middle-income countries. There are 24
articles included in this review from studies published from 2005 to 2014.
Results Findings in literature varies substantially. Generally, contact screening is
better intensified with clear operational guidelines, adequate training, include
close contact outside household as appropriate and follow up at least for 1
year. Prioritizing high risk close contacts is helpful in resource limited
setting. Tuberculin skin test is still of value as screening tool and intensified
case finding must be accompanied with effective management protocol.
Prophylaxis treatment is recommended especially for children especially less
than 5 years old, unvaccinated, malnourished, living with person having HIV
and close contact with MDR-TB.
Conclusions Policy recommendations in improving TB management must incorporate
complementary strategies to enhance case finding, effective management
protocol for follow up or prophylaxis treatment, training for public health
capacity and concerted dedication from various stakeholders