Wide Variations in Compliance with Tuberculosis Screening Guidelines and Tuberculosis Incidence between Antiretroviral Therapy Facilities - Côte d'Ivoire.
Andrew F AuldMichela BlainKunomboa Alexandre EkraJoseph Sylvain KouakouVirginie Ettiègne-TraoréMoise Zanga TuhoFayama MohamedRay W ShiraishiJennifer SabatierJoseph EssomboGeorgette Adjorlolo-JohnsonRichard MarlinkTedd V EllerbrockPublished in: PloS one (2016)
Screening for TB before ART initiation was poorly documented. Facility-level variations in TB screening documentation suggest facility-level factors, such as investment in training programs, might determine documentation practices. Targeting under-performing ART facilities with improvement activities is needed. Variations among facilities in TB incidence warrant further research. These incidence variations could reflect differences between facilities in TB screening, diagnostic tests, documentation practices, or TB risk possibly related to infection control practices or local community TB incidence.