Estimating the contribution of transmission in primary healthcare clinics to community-wide TB disease incidence, and the impact of infection prevention and control interventions, in KwaZulu-Natal, South Africa.
Nicky McCreeshAaron S KaratIndira GovenderKathy J BaisleyKarin DiaconuTom A YatesRein M G J HoubenKarina KielmannAlison D GrantRichard G WhitePublished in: BMJ global health (2022)
A non-trivial proportion of TB results from transmission in clinics in the study community, particularly in HIV-positive people. Implementing IPC interventions could lead to moderate reductions in disease burden. We recommend that IPC measures in clinics should be implemented for their benefits to staff and patients, but also for their likely effects on TB incidence and mortality in the surrounding community.
Keyphrases
- south africa
- hiv positive
- healthcare
- primary care
- risk factors
- mycobacterium tuberculosis
- mental health
- end stage renal disease
- physical activity
- men who have sex with men
- newly diagnosed
- ejection fraction
- chronic kidney disease
- antiretroviral therapy
- prognostic factors
- cardiovascular events
- type diabetes
- quality improvement
- human immunodeficiency virus
- coronary artery disease