New approach for tuberculosis contact tracing implemented in the two regions of Kyrgyz Republic during 2017-2018

  • Bakyt Dzhangaziev Department for Disease Prevention and State Sanitary Epidemiological Surveillance, Ministry of Health of Kyrgyz Republic, Bishkek, Kyrgyzstan
  • Aizat Kulzhabaeva USAID Defeat TB Project in Kyrgyzstan, Bishkek, Kyrgyzstan
  • Nune Truzyan FMD KL Europe, Yerevan, Armenia
  • Abdykadyr Zhoroev Department for Disease Prevention and State Sanitary Epidemiological Surveillance, Ministry of Health of Kyrgyz Republic, Bishkek, Kyrgyzstan
  • Dinagul Otorbaeva Department for Disease Prevention and State Sanitary Epidemiological Surveillance, Ministry of Health of Kyrgyz Republic, Bishkek, Kyrgyzstan
  • Sanzharbek Temirbekov Department for Disease Prevention and State Sanitary Epidemiological Surveillance, Ministry of Health of Kyrgyz Republic, Bishkek, Kyrgyzstan
  • Elina Shahumyan FMD KL Europe, Yerevan, Armenia
  • Karapet Davtyan Tuberculosis Research and Prevention Center NGO, Yerevan
  • Tolo Isakov Department for Disease Prevention and State Sanitary Epidemiological Surveillance, Ministry of Health of Kyrgyz Republic, Bishkek, Kyrgyzstan
Keywords: tuberculosis, contact, Kyrgyzstan, SORT IT

Abstract

Introduction: Tuberculosis (TB) contact investigation as a proved approach for finding new TB cases, is not fully performed in Kyrgyzstan. In 2018, the country started aligning the National Guidelines for tracking contacts with the WHO recommendations by expanding the definition for TB index cases to all close contacts, regardless of their TB risk status.

Methodology: This cross-sectional census aimed to determine the active case detection changes among TB contacts after implementation of a new TB tracing strategy using the National Surveillance data. We compared populations in Chui and Issyk-Kul regions of Kyrgyzstan who had contacts with TB index cases before (2017) and after (2018) strategic changes for the rates of indexes, contacts, screened contacts, and detected TB among screened contacts.

Results: New TB tracing strategy resulted in increased numbers of indexes (21%) and contacts (36%). Though the smaller number of contacts (1730 vs. 1590) have been screened in 2018, the proportion of TB diagnosed was substantially higher (95% CI: 0.024-0.005; p = 0.002) in 2018 vs. 2017. The mean numbers of TB contacts per-one-index-case also has increased dramatically by 117% (1.8 vs. 3.9) in Chui and by 43% (3.0 vs. 4.3) in Issyk-Kul regions (95% CI: 3.20-3.37; p < 0.001 and 95% CI: 2.97-3.09; p < 0.001, respectively) between 2018 and 2017.

Conclusion: Extending new tracing approach to other regions of Kyrgyzstan will increase the number of identified contacts, leading to better TB control in the country and prevention of more severe TB development among the unidentified contacts.

Published
2020-11-16
How to Cite
1.
Dzhangaziev B, Kulzhabaeva A, Truzyan N, Zhoroev A, Otorbaeva D, Temirbekov S, Shahumyan E, Davtyan K, Isakov T (2020) New approach for tuberculosis contact tracing implemented in the two regions of Kyrgyz Republic during 2017-2018. J Infect Dev Ctries 14:109S-115S. doi: 10.3855/jidc.11978
Section
SORT IT TB Key Population