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Case report - Abstract

  Cite this article:

Juliet Nabbuye Sekandi, Hassard Sempeera, Justin List, Christopher Whalen. Missed opportunity for tuberculosis case detection in household contacts in a high burden setting.
The Pan African Medical Journal. 2012;12:8

Key words: Tuberculosis, Contact investigation, Active case finding

Permanent link: http://www.panafrican-med-journal.com/content/article/12/8/full

Received: 29/12/2011 - Accepted: 03/04/2012 - Published: 13/05/2012

© Juliet Nabbuye Sekandi et al.   The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Missed opportunity for tuberculosis case detection in household contacts in a high burden setting


Juliet Nabbuye Sekandi1,&, Hassard Sempeera2, Justin List3, Christopher Whalen4


1Makerere University, School of Public Health, Kampala, Uganda, 2Makerere University-Case Western Reserve University Research Collaboration, Kampala, Uganda, 3Loyola University Chicago-Stritch School of Medicine, Maywood, IL, USA, 4College of Public Health, University of Georgia, Athens, GA, USA



&Corresponding author
Juliet Nabbuye Sekandi, Makerere University School of Public Health, P.O. Box 7072, Kampala, Uganda




Contact investigation remains an essential component of tuberculosis (TB) control, yet missed opportunities to trace, medically examine, and treat close contacts of newly diagnosed index TB cases persist. We report a new case of active TB in a 21 year-old woman who was a household contact of a known TB index case in Kampala, Uganda. She was identified during a house-to-house TB case finding survey using chronic cough (≥2 weeks). This case study re-emphasizes two important public health issues in relation to TB control in developing countries; the need to promote active contact investigations by National TB programs and the potential complementary role of active case finding in minimizing delays in TB detection especially in high burden settings like Uganda.