Búsqueda activa de tuberculosis en tres centros penitenciarios juveniles de Perú

Judith Jimenez; Ana Karina Millones; Daniela  Puma; Jesús Peinado; Blanca Martínez; Marco Tovar; Leonid  Lecca

doi:10.17843/rpmesp.2024.414.13727

Authors

Judith Jimenez Socios En Salud Sucursal Perú. Lima, Perú (SES). https://orcid.org/0000-0001-7633-8401
Ana Karina Millones Socios En Salud Sucursal Perú. Lima, Perú (SES). https://orcid.org/0009-0004-5219-2961
Daniela Puma Socios En Salud Sucursal Perú. Lima, Perú (SES). https://orcid.org/0009-0000-1895-7597
Jesús Peinado Socios En Salud Sucursal Perú. Lima, Perú (SES). Facultad de Ciencias de la Salud, Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú. https://orcid.org/0000-0003-2015-3170
Blanca Martínez Programa Nacional de Centros juveniles (PRONACEJ), Lima, Perú. https://orcid.org/0000-0002-6962-3674
Marco Tovar Socios En Salud Sucursal Perú. Lima, Perú (SES). Facultad de Ciencias de la Salud, Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú. https://orcid.org/0000-0002-8474-4319
Leonid Lecca Socios En Salud Sucursal Perú. Lima, Perú (SES). Department of Global Health and Social Medicine, Harvard Medical School, MA, USA. https://orcid.org/0000-0003-1363-3985

DOI:

https://doi.org/10.17843/rpmesp.2024.414.13727

Keywords:

Tuberculosis, Youth, Adolescents, Correctional Facilities

Abstract

This study aimed to describe the rate of tuberculosis (TB) found by using the active search strategy in teenagers and youths in three youth detention centers. TB was screened through the active search algorithm with chest X-ray, the automated reading was carried out by artificial intelligence software, the GeneXpert Ultra MTB/RIF molecular test, and clinical evaluation. A total of 640 individuals were screened, 94 (14.6%) had an abnormal chest X-ray. Of those screened, we obtained 105 GeneXpert tests of which 94 had abnormal X-rays, 9 were respiratory symptomatic and 2 were on antiretroviral treatment with TB clinical picture. We obtained 8 (8.5%) cases of TB detected with GeneXpert, 7 with abnormal radiography and 1 with normal radiography. Finally, of these 8 cases, 3 were cases of rifampicin-resistant tuberculosis (RR-TB) (42.8%). The rate of screening by active search was 1250 per 100,000
screened, 10 times higher than the rate in the general population. We recommend the inclusion of youth detention centers as target groups for systematic screening and the development of interventions to reduce the risk of TB infection.

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