Prisons

Clinical description

• The target population are prisoners (depending on circumstances may include warders

and other relevant prison staff)

• Both symptomatic screening and x-ray will be used for screening where available.
• All prisoners will be screened at entry (symptomatic screening), then every six months

and during exit.

• Prison clinicians, patient attendants, peer educators, lab personnel and x-ray

technicians will take part in implementing this intervention.

• Xpert will be used as the first test for presumptive TB cases in prison settings.

3.5.5 Intensif ied case f inding (ICF among PLHIV)

• ICF is implemented in HIV clinics (service providing care for PLHIV)
• The target population is PLHIV and in HIV care.
• The 4 symptom screening criteria will be used
• Screening criteria / algorithm: 4 item screening criteria for PLHIV (see Table 4-1)

o Cough (any duration)

o Fever (any duration)

o Night sweats (any duration)

o Weight loss

• Screening should be at every follow-up visit
• A multidisciplinary team in the health facility (TB, ART, laboratory, facility in charge,

OPD clinicians) should ake part in implementing this intervention.

• The multidisciplinary team is required to meet regularly and document the meetings.
• Proper documentation of presumptive TB cases: ensure utilization of chronic cough

register in a facility to monitor proper implementation.

• As per WHO recommendation Xpert, where available, will be used as the initial test for

presumptive TB cases among PLHIV. (See diagnostic algorithm, Figure 3.31).