In Uganda, TB screening using digital X-rays and CAD among people living with HIV led to significant TB detection, especially within the HIV-positive population. This approach underscores the importance of prioritizing such screenings for early TB diagnosis and treatment, particularly among vulnerable groups for enhanced health outcomes.

  • Supported five health facilities in conducting TB screening among people living with HIV using digital X-rays and CAD in Uganda.
  • Patients with CAD4TB score >60 were presumed for TB and referred for Xpert MTB/RIF test and those confirmed with TB initiated TB treatment.
  • From July 2020 to Nov 2021, 4,463 individuals were screened with X-rays. 691 (15.5%) had abnormal CXR and 368 (53.3%) had their sputum samples tested with Xpert MTB/RIF, of which 48 (13%) were confirmed with TB.
  • Among those screened, 22.7% were PLHIV, 165 (16.3%) had abnormal CXR, and 20 PLHIV (21.5%) were confirmed with TB.
  • TB screening with CXR improved TB case detection with higher yield among PLHIV and contacts compared to other groups.
  • Using digital X-rays and CAD for routine screening of TB among PLHIV in care should be prioritised for early TB diagnosis, treatment initiation and improved outcomes.

REFERENCE: B. Aldo et al. (2022, November 8-11. Intensified TB case-finding using digital X-ray and CAD4TB among people living with HIV receiving care at health facilities in Uganda. The Union World Conference on Lung Health 2022