{"id":"https://openalex.org/W4387911998","doi":"https://doi.org/10.1093/eurpub/ckad160.217","title":"Detection and management of tuberculosis in Tunisia: challenges and outcomes","display_name":"Detection and management of tuberculosis in Tunisia: challenges and outcomes","publication_year":2023,"publication_date":"2023-10-01","ids":{"openalex":"https://openalex.org/W4387911998","doi":"https://doi.org/10.1093/eurpub/ckad160.217","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10596832"},"language":"en","primary_location":{"id":"doi:10.1093/eurpub/ckad160.217","doi":"https://doi.org/10.1093/eurpub/ckad160.217","is_oa":true,"landing_page_url":"https://doi.org/10.1093/eurpub/ckad160.217","pdf_url":"https://academic.oup.com/eurpub/article-pdf/33/Supplement_2/ckad160.217/52417873/ckad160.217.pdf","source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://academic.oup.com/eurpub/article-pdf/33/Supplement_2/ckad160.217/52417873/ckad160.217.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"A Mansouri","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210098493","display_name":"Minist\u00e8re de la Sant\u00e9","ror":"https://ror.org/00yrwkd81","country_code":"TN","type":"government","lineage":["https://openalex.org/I4210098493"]}],"countries":["TN"],"is_corresponding":false,"raw_author_name":"A Mansouri","raw_affiliation_strings":["Primary Healthcare Directorate, Ministry of Health , Tunis, Tunisia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Primary Healthcare Directorate, Ministry of Health , Tunis, Tunisia","institution_ids":["https://openalex.org/I4210098493"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009241384","display_name":"Hind Bouguerra","orcid":"https://orcid.org/0000-0002-7869-0078","observed_orcids":["https://orcid.org/0000-0002-7869-0078"]},"institutions":[{"id":"https://openalex.org/I108714496","display_name":"Tunis University","ror":"https://ror.org/02q1spa57","country_code":"TN","type":"education","lineage":["https://openalex.org/I108714496"]},{"id":"https://openalex.org/I4210098493","display_name":"Minist\u00e8re de la Sant\u00e9","ror":"https://ror.org/00yrwkd81","country_code":"TN","type":"government","lineage":["https://openalex.org/I4210098493"]},{"id":"https://openalex.org/I4403386600","display_name":"Facult\u00e9 de m\u00e9decine de Tunis","ror":"https://ror.org/03pyhhg10","country_code":"TN","type":"education","lineage":["https://openalex.org/I4403386600","https://openalex.org/I63596082"]},{"id":"https://openalex.org/I63596082","display_name":"Tunis El Manar University","ror":"https://ror.org/029cgt552","country_code":"TN","type":"education","lineage":["https://openalex.org/I63596082"]}],"countries":["TN"],"is_corresponding":false,"raw_author_name":"H Bouguerra","raw_affiliation_strings":["Faculty of Medicine of Tunis, University of Tunis El Manar , Tunis, Tunisia","Studies and Planning Directorate, Ministry of, Ministry of Health , Tunis, Tunisia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Medicine of Tunis, University of Tunis El Manar , Tunis, Tunisia","institution_ids":["https://openalex.org/I108714496","https://openalex.org/I4403386600","https://openalex.org/I63596082"]},{"raw_affiliation_string":"Studies and Planning Directorate, Ministry of, Ministry of Health , Tunis, Tunisia","institution_ids":["https://openalex.org/I4210098493"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070295071","display_name":"Marou\u00e8ne Belkahla","orcid":"https://orcid.org/0009-0000-6367-7295","observed_orcids":["https://orcid.org/0009-0000-6367-7295"]},"institutions":[{"id":"https://openalex.org/I4210098493","display_name":"Minist\u00e8re de la Sant\u00e9","ror":"https://ror.org/00yrwkd81","country_code":"TN","type":"government","lineage":["https://openalex.org/I4210098493"]}],"countries":["TN"],"is_corresponding":false,"raw_author_name":"M Belkahla","raw_affiliation_strings":["Primary Healthcare Directorate, Ministry of Health , Tunis, Tunisia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Primary Healthcare Directorate, Ministry of Health , Tunis, Tunisia","institution_ids":["https://openalex.org/I4210098493"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5045606278","display_name":"Ahlem Gzara","orcid":"https://orcid.org/0009-0008-1751-8435","observed_orcids":["https://orcid.org/0009-0008-1751-8435"]},"institutions":[{"id":"https://openalex.org/I4210098493","display_name":"Minist\u00e8re de la Sant\u00e9","ror":"https://ror.org/00yrwkd81","country_code":"TN","type":"government","lineage":["https://openalex.org/I4210098493"]}],"countries":["TN"],"is_corresponding":false,"raw_author_name":"A Gzara","raw_affiliation_strings":["Primary Healthcare Directorate, Ministry of Health , Tunis, Tunisia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Primary Healthcare Directorate, Ministry of Health , Tunis, Tunisia","institution_ids":["https://openalex.org/I4210098493"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":2553,"currency":"EUR","value_usd":2762},"apc_paid":{"value":2553,"currency":"EUR","value_usd":2762},"fwci":0.1926,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.40875503,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"33","issue":"Supplement_2","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10038","display_name":"Tuberculosis Research and Epidemiology","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10038","display_name":"Tuberculosis Research and Epidemiology","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11381","display_name":"Infectious Diseases and Tuberculosis","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13586","display_name":"HIV, TB, and STIs Epidemiology","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/tuberculosis","display_name":"tuberculosis","score":0.9390000104904175},{"id":"https://openalex.org/keywords/tuberculosis-control-program","display_name":"tuberculosis control program","score":0.7900000214576721},{"id":"https://openalex.org/keywords/case-finding","display_name":"case finding","score":0.6740000247955322},{"id":"https://openalex.org/keywords/contact-tracing","display_name":"contact tracing","score":0.9120000004768372},{"id":"https://openalex.org/keywords/directly-observed-treatment-short-course","display_name":"directly observed treatment short course","score":0.703000009059906},{"id":"https://openalex.org/keywords/treatment-outcomes","display_name":"treatment outcomes","score":0.6499999761581421},{"id":"https://openalex.org/keywords/multidrug-resistant-tuberculosis","display_name":"multidrug-resistant tuberculosis","score":0.8640000224113464},{"id":"https://openalex.org/keywords/tuberculosis-mortality","display_name":"tuberculosis mortality","score":0.8289999961853027},{"id":"https://openalex.org/keywords/treatment-discontinuation","display_name":"treatment discontinuation","score":0.8669999837875366},{"id":"https://openalex.org/keywords/covid-19-pandemic-impact","display_name":"COVID-19 pandemic impact","score":0.9309999942779541},{"id":"https://openalex.org/keywords/tunisia","display_name":"Tunisia","score":0.9110000133514404},{"id":"https://openalex.org/keywords/national-tuberculosis-program","display_name":"National Tuberculosis Control Program","score":0.43299999833106995},{"id":"https://openalex.org/keywords/health-workforce-shortage","display_name":"health workforce shortage","score":0.39100000262260437}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8678179979324341},{"id":"https://openalex.org/C2781069245","wikidata":"https://www.wikidata.org/wiki/Q12204","display_name":"Tuberculosis","level":2,"score":0.7085902094841003},{"id":"https://openalex.org/C113162765","wikidata":"https://www.wikidata.org/wiki/Q1128437","display_name":"Contact tracing","level":5,"score":0.6511245965957642},{"id":"https://openalex.org/C2778715236","wikidata":"https://www.wikidata.org/wiki/Q55622662","display_name":"Discontinuation","level":2,"score":0.6037474870681763},{"id":"https://openalex.org/C187316915","wikidata":"https://www.wikidata.org/wiki/Q92307203","display_name":"Case fatality rate","level":3,"score":0.5660536885261536},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.5345717072486877},{"id":"https://openalex.org/C2776301714","wikidata":"https://www.wikidata.org/wiki/Q259346","display_name":"Sputum","level":3,"score":0.491806298494339},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.38847029209136963},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3223647475242615},{"id":"https://openalex.org/C3008058167","wikidata":"https://www.wikidata.org/wiki/Q84263196","display_name":"Coronavirus disease 2019 (COVID-19)","level":4,"score":0.11948877573013306},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.1132764220237732},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.07463976740837097},{"id":"https://openalex.org/C524204448","wikidata":"https://www.wikidata.org/wiki/Q788926","display_name":"Infectious disease (medical specialty)","level":3,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1093/eurpub/ckad160.217","doi":"https://doi.org/10.1093/eurpub/ckad160.217","is_oa":true,"landing_page_url":"https://doi.org/10.1093/eurpub/ckad160.217","pdf_url":"https://academic.oup.com/eurpub/article-pdf/33/Supplement_2/ckad160.217/52417873/ckad160.217.pdf","source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10596832","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10596832","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10596832/pdf/ckad160.217.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Eur J Public Health","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/eurpub/ckad160.217","doi":"https://doi.org/10.1093/eurpub/ckad160.217","is_oa":true,"landing_page_url":"https://doi.org/10.1093/eurpub/ckad160.217","pdf_url":"https://academic.oup.com/eurpub/article-pdf/33/Supplement_2/ckad160.217/52417873/ckad160.217.pdf","source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4387911998.pdf","grobid_xml":"https://content.openalex.org/works/W4387911998.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4387901421","https://openalex.org/W2395322661","https://openalex.org/W4405667324","https://openalex.org/W2992707979","https://openalex.org/W4399345084","https://openalex.org/W1906364414","https://openalex.org/W2793196901","https://openalex.org/W3189030146","https://openalex.org/W4394753413","https://openalex.org/W4245563822"],"abstract_inverted_index":{"Abstract":[0],"Introduction":[1],"Tuberculosis":[2],"(TB)":[3],"is":[4],"a":[5,94],"major":[6],"cause":[7],"of":[8,35,55,63,81,85,96,139,153,155,169,177,192,216,225,247,251,309,339],"morbidity":[9],"and":[10,37,49,66,69,88,116,127,132,222,236,245,268,274,284,301,341],"mortality":[11],"worldwide.":[12,271],"In":[13,100,184],"Tunisia,":[14],"where":[15],"TB":[16,28,64,227,343],"remains":[17],"endemic,":[18],"the":[19,61,82,175,223,243,252,261,310,323,335],"national":[20,253,311],"control":[21],"program":[22,255,313],"ensures":[23],"free":[24,26,234],"vaccination,":[25],"outpatient":[27],"treatment":[29,40,126,217,340],"in":[30,145,149,162,166,197,207,242,265,297,334],"addition":[31],"to":[32,59,73,123,147,164,171,182,195,201,213,220,230,260,293,318,322,328],"early":[33,298],"detection":[34,65,300],"cases":[36,87,92,141,157,193,228],"directly":[38],"observed":[39],"short":[41],"course.":[42],"However,":[43,174],"available":[44],"data":[45,78,121],"on":[46],"these":[47],"activities":[48,250,270,308],"outcomes":[50,70,128],"are":[51],"limited.":[52],"The":[53,137,151],"objective":[54],"this":[56],"study":[57,239],"was":[58,188,204,331],"describe":[60],"evolution":[62],"management":[67,246],"indicators":[68],"from":[71,107,143,160,180,316],"2018":[72,146,163,200,317,327],"2021.":[74,150],"Methods":[75],"We":[76],"analyzed":[77,133],"collected":[79],"part":[80],"epidemiological":[83],"investigations":[84,154],"notified":[86],"active":[89],"search":[90],"for":[91,110,114,282,289],"over":[93],"period":[95],"4":[97],"years":[98],"(2018-2021).":[99],"each":[101],"governorate,":[102],"dedicated":[103],"teams":[104],"collect":[105],"samples":[106],"cases\u2019":[108],"contacts":[109],"microscopic":[111],"sputum":[112],"examination":[113],"screening":[115],"ensure":[117],"patients\u2019":[118],"follow-up.":[119],"All":[120],"related":[122],"contact":[124],"tracing,":[125],"were":[129],"collected,":[130],"entered":[131],"using":[134],"SPSS-21.":[135],"Results":[136],"number":[138,152],"screened":[140],"decreased":[142,315],"30337":[144],"16045":[148],"reported":[156],"also":[158,288],"decreased;":[159],"2408":[161],"1295":[165],"2021":[167],"(proportion":[168],"74.6%":[170],"48.9%":[172],"respectively).":[173],"percentage":[176],"positives":[178],"increased":[179],"1.4%":[181],"2.1%.":[183],"2021,":[185,202,319,329],"therapeutic":[186],"success":[187],"recorded":[189],"among":[190],"81%":[191],"(compared":[194],"86%":[196],"2018).":[198],"From":[199,326],"there":[203,330],"an":[205,332],"increase":[206,333],"three":[208],"indicators:":[209],"fatality":[210,336],"rate":[211],"(1.55":[212],"2.53%),":[214],"discontinuation":[215,338],"(from":[218],"2.5%":[219],"3.2%)":[221],"proportion":[224],"multidrug-resistant":[226,342],"(0.45":[229],"0.69%).":[231],"Conclusions":[232],"Despite":[233],"care":[235,269,291],"treatment,":[237],"our":[238],"showed":[240],"challenges":[241],"prevention":[244],"TB.":[248],"Several":[249,307],"tuberculosis":[254,312],"have":[256,314],"decreased,":[257],"probably":[258,320],"due":[259,321],"pandemic,":[262],"as":[263],"noted":[264],"general":[266],"preventive":[267],"More":[272],"education":[273],"awareness":[275],"efforts":[276],"should":[277],"be":[278,294],"made,":[279],"not":[280],"only":[281],"patients":[283],"their":[285],"contacts,":[286],"but":[287],"health":[290],"professionals,":[292],"more":[295],"vigilant":[296],"case":[299],"continued":[302],"treatment.":[303],"Key":[304],"messages":[305],"\u2022":[306,325],"pandemic.":[324],"rate,":[337],"cases.":[344]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2023-10-25T00:00:00"}
