Isolation, identification and associated risk factors of non-tuberculous mycobacteria infection in humans and dromedary camels in Samburu County, Kenya.

Non-tuberculous mycobacteria are of public health significance, and zoonotic infection is attributed to the sociocultural practice of consumption of raw milk and the close human-livestock contact in pastoral communities. This study aimed at isolation, identification of mycobacteria from human sputum and camel milk and risk factors assessment in Samburu East, Kenya. Six hundred and twelve camels and 48 people presumed to have tuberculosis (TB) from 86 households in Wamba and Waso regions were screened.

A cross-sectional epidemiological investigation of nontuberculous mycobacteria of public health importance in slaughter camels in Samburu County, Kenya.

The diagnosis of tuberculosis (TB) in camels at slaughter houses heavily relies on post mortem (PM) meat inspection to detect granulomatous lesions; however, the sensitivity of this technique is not perfect. The objective of this study was to isolate and characterize mycobacteria associated with suspect TB pathological lesions at PM. At PM, 1600 camels were examined in two county slaughterhouses.

Screening strategies for tuberculosis prevalence surveys: the value of chest radiography and symptoms.

Background: We conducted a tuberculosis (TB) prevalence survey and evaluated the screening methods used in our survey, to assess if screening in TB prevalence surveys could be simplified, and to assess the accuracy of screening algorithms that may be applicable for active case finding.

Methods: All participants with a positive screen on either a symptom questionnaire, chest radiography (CXR) and/or sputum smear microscopy submitted sputum for culture. HIV status was obtained from prevalent cases.

High prevalence of pulmonary tuberculosis and inadequate case finding in rural western Kenya.

Rationale: Limited information exists on the prevalence of tuberculosis and adequacy of case finding in African populations with high rates of HIV.

Objectives: To estimate the prevalence of bacteriologically confirmed pulmonary tuberculosis (PTB) and the fraction attributable to HIV, and to evaluate case detection.

Methods: Residents aged 15 years and older, from 40 randomly sampled clusters, provided two sputum samples for microscopy; those with chest radiograph abnormalities or symptoms suggestive of PTB provided one additional sputum sample for culture.