Evidence map›Paper›PMID 40487457›Full record

ArticlePublic health action2025

Healthcare worker perceptions of the FAST TB infection control strategy.

D B Tierney, R R Nathavitharana, L Cummins, K Tintaya, A Biewer, R Guerrero, L Lecca, L R Hirschhorn, E A Nardell, A K Nelson

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Article in Public health action, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

D B TierneyBrigham and Women's Hospital, Boston, MA, USA.
R R NathavitharanaHarvard Medical School, Boston, Massachusetts, USA.
L CumminsBrigham and Women's Hospital, Boston, MA, USA.
K TintayaSocios En Salud, Lima, Peru.
A BiewerBeth Israel Deaconess Medical Center, Boston, MA, USA.
R GuerreroHospital Nacional Hipolito Unanue, Lima, Peru.
L LeccaHarvard Medical School, Boston, Massachusetts, USA.
L R HirschhornNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.
E A NardellBrigham and Women's Hospital, Boston, MA, USA.
A K NelsonYale School of Public Health, Department of Health Policy and Management, New Haven, CT, USA.

Funding

Finding and Treating Unsuspected and Resistant TB to Reduce Hospital TransmissionR01AI112748 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI NARDELL, EDWARD A., TIERNEY, DYLAN · 2015 to 2019
$3.5M
Optimizing Diagnostic Strategies for TB Transmission Control in Health-Care FacilitiesK23AI132648 · NIAID · BETH ISRAEL DEACONESS MEDICAL CENTER · PI NATHAVITHARANA, RUVANDHI · 2018 to 2022
$945k
NIAID NIH HHS K23 AI132648NIAID NIH HHS R01 AI112748
6 · The paper itself

Abstract

backgroundThe FAST (Find cases Actively, Separate safely and Treat effectively) TB infection control (TB-IC) strategy decreases the time-to-TB diagnosis and treatment. We examined healthcare workers' (HCW) perceptions of FAST implementation at a tertiary referral hospital in Lima, Peru.

methodsFrom August 2016 to December 2019, we conducted 24 interviews and four focus groups (

resultsWe identified three emergent themes: 1) FAST impact on TB care, 2) FAST impact on TB-IC and 3) FAST impact on hospital culture. FAST was felt to improve the speed of TB screening, diagnosis and treatment. TB specialists recognized that by expediting diagnosis and treatment, FAST likely decreased transmission. Healthcare workers appreciated that FAST improved care coordination along the TB care cascade. FAST changed hospital culture related to the prioritization of TB-IC.

conclusionHCWs perceived that FAST, implemented by a dedicated external team, was an acceptable and effective TB-IC strategy that improved care coordination and overall TB quality of care.

Indexed as

care cascadePeruqualitative researchtuberculosis

Identifiers

PMID40487457
PMCPMC12143238

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.