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Prevention and Mass Screening of TB in Prisons in Paraguay

Key facts

Where
Coronel Oviedo, ParaguaySee the site

Could this be for you?

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 65 years old?

Source: NCT07520448, who can take part

Where in Paraguay

  • Universidad Nacional de CaaguazúCoronel Oviedo, ParaguayNo longer taking part

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
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Trial details

Who runs it
Universidad Nacional de Caaguazu
Trial code
NCT07520448
Record updated
14 April 2026
Original description
The goal of this interventional study is to evaluate three tuberculosis (TB) screening and prevention strategies in prisons in Paraguay. The main questions it aims to answer are:Read full original descriptionShow less

Prevention and Mass Screening of TB in Prisons in Paraguay (PRESMAP-TB)

The goal of this interventional study is to evaluate three tuberculosis (TB) screening and prevention strategies in prisons in Paraguay. The main questions it aims to answer are:

* Which strategy is more effective for reducing the incidence rate of active TB? * Which strategy is more effective for reducing the TB infection rate? * Are these strategies safe, feasible, and cost-effective in prison settings?

Researchers will compare three cluster-based, non-randomized programmatic strategies implemented in three prisons. These strategies differ in the frequency of screening, the diagnostic methods used, and the approach to tuberculosis preventive therapy (TPT).

Participants will:

* undergo informed consent and clinical evaluation * receive TB screening through symptom assessment, chest digital X-ray with CAD, and rapid molecular testing, depending on site strategy * undergo IGRA testing and preventive therapy assessment, depending on the assigned strategy * be followed for 18 months, with screening rounds every 6 months or annually depending on the prison

Inclusion: Be a person deprived of liberty (PDL) residing in one of the participating penitentiary centers during the study period; Be 18 years of age or older at the time of enrollment; Be present in the penitentiary facility at the time of a screening round or enter the facility during the study period; Provide informed consent to participate in the study.

Exclusion: Are currently undergoing treatment for active tuberculosis at the time of the screening round; Have a medical condition that, in the opinion of the clinical staff, prevents the safe performance of the planned diagnostic procedures.

ClinicalTrials.gov NCT07520448