Active screening for asymptomatic versus symptomatic tuberculosis in high-risk groups in a low-prevalence country: a retrospective study.

Active screening for asymptomatic versus symptomatic tuberculosis in high-risk groups in a low-prevalence country: a retrospective study.

Publication date: Aug 26, 2026

Asymptomatic Tuberculosis (TB) represents up to 60% of cases in endemic countries, remains largely underdiagnosed and sustains transmission. Several European low-TB prevalence countries have implemented active screening in at-risk populations for identification of such cases. This study aims to describe clinical characteristics and possible risk factors of asymptomatic vs. symptomatic pulmonary TB cases in this setting. This retrospective cohort study included pulmonary TB cases detected through active screening of at-risk populations at two Italian regional reference centers between 2015 and 2024. Asymptomatic and symptomatic cases were identified and compared. Among 372 TB cases included, 56. 5% belonged to the asymptomatic and 43. 5% to the symptomatic group. Individuals from the first group required more often radiologic investigation with chest CT scan (145 [69%] vs. 78 [48. 1%], p 

Concepts Keywords
Asymptomatic tuberculosis
High-income countries
Low TB incidence
Pulmonary TB
Risk group
Screening

Semantics

Type Source Name
disease MESH tuberculosis
pathway KEGG Tuberculosis
disease MESH included

Original Article

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