RESUMEN
BACKGROUND AND OBJECTIVES: Patients attending sexually transmitted diseases (STD) clinics may be at high risk for tuberculosis (TB) infection. The authors conducted a pilot study of TB screening in this setting to determine the prevalence of TB infection and compliance of the population with a screening program. GOALS: To determine the prevalence of positive skin test results indicating TB among patients attending an STD clinic and to test a simple incentive designed to enhance compliance with return visits for skin test interpretation. STUDY DESIGN: Skin tests for TB were offered to clients attending an STD clinic. Testing was accompanied by self-assessment questionnaires designed to assess risk for TB. After 2 months, a simple incentive package was initiated to enhance compliance with skin test interpretation. RESULTS: The prevalence of positive skin test results was 34%. Compliance with return visits was doubled by use of the simple incentive package. CONCLUSIONS: Patients attending STD clinics are at high risk for TB and can be motivated toward increased compliance by the use of simple incentives.