[Dealing with tuberculosis in primary care. Contact tracing procedures]

Although the number of cases of tuberculosis in Navarre has fallen in recent years, it is necessary to adapt the control programs to the new situation. The keys to advancing in its prevention and control are: obtaining an early diagnosis and an effective treatment of patients and detecting and treating people with a latent infection. Primary care plays an important role in both activities. Half of the cases of active tuberculosis that are diagnosed have been contacts by bacilliferous TB patients or else have had a high personal predisposition to developing the disease. That is why detection and treatment of the latent infection in our setting must be carried out: 1) through screening persons at high risk of becoming infected and developing the disease, and 2) trough a systematic study of contacts of persons with the disease. In the treatment of both active tuberculosis and latent infection it is essential to obtain good patient adherence.