D Szkwarko1, F Ogaro2, P Owiti3, E J Carter4. 1. The Memorial Hospital of Rhode Island Brown Family Medicine Residency Program, Pawtucket, Rhode Island, USA. 2. Moi University School of Medicine, Eldoret, Kenya. 3. United States Agency for International Development- Academic Model Providing Access to Healthcare (USAID/AMPATH) Partnership, Eldoret, Kenya. 4. United States Agency for International Development- Academic Model Providing Access to Healthcare (USAID/AMPATH) Partnership, Eldoret, Kenya ; Warren Alpert School of Medicine of Brown University, Providence, Rhode Island, USA.
Abstract
SETTING: Tuberculosis (TB) clinic in Eldoret, Kenya. OBJECTIVE: To identify TB exposed children through the implementation of a child contact register (CCR). To assess the demographics of children exposed to TB and the potential for initiation of isoniazid preventive therapy (IPT) in this cohort. METHODS: A CCR was implemented in routine care with health care workers querying index cases regarding child contacts. Data were retrospectively analyzed. RESULTS: In 12 months, the CCR revealed 580 children exposed to TB. Of these, 58% were exposed to smear-positive TB and 30% were aged <5 years. Of those exposed to smear-positive TB, 15% may have qualified for IPT initiation. Only 6 (1%) child contacts were screened for TB disease. More than 50% of the children with human immunodeficiency virus (HIV) positive mothers had not been HIV tested. CONCLUSION: Implementation of a CCR is a possible first step in child contact identification and management, which requires minimal resources and identifies children at risk for TB and HIV. Child contact screening and IPT initiation remain a challenge, and additional strategies are urgently needed.
SETTING:Tuberculosis (TB) clinic in Eldoret, Kenya. OBJECTIVE: To identify TB exposed children through the implementation of a child contact register (CCR). To assess the demographics of children exposed to TB and the potential for initiation of isoniazid preventive therapy (IPT) in this cohort. METHODS: A CCR was implemented in routine care with health care workers querying index cases regarding child contacts. Data were retrospectively analyzed. RESULTS: In 12 months, the CCR revealed 580 children exposed to TB. Of these, 58% were exposed to smear-positive TB and 30% were aged <5 years. Of those exposed to smear-positive TB, 15% may have qualified for IPT initiation. Only 6 (1%) child contacts were screened for TB disease. More than 50% of the children with human immunodeficiency virus (HIV) positive mothers had not been HIV tested. CONCLUSION: Implementation of a CCR is a possible first step in child contact identification and management, which requires minimal resources and identifies children at risk for TB and HIV. Child contact screening and IPT initiation remain a challenge, and additional strategies are urgently needed.
Authors: R Zachariah; M P Spielmann; A D Harries; P Gomani; S M Graham; E Bakali; P Humblet Journal: Int J Tuberc Lung Dis Date: 2003-11 Impact factor: 2.373
Authors: B J Marais; R P Gie; H S Schaaf; A C Hesseling; C C Obihara; J J Starke; D A Enarson; P R Donald; N Beyers Journal: Int J Tuberc Lung Dis Date: 2004-04 Impact factor: 2.373
Authors: Daria Szkwarko; Yael Hirsch-Moverman; Lienki Du Plessis; Karen Du Preez; Catherine Carr; Anna M Mandalakas Journal: PLoS One Date: 2017-08-01 Impact factor: 3.240