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Published on: April 5, 2017
Screening contacts of children with tuberculosis: an important and worthwhile part of case management
1Department of Clinical Sciences, University of Papua New Guinea, Port Moresby, Papua New Guinea.
Insights
Screening household contacts of children newly diagnosed with tuberculosis (TB) is crucial. This study found high rates of TB infection among child contacts, necessitating early treatment and chemoprophylaxis.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Tuberculosis (TB) remains a significant global health challenge, particularly in pediatric populations.
- Effective management of childhood TB requires comprehensive strategies, including contact tracing and screening.
- Early identification and treatment of TB in children are vital to prevent disease progression and transmission.
Purpose of the Study:
- To evaluate the effectiveness of a household contact screening program for newly diagnosed pediatric tuberculosis cases.
- To determine the yield of antituberculous therapy and chemoprophylaxis among child and adult contacts.
- To assess the prevalence of adult contacts within families of children diagnosed with TB.
Main Methods:
- Prospective screening of household contacts of 49 children diagnosed with TB.
- Utilized chest X-rays and Mantoux tests for contact evaluation.
- Initiated antituberculous therapy and isoniazid (INAH) chemoprophylaxis based on diagnostic findings.
Main Results:
- Screening involved 182 chest X-rays and 67 Mantoux tests.
- 39% of child contacts (32/83) and 11% of adult contacts (11/99) were initiated on antituberculous therapy.
- Two infants received isoniazid (INAH) chemoprophylaxis; adult contacts were identified in 22% of families.
Conclusions:
- Household contact screening is an essential component of managing pediatric TB cases.
- The program identified a substantial number of infected contacts requiring treatment.
- This approach is critical for the comprehensive care of tuberculous children and their families.
Abstract:
The outcome of screening the household contacts of 49 newly diagnosed tuberculous children as currently practised in the Paediatric Unit of the Port Moresby General Hospital is described. The screening program generated 182 chest X-rays and 67 Mantoux tests. 32 (39%) of 83 child contacts and 11 (11%) of 99 adults were commenced on antituberculous therapy, and 2 children aged 6 months were started on INAH chemoprophylaxis. Adult contacts were identified in 11 (22%) of the 49 families screened. Such a program is an extremely important part of the case management of children with newly diagnosed tuberculosis and their families.
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