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Updated: Jul 8, 2026

A Tuberculosis Molecular Bacterial Load Assay (TB-MBLA)
Published on: April 30, 2020
A survey of tuberculosis services in the UK
S Adalat1, M Paliwalla, V Novelli
1Great Ormond Street Hospital, Great Ormond Street, London WC1N 3JH, UK. s.adalat@nhs.net
Insights
This UK study found that while many pediatricians see few children with tuberculosis (TB), most are cared for by general pediatricians. The findings support developing specialized TB family clinics and service networks for improved child care.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Tuberculosis (TB) remains a significant global health concern, particularly for vulnerable pediatric populations.
- Effective management of pediatric TB requires specialized healthcare services and coordinated care approaches.
Purpose of the Study:
- To assess the current provision and availability of healthcare services for children diagnosed with tuberculosis (TB) within the United Kingdom.
- To evaluate the existing infrastructure for managing children with TB and those in contact with the disease.
Main Methods:
- A nationwide postal questionnaire survey was distributed to pediatricians and adult physicians across acute hospital trusts in the UK.
- Data collection focused on inpatient and outpatient services, specialist availability, isolation facilities, and contact management for pediatric TB cases.
Main Results:
- Responses from 199 trusts indicated a median of 1.5 pediatric TB cases seen annually per trust, with most inpatients managed in pediatric wards.
- While 66% of trusts had a named consultant for pediatric TB, only 21% reported negative pressure isolation rooms.
- Outpatient services were predominantly in pediatric clinics (82%), with limited dedicated family TB clinics (5%). Access to TB nurses (81%) and directly observed therapy (DOTS) (58%) was available.
Conclusions:
- The study highlights that most children with TB are managed by general pediatricians, despite many seeing few cases.
- Findings underscore the need for developing specialized family TB clinics and integrated clinical service networks to enhance the quality of care for children with TB in the UK.
Aim:
To determine the provision of services for children with tuberculosis (TB) living in the UK.
Method:
A postal questionnaire was sent to the most appropriate paediatrician and adult physician in every acute hospital trust in the UK. Information was sought on inpatient and outpatient services for children with TB and for children in contact with TB.
Results:
Responses were received from 323 individuals in 199 of the 205 trusts approached. The median number of children with TB seen per year at each trust was 1.5 (range 0-30). Inpatients were nearly all admitted to paediatric wards (197 (99%) trusts). In 141 trusts (71%) they were looked after solely by paediatricians or jointly by paediatricians and physicians (47 trusts, 24%). 132 (66%) trusts stated there was a named consultant for children with TB. Negative pressure isolation rooms were reported to be available for children in 42 trusts (21%). As outpatients, children with TB were seen in paediatric clinics in 163 (82%) trusts. Only 10 (5%) trusts had designated family TB clinics. Children in contact with TB were managed by paediatricians in 81 (38%) trusts, by physicians in 67 (34%) trusts and jointly in 51 (26%) trusts. 161 (81%) trusts had access to a TB nurse and directly observed therapy (DOTS) was available in 116 (58%) trusts.
Conclusions:
Many paediatricians see few children with TB, but most children with TB are looked after by general paediatricians alone. The survey supports national recommendations to develop family clinics and clinical service networks for children with TB, which may improve the care of these children.
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