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.
Abstract

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