Operational challenges in managing Isoniazid Preventive Therapy in child contacts: A high-burden setting perspective.

Hdl Handle:
http://hdl.handle.net/10144/138469
Title:
Operational challenges in managing Isoniazid Preventive Therapy in child contacts: A high-burden setting perspective.
Authors:
van Wyk, Susan S; Reid, Anthony J; Mandalakas, Anna M; Enarson, Donald A; Beyers, Nulda; Morrison, Julie; Hesseling, Anneke C
Journal:
BMC Public Health
Abstract:
ABSTRACT: BACKGROUND: The study was conducted at a high TB-HIV burden primary health community clinic in Cape Town, South Africa. We describe the management of children under five years of age in household contact with a smear and/or culture-positive adult TB case. METHODS: This study was a record review of routinely-collected programme data. RESULTS: A total of 1094 adult TB case folders were reviewed. From all identified contacts, 149 children should have received IPT based on local guidelines; in only 2/149 IPT was initiated. Management of child contacts of sputum smear and/or culture-positive compared to sputum-negative TB patients were similar. CONCLUSIONS: IPT delivery to children remains an operational challenge, especially in high TB-HIV burden communities. A tool to improve IPT management and targeting sputum smear and/or culture-positive TB child contacts may overcome some of these challenges and should be developed and piloted in such settings.
Issue Date:
8-Jul-2011
URI:
http://hdl.handle.net/10144/138469
DOI:
10.1186/1471-2458-11-544
PubMed ID:
21740580
Language:
en
ISSN:
1471-2458
Appears in Collections:
TB

Full metadata record

DC FieldValue Language
dc.contributor.authorvan Wyk, Susan Sen
dc.contributor.authorReid, Anthony Jen
dc.contributor.authorMandalakas, Anna Men
dc.contributor.authorEnarson, Donald Aen
dc.contributor.authorBeyers, Nuldaen
dc.contributor.authorMorrison, Julieen
dc.contributor.authorHesseling, Anneke Cen
dc.date.accessioned2011-07-30T16:56:34Z-
dc.date.available2011-07-30T16:56:34Z-
dc.date.issued2011-07-08-
dc.identifier.citationOperational challenges in managing Isoniazid Preventive Therapy in child contacts: A high-burden setting perspective. 2011, 11 (1):544notBMC Public Healthen
dc.identifier.issn1471-2458-
dc.identifier.pmid21740580-
dc.identifier.doi10.1186/1471-2458-11-544-
dc.identifier.urihttp://hdl.handle.net/10144/138469-
dc.description.abstractABSTRACT: BACKGROUND: The study was conducted at a high TB-HIV burden primary health community clinic in Cape Town, South Africa. We describe the management of children under five years of age in household contact with a smear and/or culture-positive adult TB case. METHODS: This study was a record review of routinely-collected programme data. RESULTS: A total of 1094 adult TB case folders were reviewed. From all identified contacts, 149 children should have received IPT based on local guidelines; in only 2/149 IPT was initiated. Management of child contacts of sputum smear and/or culture-positive compared to sputum-negative TB patients were similar. CONCLUSIONS: IPT delivery to children remains an operational challenge, especially in high TB-HIV burden communities. A tool to improve IPT management and targeting sputum smear and/or culture-positive TB child contacts may overcome some of these challenges and should be developed and piloted in such settings.en
dc.languageENG-
dc.language.isoenen
dc.rightsArchived via Open Access and with thanks to BMC Public Healthen
dc.titleOperational challenges in managing Isoniazid Preventive Therapy in child contacts: A high-burden setting perspective.en
dc.identifier.journalBMC Public Healthen

Related articles on PubMed

All Items in MSF are protected by copyright, with all rights reserved, unless otherwise indicated.