Operational challenges in managing Isoniazid Preventive Therapy in child contacts: A highburden setting perspective.

Autor: van Wyk, Susan S., Reid, Anthony J., Mandalakas, Anna M., Enarson, Donald A., Beyers, Nulda, Morrison, Julie, Hesseling, Anneke C.
Předmět:
Zdroj: BMC Public Health; 2011, Vol. 11 Issue 1, p544-549, 6p
Abstrakt: 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. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index