Prospective cohort study of the feasibility and yield of household child tuberculosis contact screening in Uganda.
@article{Bonnet2017ProspectiveCS,
title={Prospective cohort study of the feasibility and yield of household child tuberculosis contact screening in Uganda.},
author={Maryline Bonnet and Catherine Kyakwera and Naomi Kyomugasho and Daniel Atwine and Frank R Mugabe and Margaret Nansumba and Yap Boum Ii and Juliet Mwanga-Amumpaire and Julius P. Kiwanuka},
journal={The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease},
year={2017},
volume={21 8},
pages={
862-868
}
}SETTING
Screening and isoniazid preventive therapy (IPT) of child contacts of tuberculosis (TB) patients is poorly implemented in resource-limited countries, in part due to difficulties in TB diagnosis in children.
OBJECTIVE
To assess the feasibility and yield of hospital-based screening and IPT in Uganda, and to evaluate the utility of symptom-based screening.
DESIGN
Household child (age <5 years) contacts of adults with pulmonary TB were assessed for TB or latent tuberculous infection…
9 Citations
Effectiveness of WHO's pragmatic screening algorithm for child contacts of tuberculosis cases in resource-constrained settings: a prospective cohort study in Uganda.
- MedicineThe Lancet. Respiratory medicine
- 2018
Yield of systematic household contact investigation for tuberculosis in a high-burden metropolitan district of South Africa
- MedicineBMC Public Health
- 2019
The high yield of new TB observed in this pilot study demonstrates that targeted SHCI among household contacts of all four the WHO-recommended categories of infectious TB index cases – and male and coughing contacts, in particular – should be maximised.
Screening tests for active pulmonary tuberculosis in children
- MedicineThe Cochrane database of systematic reviews
- 2021
To estimate the sensitivity and specificity of the presence of one or more tuberculosis symptoms, or symptom combinations; chest radiography (CXR); Xpert MTB/RIF; Xpert Ultra; and combinations of these as screening tests for detecting active pulmonary childhood tuberculosis in the following groups, six databases were searched.
Improving TPT Uptake: A Cluster-Randomized Trial of Symptom-Based Versus Tuberculin Skin Test-Based Screening of Household Tuberculosis Contacts Less than 5 Years of Age.
- MedicineClinical infectious diseases : an official publication of the Infectious Diseases Society of America
- 2019
Symptom-based screening did not improve the proportion of identified child contacts evaluated or initiated on TPT compared to TST-based Screening, and further research is needed to identify bottlenecks and evaluate interventions to ensure all child contacts receive TPT.
Diagnosis of childhood tuberculosis in Pakistan: are national guidelines used by private health care providers?
- MedicineInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
- 2021
Contact Screening and Isoniazid Preventive Therapy Initiation for Under-Five Children among Pulmonary Tuberculosis-Positive Patients in Bahir Dar Special Zone, Northwest Ethiopia: A Cross-Sectional Study
- MedicineTuberculosis research and treatment
- 2020
Contact screening practice and isoniazid preventive therapy initiation of children under the age of 5 in Bahir Dar zone were very low, and intimate family contact with pulmonary tuberculosis-positive patients, place of service delivery, and attitude towards screening are the key factors of contact screening.
How do private practitioners in Pakistan manage children suspected having tuberculosis? A cross sectional study
- MedicineBMC Public Health
- 2021
This study showed that many private providers referred children suspected having TB to laboratories for further diagnosis, but the cases identified in these investigations were often not notified to the NTP.
A scoping review of paediatric latent tuberculosis infection care cascades: initial steps are lacking
- MedicineBMJ Global Health
- 2021
Background and objectives Identifying and treating children with latent tuberculosis infection (TB infection) is critical to prevent progression to TB disease and to eliminate TB globally. Diagnosis…
Spatial Analysis of Childhood Tuberculosis and Social Determinants in Bandar Lampung
- Medicine
- 2020
The results showed that childhood TB tend to group in middle to high population density and middle proportion of poor families areas, and TB control programs should elaborate social determinant actions in areas with low social determinants.
References
SHOWING 1-10 OF 20 REFERENCES
Symptom-Based Screening of Child Tuberculosis Contacts: Improved Feasibility in Resource-Limited Settings
- MedicinePediatrics
- 2008
The findings support current World Health Organization recommendations, demonstrating that symptom-based screening of child tuberculosis contacts should improve feasibility in resource-limited settings and seems to be safe.
Contact investigation for active tuberculosis among child contacts in Uganda.
- MedicineClinical infectious diseases : an official publication of the Infectious Diseases Society of America
- 2013
BACKGROUND
Tuberculosis is a large source of morbidity and mortality among children. However, limited studies characterize childhood tuberculosis disease, and contact investigation is rarely…
Adherence to isoniazid preventive therapy in children exposed to tuberculosis: a prospective study from Guinea-Bissau.
- MedicineThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease
- 2011
Overall adherence to IPT was better than previously reported from TB-endemic areas, with 76% of the children completing at least 6 months of treatment, with more than 80% adherence.
Modelling the cost-effectiveness of strategies to prevent tuberculosis in child contacts in a high-burden setting
- MedicineThorax
- 2012
Screening for M tuberculosis infection and provision of IPT in young children is a highly cost-effective intervention and lack of testing capacity should not be a barrier to IPT delivery, according to the findings.
Evaluation of young children in contact with adult multidrug-resistant pulmonary tuberculosis: a 30-month follow-up.
- MedicinePediatrics
- 2002
The study confirms MDR TB transmission to childhood contacts and establishes the efficacy of chemoprophylaxis in preventing disease in children in household contact with adults with MDR pulmonary TB.
Burden of childhood tuberculosis in 22 high-burden countries: a mathematical modelling study.
- MedicineThe Lancet. Global health
- 2014
Contact investigation for tuberculosis: a systematic review and meta-analysis
- MedicineEuropean Respiratory Journal
- 2012
A systematic review and meta-analysis of all studies reporting the prevalence of TB and latent TB infection, and the annual incidence of TB among contacts of patients with TB found that contact patients are a high-risk group for developing TB, particularly within the first year.
Risk for tuberculosis in child contacts. Development and validation of a predictive score.
- Medicine, PsychologyAmerican journal of respiratory and critical care medicine
- 2014
A risk predictive score was developed and validated to identify child contacts aged 0 to 12 years at increased risk for active TB, which can help to prioritize active case finding or isoniazid preventive therapy among children exposed to TB.
Impact of isoniazid preventive therapy on mortality among children less than 5 years old following exposure to tuberculosis at home in Guinea-Bissau: a prospective cohort study
- MedicineBMJ Open
- 2013
In 2005–2008, exposed children on IPT had 70% lower mortality than the community control children, though not significantly, compared with community controls, which was significantly lower than the mortality among TB-exposed children not onIPT in 1996–1998.
Preventive therapy in children exposed to Mycobacterium tuberculosis: problems and solutions
- MedicineTropical medicine & international health : TM & IH
- 2012
Integrated multicomponent and site‐specific solutions need to be developed and evaluated within a public health framework to overcome the policy–practice gap and provide functional PT programmes for children in endemic settings.



