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BMC Public Health
Published in: BMC Public Health 1/2011

Open Access 01-12-2011 | Research article

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

Authors: Susan S van Wyk, Anthony J Reid, Anna M Mandalakas, Donald A Enarson, Nulda Beyers, Julie Morrison, Anneke C Hesseling

Published in: BMC Public Health | Issue 1/2011

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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.
Appendix
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Metadata
Title
Operational challenges in managing Isoniazid Preventive Therapy in child contacts: A high-burden setting perspective
Authors
Susan S van Wyk
Anthony J Reid
Anna M Mandalakas
Donald A Enarson
Nulda Beyers
Julie Morrison
Anneke C Hesseling
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2011
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-11-544

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