Authors: Van Wyk, S.S.¹; Hamade, H.²; Hesseling, A.C.¹; Beyers, N.¹; Enarson, D.A.³; Mandalakas, A.M.⁴

Source: The International Journal of Tuberculosis and Lung Disease, Volume 14, Number 5, May 2010 , pp. 650-653(4)

Publisher: International Union Against Tuberculosis and Lung Disease

Abstract:

Despite recommendations to provide isoniazid preventive therapy (IPT) to eligible children aged <5 years who are in close contact with an infectious tuberculosis (TB) case, IPT delivery in high-burden settings remains poor. To evaluate the current system supporting IPT delivery to children in an urban community, South Africa, we reviewed the recording practices of a local clinic regarding management of children exposed to a current adult TB case. No standardised IPT management tools existed. Only 21% of children eligible for IPT had documentation of IPT delivery. There is a need to implement systems that support IPT recommendations in high-burden settings.

Keywords: isoniazid; tuberculosis; children; prevention; guidelines

Document Type: Short communication

Affiliations: 1: Department of Paediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Cape Town, South Africa 2: Department of Pediatrics, School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA 3: International Union Against Tuberculosis and Lung Disease, Paris, France 4: Department of Paediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Cape Town, South Africa; and Department of Pediatrics, School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA

Publication date: 2010-05-01

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• The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

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