Integration of childhood TB into guidelines for the management of acute malnutrition in high burden countries
Methods: Guidelines for the management of acute malnutrition from 17 high TB burden countries were reviewed to gather information on TB symptom screening, exposure history, and treatment.
Results: Seven (41%) countries recommend routine TB screening among children with acute malnutrition, and six (35%) recommend obtaining a TB exposure history.
Conclusion: TB screening is not consistently included in guidelines for acute malnutrition in high TB burden countries. Routine TB risk assessment, especially history of TB exposure, among acutely malnourished children, combined with improved linkages with TB services, would help increase TB case finding and could impact outcomes. Operational research on how best to integrate services at different levels of the health care system is needed.
Document Type: Research Article
Affiliations: 1: Vital Strategies, New York, New York, USA 2: United Nations Children's Fund, New York, New York, USA
Publication date: June 21, 2017
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