Authors
S Puryear, G Seropola, A Ho-Foster, T Arscott-Mills, L Mazhani, J Firth, DM Goldfarb, R Ncube, GP Bisson, AP Steenhoff
Publication date
2013/8/1
Journal
The International journal of tuberculosis and lung disease
Volume
17
Issue
8
Pages
1049-1055
Publisher
International Union Against Tuberculosis and Lung Disease
Description
SETTING
Contact tracing using pediatric index cases has not been adequately investigated in high tuberculosis (TB) and human immunodeficiency virus (HIV) prevalence settings.
OBJECTIVE
To determine the yield of contact tracing in household contacts of pediatric TB index cases in Botswana.
DESIGN
Index cases included all pediatric (age ≤13 years) TB admissions from January 2009 to December 2011 to Botswana's largest referral hospital. A contact tracing team identified cases, conducted home visits, symptom-screened contacts and referred those with ≥1 TB symptoms. The primary outcome was newly diagnosed TB in a contact.
RESULTS
From 163 pediatric index cases, 548 contacts were screened (median 3 contacts/case, interquartile range [IQR] 2–4). Of these, 49 (9%) were referred for positive symptoms on screening and 27/49 (55%) were evaluated for active TB. Twelve new TB cases were …
Scholar articles
S Puryear, G Seropola, A Ho-Foster, T Arscott-Mills… - The International journal of tuberculosis and lung …, 2013
S Puryear, G Seropola, A Ho-Foster, T Arscott-Mills… - INT J TUBERC LUNG DIS, 2013