Implementing a tuberculosis child contact register to quantify children at risk for tuberculosis and HIV in Eldoret, Kenya.

SETTING Tuberculosis (TB) clinic in Eldoret, Kenya. OBJECTIVE To identify TB exposed children through the implementation of a child contact register (CCR). To assess the demographics of children exposed to TB and the potential for initiation of isoniazid preventive therapy (IPT) in this cohort. METHODS A CCR was implemented in routine care with health care workers querying index cases regarding child contacts. Data were retrospectively analyzed. RESULTS In 12 months, the CCR revealed 580 children exposed to TB. Of these, 58% were exposed to smear-positive TB and 30% were aged <5 years. Of those exposed to smear-positive TB, 15% may have qualified for IPT initiation. Only 6 (1%) child contacts were screened for TB disease. More than 50% of the children with human immunodeficiency virus (HIV) positive mothers had not been HIV tested. CONCLUSION Implementation of a CCR is a possible first step in child contact identification and management, which requires minimal resources and identifies children at risk for TB and HIV. Child contact screening and IPT initiation remain a challenge, and additional strategies are urgently needed.

• Publication year

  2013

• Venue

  Public Health Action

• Publication date

  2013-09-21

• Fields of study

  Medicine

• Identifiers
  DOI 10.5588/pha.13.0018PMID 26393031PMCID PMC4463135
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

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