Did “Screeners” Increase Pediatric Tuberculosis Case Notification in Sindh, Pakistan?

• 作者: Aashifa Yaqoob Afshan Khurshid Ajay M. V. Kumar Amanullah Ansari Einar Heldal Ejaz Qadeer Kashif Anwar Mahboobul Haq Razia Fatima Sven Gudmund Hinderaker
• 来源期刊: 结核病研究(英文)
• 学科: 医学
• 关键词: Childhood TUBERCULOSIS PEDIATRICIANS SCREENER Xpert MTB/RIF SORT IT
• 年，卷（期）: 2017,（1）
• 页码范围: 81-86
• 页数: 6页
• 分类号: R5

摘要

To identify missing childhood Tuberculosis (TB) cases, “screeners” (hospital-based health workers trained to screen accompanying contacts of TB patients for symptoms) were introduced in eight tertiary care hospitals of Sindh, Pakistan in 2013. There was a 55% increase in childhood TB notifications in 2014 compared to 2012 in facilities with screeners (n = 8) compared to 40% increase in facilities without screeners (n = 22). This apparent association disappeared when stratified by presence of “trained pediatrician” whose introduction was associated with a massive increase in notifications while transfer was associated with a marked decrease. In conclusion, screeners were not associated with increase in pediatric TB case notifications.