Incident Tuberculosis Diagnoses in Children at High Risk for Disease

Author:

Wong Milagros1,Coit Julia M2,Mendoza Milagros1,Chiang Silvia S34,Marin Helen1,Galea Jerome T56,Lecca Leonid12,Franke Molly F2

Affiliation:

1. Socios En Salud Sucursal Peru, Lima, Peru

2. Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA

3. Department of Pediatrics, Alpert Medical School of Brown University, Providence, Rhode Island, USA

4. Center for International Health Research, Rhode Island Hospital, Providence, Rhode Island, USA

5. School of Social Work, University of South Florida, Tampa, Florida, USA

6. College of Public Health, University of South Florida, Tampa, Florida, USA

Abstract

Abstract We followed 35 children meeting a research definition for unconfirmed tuberculosis (TB) but in whom a pediatric pulmonologist did not diagnose or treat TB. After a median follow-up of 16.4 months, most children were not diagnosed with TB following a comprehensive evaluation. However, 2 were diagnosed with TB, demonstrating high TB risk (6%; exact 95% CI, 1%–19%). In some contexts, researchers may wish to supplement these research definitions with clinical decision data and longitudinal follow-up in order to improve specificity.

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Oncology

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