Tuberculosis contact tracing among children and adolescent referred to children's hospital in Rio de Janeiro, Brazil
Braz. j. infect. dis
; Braz. j. infect. dis;19(3): 296-301, May-Jun/2015. tab
Article
in En
| LILACS
| ID: lil-751880
Responsible library:
BR1.1
ABSTRACT
Objective:
To describe the investigation of latent tuberculosis infection and indication for isoniazid preventive therapy in children and adolescents evaluated at the children's hospital.Methods:
This retrospective study examines all latent tuberculosis infection subjects with indication for isoniazid preventive therapy attended during 2002-2009 at the pulmonology outpatient clinic from children's hospital in Rio de Janeiro, Brazil. The subjects were classified into three groups by origin (G1) primary and secondary health units; (G2) children's hospital-pulmonology outpatient clinic; and (G3) children's hospital-specialty outpatient clinics. The association between the variables examined and G1 was analyzed using uni- variate analysis.Results:
Of the 286 latent tuberculosis infection cases included 169 (59.1%) were from G1, 56 (19.6%) from G2, and 61 (21.3%) from G3. Latent tuberculosis infection diagnosis without isoniazid preventive therapy prescription was present in 142 (49.6%) cases before arrival at the pulmonology outpatient clinic 135 (95.1%) from G1, three (2.1%) from G2, and four (2.8%) from G3. Variables associated with G1 were presence of isoniazid preventive therapy criteria before attending the pulmonology outpatient clinic (OR 62.3; 26.6-146.2), negative HIV infection status (OR 9.44; 1.16-76.3); contact with pulmonary tuberculosis (OR 5.57; 1.99-15.5), and residing in Rio de Janeiro city (OR 1.89; 1.04-3.44).Conclusion:
Strategies that increase latent tuberculosis infection identification and isoniazid preventive therapy prescription in primary and secondary health units are urgently needed. .Key words
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Tuberculosis, Pulmonary
/
Contact Tracing
/
Latent Tuberculosis
/
Isoniazid
/
Antitubercular Agents
Type of study:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Child
/
Female
/
Humans
/
Male
Country/Region as subject:
America do sul
/
Brasil
Language:
En
Journal:
Braz. j. infect. dis
Journal subject:
DOENCAS TRANSMISSIVEIS
Year:
2015
Document type:
Article
Affiliation country:
Brazil
Country of publication:
Brazil