Evaluation of adherence to tuberculosis screening in children

Hamdi, Besma; Blibech, H.; Berraies, A.; Mazaoui, Sarrah; Ammar, Jamel; Hamzaoui, A.

doi:10.1183/13993003.congress-2016.pa1284

Cited by 2 publications

(4 citation statements)

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“…Close relationship and close contact with TB index patients. 112 …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…51 83 93 107 133 In studies from LMIC, additional factors associated with treatment completion included caregiver education 56 and knowledge about TB infection, 81 personal health knowledge and beliefs, 56 81 136 lack of stigma 56 and close relationships with TB contacts. 112 Studies from high-income countries have assessed patient and family characteristics associated with treatment completion. Identified factors associated with treatment completion include both younger age 13 18 40 68 82 99 116 125 137 138 and older age, 88 female sex, 31 race/ethnicity, 116 138 family composition 40 51 113 and origin, 40 99 115 124 supportive family and home environments 125 139 and school achievement.…”

Section: Barriers and Facilitators Of Treatment Completionmentioning

confidence: 99%

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A scoping review of paediatric latent tuberculosis infection care cascades: initial steps are lacking

2021

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Background and objectivesIdentifying and treating children with latent tuberculosis infection (TB infection) is critical to prevent progression to TB disease and to eliminate TB globally. Diagnosis and treatment of TB infection requires completion of a sequence of steps, collectively termed the TB infection care cascade. There has been no systematic attempt to comprehensively summarise literature on the paediatric TB infection care cascade.MethodsWe performed a scoping review of the paediatric TB infection care cascade. We systematically searched PubMed, Cumulative Index to Nursing and Allied Health Literature, Cochrane and Embase databases. We reviewed articles and meeting abstracts that included children and adolescents ≤21 years old who were screened for or diagnosed with TB infection, and which described completion of at least one step of the cascade. We synthesised studies to identify facilitators and barriers to retention, interventions to mitigate attrition and knowledge gaps.ResultsWe identified 146 studies examining steps in the paediatric TB infection care cascade; 31 included children living in low-income and middle-income countries. Most literature described the final cascade step (treatment initiation to completion). Studies identified an array of patient and caregiver-related factors associated with completion of cascade steps. Few health systems factors were evaluated as potential predictors of completion, and few interventions to improve retention were specifically tested.ConclusionsWe identified strengths and gaps in the literature describing the paediatric TB infection care cascade. Future research should examine cascade steps upstream of treatment initiation and focus on identification and testing of at-risk paediatric patients. Additionally, future studies should focus on modifiable health systems factors associated with attrition and may benefit from use of behavioural theory and implementation science methods to improve retention.

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“…Close relationship and close contact with TB index patients. 112 …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Barriers and Facilitators Of Treatment Completionmentioning

confidence: 99%

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A scoping review of paediatric latent tuberculosis infection care cascades: initial steps are lacking

2021

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“…( 9 - 11 ) Some barriers are patient-related factors, such as knowledge, concerns about side-effects and the school environment, which may be important to older children. ( 12 , 13 ) However, especially with younger children, treatment decisions are made by parents or caregivers, and their knowledge and perceptions regarding TB infection, ( 9 ) the adverse effects of medication ( 14 , 15 ) and medical contraindications to treatment, ( 16 , 17 ) personal health beliefs ( 13 , 18 , 19 ) and relationship with their children ( 20 ) have been shown to play important roles in treatment completion. In studies from lower-income countries, socioeconomic factors have also been identified as barriers to treatment completion, such as low monthly income, ( 9 ) high cost of transport ( 9 ) and conflicts with work schedules, ( 13 ) which all place burdens on parents or caregivers.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of latent tuberculosis infection in Japan-born and foreign-born children in Japan

Kasuya,

Imai,

Uchimura

et al. 2023

WPSAR

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Objective: This study aims to compare the epidemiology of notifications of latent tuberculosis infection (LTBI) among Japan-born and foreign-born children in Japan between 2010 and 2020, and to assess the language used during LTBI case interviews with parents or caregivers of foreign-born children with LTBI during 2019. Methods: Our study consisted of two parts: (1) an analysis of national data from the Japan Tuberculosis Surveillance (JTBS) system on the epidemiology of LTBI among Japan-born and foreign-born children in Japan and (2) a survey of staff at public health centres that had registered at least one foreign-born child aged <=14 years with LTBI. Data were extracted from the JTBS system for all children aged <=14 years who were newly notified as having LTBI between 2010 and 2020, and analysed to determine trends, characteristics and treatment outcomes. Staff at relevant public health centres completed a self-administered survey. Results: A total of 7160 Japan-born and 320 foreign-born children were notified as having LTBI between 2010 and 2020. Compared with Japan-born children, foreign-born children notified as having LTBI were more likely to be older, have their mother or sibling as their source of infection and have LTBI detected via a routine school health check. At case interviews, the use of language interpretation services was limited, even when both parents were non-Japanese. No interview was directly conducted with children themselves, not even with school-aged children. Discussion: Foreign-born children and their parents may be unfamiliar with the system of testing for TB infection and the diagnosis of LTBI in Japan in school settings. Public health centres are required to provide education to patients and their families and care that takes into account cultural and linguistic differences. However, the provision of language support during case interviews may need strengthening.

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Evaluation of adherence to tuberculosis screening in children

Cited by 2 publications

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A scoping review of paediatric latent tuberculosis infection care cascades: initial steps are lacking

A scoping review of paediatric latent tuberculosis infection care cascades: initial steps are lacking

Epidemiology of latent tuberculosis infection in Japan-born and foreign-born children in Japan

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