Outcomes of Child Contact Investigations of Active Pulmonary Tuberculosis Patients: A Single Center Experience from 2012 to 2014.
10.14776/piv.2015.22.2.91
- Author:
Taek Jin LEE
1
;
Eun Kyung KIM
;
Hye Cheol JEONG
Author Information
1. Department of Pediatrics, CHA Bundang Medical Center, CHA University, Seongnam, Korea. bjloveu@cha.ac.kr
- Publication Type:Original Article
- Keywords:
Tuberculosis;
Contact investigation;
Child
- MeSH:
Child*;
Humans;
Male;
Mass Screening;
Medical Records;
Skin Tests;
Tuberculin;
Tuberculosis;
Tuberculosis, Pulmonary*
- From:Pediatric Infection & Vaccine
2015;22(2):91-96
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The study aimed to determine data collected during tuberculosis (TB) contact investigations and to evaluate the outcomes of these investigations. METHODS: We reviewed medical records for child contacts of patients with culture-positive pulmonary TB aged 19 years or older between August 2012 and July 2014. RESULTS: A total of 116 child contacts were identified for 79 patients with culture-positive pulmonary TB. Of 116 contacts identified, 22% were incompletely screened. Of 90 contacts who completed screening, 42% had negative tuberculin skin test (TST) results, 58% had positive results, and 1% had active pulmonary TB at the time of investigation. Of 50 contacts with TB patients with a negative smear, 50% had positive TST results. Age > or =5 years (OR 8.3; 95% CI 2.3-30) and male gender (OR 3.9; 95% CI 1.5-9.9) were significantly associated with being incompletely screened. CONCLUSIONS: Improvement is needed in the process of contact investigations to ensure that contacts of patients with active pulmonary TB are identified and appropriately screened.
