Yield of Screening for TB and HIV among Children Failing to Thrive in Botswana

被引：10

作者：

Arscott-Mills, Tonya ^{[1
,2
]}

Ho-Foster, Ari ^{[1
,2
]}

Lowenstein, Margaret ^{[2
]}

Jibril, Haruna ^{[3
]}

Masunge, Japhter ^{[4
]}

Mweemba, Phanuel ^{[5
]}

Nashara, Paul ^{[5
]}

Makombe, Robert ^{[6
]}

Chirenda, Joconiah ^{[7
]}

Friedman, Harvey M. ^{[1
,2
,8
]}

Steenhoff, Andrew P. ^{[1
,2
,9
]}

Harari, Nurit ^{[1
,2
,10
]}

机构：

[1] Botswana UPenn Partnership, Gaborone, Botswana

[2] Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA

[3] Minist Hlth, Gaborone, Botswana

[4] Univ Botswana, Francistown, Botswana

[5] Dist Hlth Management Team, Francistown, Botswana

[6] BOTUSA CDC, Gaborone, Botswana

[7] Botswana Natl TB Programme, Gaborone, Botswana

[8] Univ Penn, Perelman Sch Med, Div Infect Dis, Philadelphia, PA 19104 USA

[9] Childrens Hosp Philadelphia, Div Infect Dis, Philadelphia, PA 19104 USA

[10] Yale Univ, Robert Wood Johnson Clin Scholar Program, New Haven, CT 06520 USA

来源：

JOURNAL OF TROPICAL PEDIATRICS | 2014年 / 60卷 / 01期

基金：

美国国家卫生研究院;

关键词：

tuberculosis; children; failure to thrive; HIV; INFECTION;

D O I：

10.1093/tropej/fmt072

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Background: Failure to thrive (FTT) is a sign of tuberculosis (TB) and human immunodeficiency virus (HIV) infection. We assessed TB and HIV prevalence in children with FTT at one clinic in Botswana. Methods: In July 2010, we screened all children attending a 'Well Child' clinic for FTT. Children with FTT were referred to a paediatrician who: (i) assessed causes of FTT, (ii) evaluated for HIV and TB and (iii) reviewed the patient chart for evaluations for TB and HIV. Results: Of 919 children screened, 176 (19%) had FTT. One hundred eighteen (67%) children saw a paediatrician, and of these, 95 (81%) completed the TB evaluation. TB was newly diagnosed in 6 of 95 (6%). At review, HIV status was known in 23 of 118 (19%). Ninety-five had an unknown HIV status. Forty-five (47%) tested for HIV; all tested HIV-negative. Conclusion: TB and HIV screening among children with FTT diagnosed TB in 6% of cases completing an evaluation, but no new HIV infections.

引用

页码：27 / 32

页数：6

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