Home-based Treatment of Childhood Neurotuberculosis

被引：11

作者：

Schoeman, Johan ^{[1
]}

Malan, Gerlinde ^{[1
]}

van Toorn, Ronald ^{[1
]}

Springer, Priscilla ^{[1
]}

Parker, Feroza ^{[1
]}

Booysen, Judith ^{[2
,3
]}

机构：

[1] Univ Stellenbosch, Dept Paediat & Child Hlth, Tygerberg Childrens Hosp, Western Cape, South Africa

[2] Univ Stellenbosch, Dept Social Serv, Tygerberg Childrens Hosp, Western Cape, South Africa

[3] Univ Stellenbosch, Fac Hlth Sci, Western Cape, South Africa

来源：

JOURNAL OF TROPICAL PEDIATRICS | 2009年 / 55卷 / 03期

关键词：

THERAPY;

D O I：

10.1093/tropej/fmn097

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Introduction: In-hospital treatment is widely recognized as the gold standard of treatment for children with neurotuberculosis due to the complexity of care and serious consequences of non-compliance. The continuous rise in the incidence of tuberculosis (TB), fuelled by an HIV-pandemic, has resulted in severe bed shortages in tertiary, secondary and TB hospitals in the Western Cape. Objective: To evaluate the feasibility of home-based directly observed therapy (DOT) in TBM. Method: Suitability screening by social workers, in-hospital monitoring of motherchild interaction, medication side effects and intolerance followed by a supervised outpatient surveillance program. Results: Forty of the 52 children screened were approved for home-based treatment. Thirty-four of these 40 patients (85) completed TBM treatment successfully at home, and no patient defaulted treatment. Conclusion: Home-based treatment of childhood neurotuberculosis is feasible in selected patients under close supervision. Mothers could be considered as primary DOT supporters.

引用

页码：149 / 154

页数：6

共 11 条

[1] PARADOXICAL ENLARGEMENT OR DEVELOPMENT OF INTRACRANIAL TUBERCULOMAS DURING THERAPY - CASE-REPORT AND REVIEW [J].