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http://dx.doi.org/10.14776/piv.2015.22.2.91

Outcomes of Child Contact Investigations of Active Pulmonary Tuberculosis Patients: A Single Center Experience from 2012 to 2014  

Lee, Taek-jin (Department of Pediatrics, CHA Bundang Medical Center, CHA University)
Kim, Eun-kyung (Department of Internal Medicine, CHA Bundang Medical Center, CHA University)
Jeong, Hye-cheol (Department of Internal Medicine, CHA Bundang Medical Center, CHA University)
Publication Information
Pediatric Infection and Vaccine / v.22, no.2, 2015 , pp. 91-96 More about this Journal
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 ${\geq}5$ 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.
Keywords
Tuberculosis; Contact investigation; Child;
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