Did “Screeners” Increase Pediatric Tuberculosis Case Notification in Sindh, Pakistan?  

作　　者：Afshan Khurshid Sven Gudmund Hinderaker Einar Heldal Razia Fatima Mahboobul Haq Aashifa Yaqoob Amanullah Ansari Kashif Anwar Ejaz Qadeer Ajay M. V. Kumar 

机构地区：[1]Provincial TB Control Program, Sindh, Pakistan [2]University of Bergen, Bergen, Norway [3]Norwegian Institute of Public Health, Oslo, Norway [4]National TB Control Program, Islamabad, Pakistan [5]National TB Control Program, Research, Islamabad, Pakistan [6]Pakistan Institute of Medical Sciences, Islamabad, Pakistan [7]International Union against Tuberculosis and Lung Disease, Paris, France [8]International Union against Tuberculosis and Lung Disease, South-East Asia Office, New Delhi, India

出　　处：《Journal of Tuberculosis Research》2017年第1期81-86,共6页结核病研究（英文）

摘　　要：To identify missing childhood Tuberculosis (TB) cases, “screeners” (hospital-based health workers trained to screen accompanying contacts of TB patients for symptoms) were introduced in eight tertiary care hospitals of Sindh, Pakistan in 2013. There was a 55% increase in childhood TB notifications in 2014 compared to 2012 in facilities with screeners (n = 8) compared to 40% increase in facilities without screeners (n = 22). This apparent association disappeared when stratified by presence of “trained pediatrician” whose introduction was associated with a massive increase in notifications while transfer was associated with a marked decrease. In conclusion, screeners were not associated with increase in pediatric TB case notifications.To identify missing childhood Tuberculosis (TB) cases, “screeners” (hospital-based health workers trained to screen accompanying contacts of TB patients for symptoms) were introduced in eight tertiary care hospitals of Sindh, Pakistan in 2013. There was a 55% increase in childhood TB notifications in 2014 compared to 2012 in facilities with screeners (n = 8) compared to 40% increase in facilities without screeners (n = 22). This apparent association disappeared when stratified by presence of “trained pediatrician” whose introduction was associated with a massive increase in notifications while transfer was associated with a marked decrease. In conclusion, screeners were not associated with increase in pediatric TB case notifications.

关 键 词：Childhood TUBERCULOSIS PEDIATRICIANS SCREENER Xpert MTB/RIF SORT IT 

分 类 号：R5[医药卫生—内科学]