Paediatric TB care in the United Kingdom.
Int J Tuberc Lung Dis
; 26(9): 814-819, 2022 09 01.
Article
em En
| MEDLINE
| ID: mdl-35996289
ABSTRACT
BACKGROUND:
Care of patients with paediatric TB is delivered in a variety of settings by different clinicians in the United Kingdom. Paediatric practices vary in size. Guidelines on managing children with TB differ in recommendations. These factors contribute to variations in practice.OBJECTIVE:
To describe practice among UK professionals caring for children exposed to or infected with TB, and their investigation and treatment.METHODS:
From 81 NHS (National Health Service) clinical services, 114 individuals responded to a web-based questionnaire.RESULTS:
We describe variation in several areas of practice, with important differences between smaller and larger centres. Most respondents go beyond National Institute for Health & Care Excellence guidance and screen child contacts of extrapulmonary TB. Most respondents would presume pulmonary TB exposed children aged under 2 years to be infected. They would not rely on immunological investigations to rule out infection. There was wide variety in approaches to microbiological diagnosis, and in the use of laboratory investigations to monitor treatment. Many respondents felt unclear on how to manage newborns exposed to TB, or children exposed to multidrug-resistant TB.CONCLUSION:
These findings support the case for further developing regional networks providing evidence and consensus-based care for children with TB.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Tuberculose
/
Tuberculose Pulmonar
/
Tuberculose Resistente a Múltiplos Medicamentos
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Qualitative_research
Limite:
Child
/
Humans
/
Newborn
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article