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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
An evaluation of chest X-ray in the context of community-based screening of child tuberculosis contacts
International Journal of Tuberculosis and Lung Disease, Volume 19, No. 12, Year 2015
Notification
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Description
BACKGROUND: There are no published data on the critical review of chest X-ray (CXR) findings of children in the context of community-based contact screening. OBJECTIVES: To describe the quality, findings and inter-observer agreement of CXRs in child TB contacts in Indonesia. METHODS: We performed antero-posterior (AP) and lateral CXR in children who had had close contact with a pulmonary TB case. The CXRs were interpreted independently by four reviewers. RESULTS: A total of 530 CXRs of 265 children were reviewed. Most (63%) of the children were asymptomatic at the time of CXR. Only 60% of the CXRs were reported as moderate to good quality by all reviewers, and inter-observer agreement on quality was slight to moderate (weighted κ = 0.16-0.35) for AP view. The majority of the CXRs were reported as normal (range 65-77%), with fair to moderate inter-observer agreement (κ = 0.25-0.46). Hilar lymphadenopathy (6-16%) was the most common CXR abnormality reported with poor inter-observer agreement (κ =-0.03 to 0.25). CONCLUSION: The CXRs of child TB contacts investigated in the community were characterised by low quality, low agreement and low yield. Our findings support guidelines that CXR is not routinely indicated in asymptomatic child TB contacts in this setting. © 2015 The Union.
Authors & Co-Authors
Triasih, Rina
Indonesia, Yogyakarta
Universitas Gadjah Mada
Australia, Melbourne
Murdoch Children's Research Institute
Robertson, Colin Francis
Australia, Melbourne
University of Melbourne
de Campo, John F.
Australia, Melbourne
Royal Children's Hospital, Melbourne
Duke, Trevor D.
Australia, Melbourne
Murdoch Children's Research Institute
Choridah, Lina
Indonesia, Yogyakarta
Universitas Gadjah Mada
Graham, Stephen Michael
Australia, Melbourne
Murdoch Children's Research Institute
France, Paris
International Union Against Tuberculosis and Lung Disease
Statistics
Citations: 26
Authors: 6
Affiliations: 5
Identifiers
Doi:
10.5588/ijtld.15.0201
ISSN:
10273719
Research Areas
Infectious Diseases
Maternal And Child Health