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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
general
Characteristics and programme-defined treatment outcomes among childhood tuberculosis (TB) patients under the National TB programme in Delhi
PLoS ONE, Volume 5, No. 10, Article e13338, Year 2010
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Description
Background: Childhood tuberculosis (TB) patients under India's Revised National TB Control Programme (RNTCP) are managed using diagnostic algorithms and directly observed treatment with intermittent thrice-weekly short-course treatment regimens for 6-8 months. The assignment into pre-treatment weight bands leads to drug doses (milligram per kilogram) that are lower than current World Health Organization (WHO) guidelines for some patients. Objectives: The main aim of our study was to describe the baseline characteristics and treatment outcomes reported under RNTCP for registered childhood (age <15 years) TB patients in Delhi. Additionally, we compared the reported programmatic treatment completion rates between children treated as per WHO recommended anti-TB drug doses with those children treated with anti-TB drug doses below that recommended in WHO guidelines. Methods: For this cross-sectional retrospective study, we reviewed programme records of all 1089 TB patients aged <15 years registered for TB treatment from January to June, 2008 in 6 randomly selected districts of Delhi. WHO disease classification and treatment outcome definitions are used by RNTCP, and these were extracted as reported in programme records. Results and Conclusions: Among 1074 patients with records available, 651 (61%) were females, 122 (11%) were <5 years of age, 1000 (93%) were new cases, and 680 (63%) had extra-pulmonary TB (EP-TB)-most commonly peripheral lymph node disease [310 (46%)]. Among 394 pulmonary TB (PTB) cases, 165 (42%) were sputum smear-positive. The overall reported treatment completion rate was 95%. Similar reported treatment completion rates were found in all subgroups assessed, including those patients whose drug dosages were lower than that currently recommended by WHO. Further studies are needed to assess the reasons for the low proportion of under-5 years of age TB case notifications, address challenges in reaching all childhood TB patients by RNTCP, the accuracy of diagnosis, and the clinical validity of reported programme defined treatment completion. © 2010 Satyanarayana et al.
Authors & Co-Authors
Satyanarayana, Srinath
France, Paris
International Union Against Tuberculosis and Lung Disease
Shivashankar, Roopa
India, New Delhi
All India Institute of Medical Sciences, new Delhi
Chadha, Sarabjit Singh
Unknown Affiliation
Dewan, Puneet Kumar
Unknown Affiliation
Wares, Fraser F.
Unknown Affiliation
Sahu, Suvanand
Unknown Affiliation
Singh, Varinder P.
India, New Delhi
Lady Hardinge Medical College
Wilson, Nevin Charles
Unknown Affiliation
Harries, Anthony David
France, Paris
International Union Against Tuberculosis and Lung Disease
Statistics
Citations: 33
Authors: 9
Affiliations: 4
Identifiers
Doi:
10.1371/journal.pone.0013338
ISSN:
19326203
Research Areas
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Cohort Study
Participants Gender
Female