We have located links that may give you full text access.
Evaluation of a clinical index among adult contacts of children with tuberculosis in rural Haiti.
International Journal of Tuberculosis and Lung Disease 2000 December
OBJECTIVE: To analyze the prevalence of symptoms among adults with and without tuberculosis who were household contacts of children <6 years old with tuberculosis in rural Haiti.
DESIGN: An analytic group comparison study to determine whether a clinical index questionnaire (previous tuberculosis diagnosis, previous tuberculosis treatment, cough >1 month, coughing up of blood in the past year, fever >1 month and weight loss in the past year), administered to adults accompanying the child to the hospital can identify which adult household contacts have pulmonary tuberculosis. Household contacts then completed the clinical index and underwent chest X-ray and sputum smear examination.
RESULTS: Thirty-two children had 109 adult household contacts. Of these, 56 completed evaluation and nine had pulmonary tuberculosis. Proxy report (OR 36.6, 95%CI >2.3, P = 0.004) was better than self report (OR 2.9, 95%CI >0.36, P = 0.44) in predicting clinical tuberculosis. Investigating adults with a positive clinical index by proxy would have reduced from 26 to 11 those investigated, and no cases of pulmonary tuberculosis would have been missed.
CONCLUSION: In rural Haiti, clinical index by proxy by the adult accompanying the child to the hospital can identify which adult household contacts should be investigated for pulmonary tuberculosis.
DESIGN: An analytic group comparison study to determine whether a clinical index questionnaire (previous tuberculosis diagnosis, previous tuberculosis treatment, cough >1 month, coughing up of blood in the past year, fever >1 month and weight loss in the past year), administered to adults accompanying the child to the hospital can identify which adult household contacts have pulmonary tuberculosis. Household contacts then completed the clinical index and underwent chest X-ray and sputum smear examination.
RESULTS: Thirty-two children had 109 adult household contacts. Of these, 56 completed evaluation and nine had pulmonary tuberculosis. Proxy report (OR 36.6, 95%CI >2.3, P = 0.004) was better than self report (OR 2.9, 95%CI >0.36, P = 0.44) in predicting clinical tuberculosis. Investigating adults with a positive clinical index by proxy would have reduced from 26 to 11 those investigated, and no cases of pulmonary tuberculosis would have been missed.
CONCLUSION: In rural Haiti, clinical index by proxy by the adult accompanying the child to the hospital can identify which adult household contacts should be investigated for pulmonary tuberculosis.
Full text links
Trending Papers
A Personalized Approach to the Management of Congestion in Acute Heart Failure.Heart International 2023
Potential Mechanisms of the Protective Effects of the Cardiometabolic Drugs Type-2 Sodium-Glucose Transporter Inhibitors and Glucagon-like Peptide-1 Receptor Agonists in Heart Failure.International Journal of Molecular Sciences 2024 Februrary 21
2024 ACC Expert Consensus Decision Pathway for Treatment of Heart Failure With Reduced Ejection Fraction: A Report of the American College of Cardiology Solution Set Oversight Committee.Journal of the American College of Cardiology 2024 March 3
The Effect of Albumin Administration in Critically Ill Patients: A Retrospective Single-Center Analysis.Critical Care Medicine 2024 Februrary 8
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app