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ARTICLE Underuse of Effective Measures to Prevent and Manage Pediatric Tuberculosis in the United States Mark N. Lobato, MD; Sumi J. Sun, MPH; Patrick K. Moonan, DrPH; Stephen E. Weis, DO; Lisa Saiman, MD, MPH; Audrey A. Reichard, MPH; Kristina Feja, MD, MPH; for the Zero Tolerance for Pediatric TB Study Group Objective: To characterize problems with prevention Results: Almost 40% of children had a TB risk factor and management of pediatric tuberculosis (TB) and la- related to their country of birth, parental origin, or tent TB infection (LTBI). travel to a country with a high incidence of TB. Chil- dren having LTBI were less likely than those having TB Design: A multisite, cross-sectional study using data from to complete treatment (53.7% vs 88.6%, respectively). medical records and public health logs to categorize and Almost half (46.3%) of the children with TB came to define use of routine prevention practices in managing medical attention late in their course when they already pediatric TB and LTBI. had symptoms. Among 63 adult source patients, 19 (30.2%) previously had LTBI but were not treated, and Setting: Four areas of the United States. none of the 40 foreign-born source patients were known to
JAMA Pediatrics – American Medical Association
Published: May 1, 2008
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