Recording isoniazid preventive therapy delivery to children: operational challenges.
Despite recommendations to provide isoniazid preventive therapy (IPT) to eligible children aged <5 years who are in close contact with an infectious tuberculosis (TB) case, IPT delivery in high-burden settings remains poor. To evaluate the current system supporting IPT delivery to children in an urban community, South Africa, we reviewed the recording practices of a local clinic regarding management of children exposed to a current adult TB case. No standardised IPT management tools existed. Only 21% of children eligible for IPT had documentation of IPT delivery. There is a need to implement systems that support IPT recommendations in high-burden settings.
Van Wyk
S S
SS
Department of Paediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Cape Town, South Africa. susanvanwyk@sun.ac.za
Hamade
H
H
Hesseling
A C
AC
Beyers
N
N
Enarson
D A
DA
Mandalakas
A M
AM
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use*; D002675:Child, Preschool; D004282:Documentation; D005191:Family Characteristics; D005260:Female; D006801:Humans; D007538:Isoniazid / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D012042:Registries; D013019:South Africa / Q000453:epidemiology; D014376:Tuberculosis / Q000453:epidemiology / Q000517:prevention & control*; D019037:Urban Health Services / Q000458:organization & administration; D055815:Young Adult
D000995:Antitubercular Agents; D007538:Isoniazid