Chapter

Public Health and Programmatic Issues for Childhood Tuberculosis

Jeffrey R. Starke

in Handbook of Child and Adolescent Tuberculosis

Published on behalf of Oxford University Press

Published in print December 2015 | ISBN: 9780190220891
Published online March 2016 | e-ISBN: 9780190220921 | DOI: https://dx.doi.org/10.1093/med/9780190220891.003.0021
Public Health and Programmatic Issues for Childhood Tuberculosis

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Children have received little attention in some national and local tuberculosis control programs because they are rarely contagious, and it is difficult to confirm their diagnosis with readily available microbiological tests. Most children acquire tuberculosis infection in their household, and they receive better services when the focus is on families and not just the individual. This chapter reviews several important aspects of tuberculosis care that are important for children and adolescents, including family-centered care, contact investigation, techniques of case finding, case reporting, directly observed therapy, and the concept of the prevention of childhood tuberculosis as a quality measure. In addition, the available evidence about the infection control aspects of childhood tuberculosis will be presented. For all of these issues, improvements are made when the focus is placed on the family and the household.

Chapter.  8017 words. 

Subjects: Immunology

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