Completion of Latent Tuberculosis Therapy in Children: Impact of Country of Origin and Neighborhood Clinics
| العنوان: | Completion of Latent Tuberculosis Therapy in Children: Impact of Country of Origin and Neighborhood Clinics |
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| المؤلفون: | Lori Perkins, Ben DeJesus, Shu-Hua Wang, Kevin B. Spicer, Dwight A. Powell |
| المصدر: | Journal of the Pediatric Infectious Diseases Society. 2:312-319 |
| بيانات النشر: | Oxford University Press (OUP), 2013. |
| سنة النشر: | 2013 |
| مصطلحات موضوعية: | medicine.medical_specialty, Tuberculosis, Latent tuberculosis, Medical treatment, business.industry, General Medicine, medicine.disease, Country of origin, Infectious Diseases, Family medicine, Pediatrics, Perinatology and Child Health, Cohort, Propensity score matching, medicine, Physical therapy, Retrospective analysis, business, Medical therapy |
| الوصف: | BACKGROUND Successful treatment of latent tuberculosis infection (LTBI) is an important objective in the United States' strategy for tuberculosis (TB) control. We review the impact of demographic variables and community treatment upon completion of medical therapy of LTBI in a large pediatric cohort. METHODS We performed a retrospective analysis of prospectively collected data from children referred for evaluation and treatment of LTBI. Children were followed in the main hospital TB clinic or in 1 of 2 hospital-run neighborhood clinics. Those completing and not completing medical treatment were compared based on demographic and history variables, clinic location, and distance to clinic. Propensity score techniques were used to match children treated at the main hospital and neighborhood clinics on collected demographic and history variables. RESULTS Of 1516 children evaluated, 1184 (78.1%) initiated medical therapy and returned for at least 1 visit. Of these, treatment was completed by 89.2% (166 of 186) of children in the neighborhood clinics versus 83.2% (830 of 998) of children in the main hospital TB clinic (P < .037). Neighborhood and main hospital clinic children did not differ in rates of completion when propensity score-matched groups were compared. Country of origin was the most important factor in determining both initiation and completion of therapy. CONCLUSIONS Obstacles remain for successful initiation and treatment of children from identified geographic regions. Most of the dropout occurs early in treatment, and use of neighborhood clinics does not provide an obvious advantage when similar patient groups are compared. Emphasis upon initial education and early non-clinic follow-up may be useful in enhancing therapy completion. |
| تدمد: | 2048-7207 2048-7193 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2c50f52da9c9b60912a13a5a68d6e305 https://doi.org/10.1093/jpids/pit015 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....2c50f52da9c9b60912a13a5a68d6e305 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20487207 20487193 |
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