Contact Tracing and Tuberculosis Preventive Therapy for Household Child Contacts of Pulmonary Tuberculosis Patients in the Kyrgyz Republic: How Well Are We Doing?

Early identification, screening and investigation for tuberculosis (TB), and provision of TB preventive therapy (TPT), reduces risk of TB among child household contacts of pulmonary TB patients (index patients). A cohort study was conducted to describe the care cascade and timeliness of contact trac...

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Bibliographic Details
Published in:Tropical medicine and infectious disease 2023-06, Vol.8 (7), p.332
Main Authors: Kadyrov, Meder, Thekkur, Pruthu, Geliukh, Evgenia, Sargsyan, Aelita, Goncharova, Olga, Kulzhabaeva, Aizat, Kadyrov, Asel, Khogali, Mohammed, Harries, Anthony D, Kadyrov, Abdullaat
Format: Article
Language:English
Subjects:
Care and treatment
childhood TB
Children
Children & youth
contact investigation
Contact tracing
Decision making
Disease prevention
Families & family life
Health aspects
Health care industry
Health facilities
household contact management
Households
Infections
isoniazid preventive therapy
Medical diagnosis
Medical research
Medicine, Experimental
Patients
pediatric TB
Public health
structured operational research training initiative (SORT IT)
Tuberculosis
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Summary:Early identification, screening and investigation for tuberculosis (TB), and provision of TB preventive therapy (TPT), reduces risk of TB among child household contacts of pulmonary TB patients (index patients). A cohort study was conducted to describe the care cascade and timeliness of contact tracing and TPT initiation among child household contacts (aged < 15 years) of index patients initiated on TB treatment in Bishkek, the Kyrgyz Republic during October 2021-September 2022. In the register, information on the number of child household contacts was available for 153 (18%) of 873 index patients. Of 297 child household contacts identified, data were available for 285, of whom 261 (92%) were screened for TB. More than 50% were screened after 1 month of the index patient initiating TB treatment. TB was diagnosed in 23/285 (9%, 95% CI: 6-13%) children. Of 238 TB-free children, 130 (55%) were eligible for TPT. Of the latter, 64 (49%) were initiated on TPT, of whom 52 (81%) completed TPT. While TPT completion was excellent, there was deficiency in contact identification, timely screening and TPT initiation. Thus, healthcare providers should diligently request and record details of child household contacts, adhere to contact tracing timelines and counsel caregivers regarding TPT.
ISSN:2414-6366
2414-6366
DOI:10.3390/tropicalmed8070332