Assessment of prevailing practices for identification of tuberculosis in children admitted in nutritional rehabilitation centres: A multicentre study
To eliminate tuberculosis (TB), the National TB Elimination Programme (NTEP) has given an algorithm for diagnosis and treatment of TB in children. This study was carried out to assess the prevailing practices to identify TB in severely malnourished children admitted to various nutrition rehabilitati...
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| Veröffentlicht in: | Indian journal of medical research (New Delhi, India : 1994) India : 1994), 2021-10, Vol.154 (4), p.641-644 |
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| container_title | Indian journal of medical research (New Delhi, India : 1994) |
| container_volume | 154 |
| creator | Singh, Manjula Dhingra, Bhavna Bishnu, Bipra Pandey, Dhruvendra Anand, Praveen K Gupta, Sarika Das, Vidyanand Ravi Kodan, Parul Kabra, Sushil Kumar |
| description | To eliminate tuberculosis (TB), the National TB Elimination Programme (NTEP) has given an algorithm for diagnosis and treatment of TB in children. This study was carried out to assess the prevailing practices to identify TB in severely malnourished children admitted to various nutrition rehabilitation centres (NRCs).
A retrospective chart review of 41 NRCs across five States having a maximum number of NRCs was carried out. Details of children admitted to the NRCs and the investigations carried out in the form of obtaining X-ray film, tuberculin skin test (TST) and gastric aspirate for cartridge-based nucleic acid amplification test (CBNAAT) for diagnosis of TB over three months were collected.
A total of 2121 children with severe acute malnourished (SAM) across 41 NRCs (Bhopal, Jodhpur, Patna, Kolkata, Lucknow and Ratlam) were evaluated. X-ray of the chest was done in 473 (22%), TST was done in 135 (6%) and gastric aspirate was collected in 56 (3%) children. CBNAAT was done in only 56 SAM children. Ten children among those screened were confirmed to have pulmonary TB and were linked to treatment as per the National TB guidelines.
Although NTEP suggests universal screening of all malnourished children admitted in the NRCs, but the prevailing practices indicate that the NRCs are grossly under-utilizing molecular diagnostic tests for diagnosis of TB. There is a gap between prevailing practices and suggested guidelines for the identification of TB in children admitted in the NRCs. |
| doi_str_mv | 10.4103/ijmr.IJMR_2555_20 |
| format | Article |
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A retrospective chart review of 41 NRCs across five States having a maximum number of NRCs was carried out. Details of children admitted to the NRCs and the investigations carried out in the form of obtaining X-ray film, tuberculin skin test (TST) and gastric aspirate for cartridge-based nucleic acid amplification test (CBNAAT) for diagnosis of TB over three months were collected.
A total of 2121 children with severe acute malnourished (SAM) across 41 NRCs (Bhopal, Jodhpur, Patna, Kolkata, Lucknow and Ratlam) were evaluated. X-ray of the chest was done in 473 (22%), TST was done in 135 (6%) and gastric aspirate was collected in 56 (3%) children. CBNAAT was done in only 56 SAM children. Ten children among those screened were confirmed to have pulmonary TB and were linked to treatment as per the National TB guidelines.
Although NTEP suggests universal screening of all malnourished children admitted in the NRCs, but the prevailing practices indicate that the NRCs are grossly under-utilizing molecular diagnostic tests for diagnosis of TB. There is a gap between prevailing practices and suggested guidelines for the identification of TB in children admitted in the NRCs.</description><identifier>ISSN: 0971-5916</identifier><identifier>EISSN: 0975-9174</identifier><identifier>DOI: 10.4103/ijmr.IJMR_2555_20</identifier><identifier>PMID: 35435350</identifier><language>eng</language><publisher>India: Wolters Kluwer - Medknow</publisher><subject>Child ; Humans ; Original ; Rehabilitation Centers ; Retrospective Studies ; Severe Acute Malnutrition ; Tuberculin Test ; Tuberculosis - diagnosis ; Tuberculosis, Pulmonary - diagnosis</subject><ispartof>Indian journal of medical research (New Delhi, India : 1994), 2021-10, Vol.154 (4), p.641-644</ispartof><rights>Copyright: © 2022 Indian Journal of Medical Research 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9205000/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9205000/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35435350$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Singh, Manjula</creatorcontrib><creatorcontrib>Dhingra, Bhavna</creatorcontrib><creatorcontrib>Bishnu, Bipra</creatorcontrib><creatorcontrib>Pandey, Dhruvendra</creatorcontrib><creatorcontrib>Anand, Praveen K</creatorcontrib><creatorcontrib>Gupta, Sarika</creatorcontrib><creatorcontrib>Das, Vidyanand Ravi</creatorcontrib><creatorcontrib>Kodan, Parul</creatorcontrib><creatorcontrib>Kabra, Sushil Kumar</creatorcontrib><title>Assessment of prevailing practices for identification of tuberculosis in children admitted in nutritional rehabilitation centres: A multicentre study</title><title>Indian journal of medical research (New Delhi, India : 1994)</title><addtitle>Indian J Med Res</addtitle><description>To eliminate tuberculosis (TB), the National TB Elimination Programme (NTEP) has given an algorithm for diagnosis and treatment of TB in children. This study was carried out to assess the prevailing practices to identify TB in severely malnourished children admitted to various nutrition rehabilitation centres (NRCs).
A retrospective chart review of 41 NRCs across five States having a maximum number of NRCs was carried out. Details of children admitted to the NRCs and the investigations carried out in the form of obtaining X-ray film, tuberculin skin test (TST) and gastric aspirate for cartridge-based nucleic acid amplification test (CBNAAT) for diagnosis of TB over three months were collected.
A total of 2121 children with severe acute malnourished (SAM) across 41 NRCs (Bhopal, Jodhpur, Patna, Kolkata, Lucknow and Ratlam) were evaluated. X-ray of the chest was done in 473 (22%), TST was done in 135 (6%) and gastric aspirate was collected in 56 (3%) children. CBNAAT was done in only 56 SAM children. Ten children among those screened were confirmed to have pulmonary TB and were linked to treatment as per the National TB guidelines.
Although NTEP suggests universal screening of all malnourished children admitted in the NRCs, but the prevailing practices indicate that the NRCs are grossly under-utilizing molecular diagnostic tests for diagnosis of TB. There is a gap between prevailing practices and suggested guidelines for the identification of TB in children admitted in the NRCs.</description><subject>Child</subject><subject>Humans</subject><subject>Original</subject><subject>Rehabilitation Centers</subject><subject>Retrospective Studies</subject><subject>Severe Acute Malnutrition</subject><subject>Tuberculin Test</subject><subject>Tuberculosis - diagnosis</subject><subject>Tuberculosis, Pulmonary - diagnosis</subject><issn>0971-5916</issn><issn>0975-9174</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkNlKAzEUhoMotlYfwBvJC0xNMpNk4oVQiktFEUSvh2zTpsxSkkyhD-L7OtOq6M3Z_-8cDgCXGE0zjNJrt679dPH08lYQSmlB0BEYI8FpIjDPjvcxTqjAbATOQlgjhAXh4hSMUpqlNKVoDD5nIdgQattE2JZw4-1Wuso1yz6UOjptAyxbD53pJ1zptIyubYbR2CnrdVe1wQXoGqhXrjLeNlCa2sVozVBsuujdoJAV9HYlVc-OB4Tugd6GGziDdVcNm4YchtiZ3Tk4KWUV7MW3n4CP-7v3-WPy_PqwmM-ekw1maUwsYdYoxQUjVmqFM5tmhLC-IIXOKS5ZjgymWjCKeG-54QypLGdCUZpzlU7A7YG76VRtzf4EWRUb72rpd0UrXfG_07hVsWy3hSCIIoR6wNVfwK_y58HpF1VXhQk</recordid><startdate>20211001</startdate><enddate>20211001</enddate><creator>Singh, Manjula</creator><creator>Dhingra, Bhavna</creator><creator>Bishnu, Bipra</creator><creator>Pandey, Dhruvendra</creator><creator>Anand, Praveen K</creator><creator>Gupta, Sarika</creator><creator>Das, Vidyanand Ravi</creator><creator>Kodan, Parul</creator><creator>Kabra, Sushil Kumar</creator><general>Wolters Kluwer - Medknow</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>5PM</scope></search><sort><creationdate>20211001</creationdate><title>Assessment of prevailing practices for identification of tuberculosis in children admitted in nutritional rehabilitation centres: A multicentre study</title><author>Singh, Manjula ; Dhingra, Bhavna ; Bishnu, Bipra ; Pandey, Dhruvendra ; Anand, Praveen K ; Gupta, Sarika ; Das, Vidyanand Ravi ; Kodan, Parul ; Kabra, Sushil Kumar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p163t-e26edbb7962eacb14e34226b79a9c851f680d15c96507c967d760b4869b5587b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Child</topic><topic>Humans</topic><topic>Original</topic><topic>Rehabilitation Centers</topic><topic>Retrospective Studies</topic><topic>Severe Acute Malnutrition</topic><topic>Tuberculin Test</topic><topic>Tuberculosis - diagnosis</topic><topic>Tuberculosis, Pulmonary - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Singh, Manjula</creatorcontrib><creatorcontrib>Dhingra, Bhavna</creatorcontrib><creatorcontrib>Bishnu, Bipra</creatorcontrib><creatorcontrib>Pandey, Dhruvendra</creatorcontrib><creatorcontrib>Anand, Praveen K</creatorcontrib><creatorcontrib>Gupta, Sarika</creatorcontrib><creatorcontrib>Das, Vidyanand Ravi</creatorcontrib><creatorcontrib>Kodan, Parul</creatorcontrib><creatorcontrib>Kabra, Sushil Kumar</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Indian journal of medical research (New Delhi, India : 1994)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Singh, Manjula</au><au>Dhingra, Bhavna</au><au>Bishnu, Bipra</au><au>Pandey, Dhruvendra</au><au>Anand, Praveen K</au><au>Gupta, Sarika</au><au>Das, Vidyanand Ravi</au><au>Kodan, Parul</au><au>Kabra, Sushil Kumar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of prevailing practices for identification of tuberculosis in children admitted in nutritional rehabilitation centres: A multicentre study</atitle><jtitle>Indian journal of medical research (New Delhi, India : 1994)</jtitle><addtitle>Indian J Med Res</addtitle><date>2021-10-01</date><risdate>2021</risdate><volume>154</volume><issue>4</issue><spage>641</spage><epage>644</epage><pages>641-644</pages><issn>0971-5916</issn><eissn>0975-9174</eissn><abstract>To eliminate tuberculosis (TB), the National TB Elimination Programme (NTEP) has given an algorithm for diagnosis and treatment of TB in children. This study was carried out to assess the prevailing practices to identify TB in severely malnourished children admitted to various nutrition rehabilitation centres (NRCs).
A retrospective chart review of 41 NRCs across five States having a maximum number of NRCs was carried out. Details of children admitted to the NRCs and the investigations carried out in the form of obtaining X-ray film, tuberculin skin test (TST) and gastric aspirate for cartridge-based nucleic acid amplification test (CBNAAT) for diagnosis of TB over three months were collected.
A total of 2121 children with severe acute malnourished (SAM) across 41 NRCs (Bhopal, Jodhpur, Patna, Kolkata, Lucknow and Ratlam) were evaluated. X-ray of the chest was done in 473 (22%), TST was done in 135 (6%) and gastric aspirate was collected in 56 (3%) children. CBNAAT was done in only 56 SAM children. Ten children among those screened were confirmed to have pulmonary TB and were linked to treatment as per the National TB guidelines.
Although NTEP suggests universal screening of all malnourished children admitted in the NRCs, but the prevailing practices indicate that the NRCs are grossly under-utilizing molecular diagnostic tests for diagnosis of TB. There is a gap between prevailing practices and suggested guidelines for the identification of TB in children admitted in the NRCs.</abstract><cop>India</cop><pub>Wolters Kluwer - Medknow</pub><pmid>35435350</pmid><doi>10.4103/ijmr.IJMR_2555_20</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Indian journal of medical research (New Delhi, India : 1994), 2021-10, Vol.154 (4), p.641-644 |
| issn | 0971-5916 0975-9174 |
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| source | MEDLINE; Medknow Open Access Medical Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; PubMed Central Open Access |
| subjects | Child Humans Original Rehabilitation Centers Retrospective Studies Severe Acute Malnutrition Tuberculin Test Tuberculosis - diagnosis Tuberculosis, Pulmonary - diagnosis |
| title | Assessment of prevailing practices for identification of tuberculosis in children admitted in nutritional rehabilitation centres: A multicentre study |
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