Closing the reporting gap for childhood tuberculosis in South Africa : improving hospital referrals and linkages

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dc.contributor.authorDu Preez, K.en_ZA
dc.contributor.authorSchaaf, H. S.en_ZA
dc.contributor.authorDunbar, R.en_ZA
dc.contributor.authorSwartz, A.en_ZA
dc.contributor.authorNaidoo, P.en_ZA
dc.contributor.authorHesseling, A. C.en_ZA
dc.date.accessioned2020-11-13T09:21:45Z
dc.date.available2020-11-13T09:21:45Z
dc.date.issued2020-03-21
dc.descriptionCITATION: Du Preez, K., et al. 2020. Closing the reporting gap for childhood tuberculosis in South Africa : improving hospital referrals and linkages. Public Health Action, 10(1):38-46. doi:10.5588/pha.19.0053.
dc.descriptionThe original publication is available at https://theunion.org/our-work/journals/public-health-action
dc.description.abstractSetting: A referral hospital in Cape Town, Western Cape Province, Republic of South Africa. Objective: To measure the impact of a hospital-based referral service (intervention) to reduce initial loss to follow-up among children with tuberculosis (TB) and ensure the completeness of routine TB surveillance data. Design: A dedicated TB referral service was established in the paediatric wards at Tygerberg Hospital, Cape Town, in 2012. Allocated personnel provided TB education and counselling, TB referral support and weekly telephonic follow-up after hospital discharge. All children identified with TB were matched to electronic TB treatment registers (ETR.Net/EDRWeb). Multivariable logistic regression was used to compare reporting of culture-confirmed and drug-susceptible TB cases before (2007–2009) and during (2012) the intervention. Results: Successful referral with linkage to care was confirmed in 267/272 (98%) and successful reporting in 227/272 (84%) children. Children with drug-susceptible, culture-confirmed TB were significantly more likely to be reported during the intervention period than in the pre-intervention period (OR 2.52, 95%CI 1.33–4.77). The intervention effect remained consistent in multivariable analysis (adjusted OR 2.62; 95%CI 1.31–5.25) after adjusting for age, sex, human immunodeficiency virus status and the presence of TB meningitis. Conclusions: A simple hospital-based TB referral service can reduce initial loss to follow-up and improve recording and reporting of childhood TB in settings with decentralised TB services.en_ZA
dc.description.urihttps://www.ingentaconnect.com/content/iuatld/pha/2020/00000010/00000001/art00010
dc.description.versionPublisher's version
dc.format.extent9 pagesen_ZA
dc.identifier.citationDu Preez, K., et al. 2020. Closing the reporting gap for childhood tuberculosis in South Africa : improving hospital referrals and linkages. Public Health Action, 10(1):38-46. doi:10.5588/pha.19.0053
dc.identifier.issn2220-8372 (online)
dc.identifier.otherdoi:10.5588/pha.19.0053
dc.identifier.urihttp://hdl.handle.net/10019.1/108931
dc.language.isoen_ZAen_ZA
dc.publisherIUATLD -- International Union Against Tuberculosis and Lung Disease
dc.rights.holderThe Union
dc.subjectTuberculosis in childrenen_ZA
dc.subjectHospital records -- Management -- South Africaen_ZA
dc.subjectPatient referral, Tuberculosisen_ZA
dc.titleClosing the reporting gap for childhood tuberculosis in South Africa : improving hospital referrals and linkagesen_ZA
dc.typeArticleen_ZA
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