Int J Tuberc Lung Dis. 2010 May;14(5):650-3.

Recording isoniazid preventive therapy delivery to children: operational challenges.

Van Wyk SS, Hamade H, Hesseling AC, Beyers N, Enarson DA, Mandalakas AM.

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Department of Paediatrics and Child Health, Desmond Tutu TB Centre, Stellenbosch University, Cape Town, South Africa. susanvanwyk@sun.ac.za

Abstract

Despite recommendations to provide isoniazid preventive therapy (IPT) to eligible children aged <5 years who are in close contact with an infectious tuberculosis (TB) case, IPT delivery in high-burden settings remains poor. To evaluate the current system supporting IPT delivery to children in an urban community, South Africa, we reviewed the recording practices of a local clinic regarding management of children exposed to a current adult TB case. No standardised IPT management tools existed. Only 21% of children eligible for IPT had documentation of IPT delivery. There is a need to implement systems that support IPT recommendations in high-burden settings.

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