dc.contributor.author | Yaqoob, Aashifa | |
dc.contributor.author | Hinderaker, Sven Gudmund | |
dc.contributor.author | Fatima, Razia | |
dc.contributor.author | Shewade, Hemant Deepak | |
dc.contributor.author | Nisar, Nadia | |
dc.contributor.author | Wali, Ahmed | |
dc.date.accessioned | 2022-02-09T10:02:37Z | |
dc.date.available | 2022-02-09T10:02:37Z | |
dc.date.created | 2022-01-05T08:22:35Z | |
dc.date.issued | 2021 | |
dc.identifier.issn | 1201-9712 | |
dc.identifier.uri | https://hdl.handle.net/11250/2977934 | |
dc.description.abstract | Background
The National Tuberculosis Control Program (NTP) in Pakistan developed, with the Pakistan Paediatric Association, a pediatric scoring chart to aid diagnosis of childhood tuberculosis (TB). Our study compared the diagnostic practice of private healthcare providers in Pakistan with the NTP guidelines.
Methods
A cross-sectional study comparing diagnosis of TB in children <15 years by Non-NTP private providers with the NTP’s pediatric scoring chart. A generalized linear model was used to determine the difference in adherence by Non-NTP private providers to the NTP guidelines for childhood TB diagnosis by associated factors.
Results
A total of 5193 (79.7% of presumptive childhood TB cases identified in the selected districts during the study) children were diagnosed with TB by Non-NTP private providers. A strong clinical suspicion of TB was present in 17.3%, and chest x-ray was suggestive of TB in 34.3%. The Kappa score between Non-NTP private providers and the NTP guidelines for diagnosing TB was 0.152. Only 47.8% of cases were diagnosed in line with the NTP guidelines. Children <5 years old with a history of TB contact had a higher chance of being diagnosed according to the NTP guidelines.
Conclusion
This study indicates a low adherence of NTP guidelines for diagnosing childhood TB by private providers in Pakistan. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Elsevier | en_US |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.title | Diagnosis of childhood tuberculosis in Pakistan: Are national guidelines used by private healthcare providers? | en_US |
dc.type | Journal article | en_US |
dc.type | Peer reviewed | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | Copyright 2021 The Authors | en_US |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.doi | 10.1016/j.ijid.2021.04.055 | |
dc.identifier.cristin | 1974826 | |
dc.source.journal | International Journal of Infectious Diseases | en_US |
dc.source.pagenumber | 291-297 | en_US |
dc.identifier.citation | International Journal of Infectious Diseases. 2021, 107, 291-297. | en_US |
dc.source.volume | 107 | en_US |