ObjectiveTo determine the optimal tuberculosis (TB) management strategy for children living in peri-urban, resource-limited settings.DesignWe compared TB treatment outcomes among children aged 0-15 years receiving doorstep care (n = 82) with those of a historical group (n = 97) receiving clinic-based care.ResultsThe doorstep care and clinic-based groups had similar age and sex profiles; treatment default rates were 3.7% (3/82) vs. 38.1% (37/97, P < 0.0001), treatment completion rates were 65.9% (54/82) vs. 51.6% (50/97, P = 0.01), and cure rates were 13.4% (11/82) vs. 2.1% (2/97), respectively (P < 0.0001).ConclusionChildren living in peri-urban communities had improved TB treatment outcomes with doorstep care.
Journal article
2016-02-01T00:00:00+00:00
20
235 - 239
4
Centre for the AIDS Programme of Research in South Africa (CAPRISA), South Africa.
Humans, Tuberculosis, Antitubercular Agents, Treatment Outcome, Remission Induction, Retrospective Studies, Age Factors, Time Factors, Adolescent, Child, Child, Preschool, Infant, Infant, Newborn, Home Care Services, Urban Health Services, Delivery of Health Care, South Africa, Female, Male, Medication Adherence