A six months follow-up on children less than 6 years old in contact with smear positive tuberculosis patients, Varamin city, Tehran, Iran

Objectives: Current international guidelines recommend 6-9 months of Isoniazid (INH) preventive chemotherapy to prevent the development of active tuberculosis in children exposed to smear positive tuberculosis (TB) patients. The aim of the present study was to evaluate the adherence to a six-month o...

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Main Authors: Zohreh Aminzadeh, Rahim Taghizadeh Asl
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:International Journal of Preventive Medicine
Subjects:
Online Access:http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2011;volume=2;issue=2;spage=79;epage=81;aulast=Aminzadeh
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author Zohreh Aminzadeh
Rahim Taghizadeh Asl
author_facet Zohreh Aminzadeh
Rahim Taghizadeh Asl
author_sort Zohreh Aminzadeh
collection DOAJ
description Objectives: Current international guidelines recommend 6-9 months of Isoniazid (INH) preventive chemotherapy to prevent the development of active tuberculosis in children exposed to smear positive tuberculosis (TB) patients. The aim of the present study was to evaluate the adherence to a six-month of supervised INH prophylaxis program and outcome in children with household exposure to an adult pulmonary tuberculosis index case in Varamin city, Tehran, Iran. Methods: This cross sectional study was conducted among household contacts in Varamin city, between 1997- 1998. All children <6 years old with a household contact with an adult pulmonary tuberculosis index case were screened for tuberculosis and given supervised INH preventive chemotherapy once active tuberculosis was excluded as planned . Adherence and outcome were monitored. Results: In total, 31 index cases and 128 household contact cases were identified; 23 (18%) children <6 years old experienced household exposure, who were fully evaluated. two children were treated for active tuberculosis and 15 (12%) children received preventive chemotherapy. All children completed 6 months of supervised INH prophylaxis with normal clinical examination in 3 and 6 months after beginning INH prophylaxis. No side effects (peripheral neuropathy or liver damage) were reported or observed within this study. Conclusions: Strategy of six months of supervised INH chemoprophylaxis is successful, particularly in children who are at a high risk to progress to disease following exposure.
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spelling doaj.art-991d265c98d44a78a115520612007f062022-12-22T01:29:48ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132011-01-01227981A six months follow-up on children less than 6 years old in contact with smear positive tuberculosis patients, Varamin city, Tehran, IranZohreh AminzadehRahim Taghizadeh AslObjectives: Current international guidelines recommend 6-9 months of Isoniazid (INH) preventive chemotherapy to prevent the development of active tuberculosis in children exposed to smear positive tuberculosis (TB) patients. The aim of the present study was to evaluate the adherence to a six-month of supervised INH prophylaxis program and outcome in children with household exposure to an adult pulmonary tuberculosis index case in Varamin city, Tehran, Iran. Methods: This cross sectional study was conducted among household contacts in Varamin city, between 1997- 1998. All children <6 years old with a household contact with an adult pulmonary tuberculosis index case were screened for tuberculosis and given supervised INH preventive chemotherapy once active tuberculosis was excluded as planned . Adherence and outcome were monitored. Results: In total, 31 index cases and 128 household contact cases were identified; 23 (18%) children <6 years old experienced household exposure, who were fully evaluated. two children were treated for active tuberculosis and 15 (12%) children received preventive chemotherapy. All children completed 6 months of supervised INH prophylaxis with normal clinical examination in 3 and 6 months after beginning INH prophylaxis. No side effects (peripheral neuropathy or liver damage) were reported or observed within this study. Conclusions: Strategy of six months of supervised INH chemoprophylaxis is successful, particularly in children who are at a high risk to progress to disease following exposure.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2011;volume=2;issue=2;spage=79;epage=81;aulast=AminzadehTuberculosisContactsFollow-upChemoprophylaxis
spellingShingle Zohreh Aminzadeh
Rahim Taghizadeh Asl
A six months follow-up on children less than 6 years old in contact with smear positive tuberculosis patients, Varamin city, Tehran, Iran
International Journal of Preventive Medicine
Tuberculosis
Contacts
Follow-up
Chemoprophylaxis
title A six months follow-up on children less than 6 years old in contact with smear positive tuberculosis patients, Varamin city, Tehran, Iran
title_full A six months follow-up on children less than 6 years old in contact with smear positive tuberculosis patients, Varamin city, Tehran, Iran
title_fullStr A six months follow-up on children less than 6 years old in contact with smear positive tuberculosis patients, Varamin city, Tehran, Iran
title_full_unstemmed A six months follow-up on children less than 6 years old in contact with smear positive tuberculosis patients, Varamin city, Tehran, Iran
title_short A six months follow-up on children less than 6 years old in contact with smear positive tuberculosis patients, Varamin city, Tehran, Iran
title_sort six months follow up on children less than 6 years old in contact with smear positive tuberculosis patients varamin city tehran iran
topic Tuberculosis
Contacts
Follow-up
Chemoprophylaxis
url http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2011;volume=2;issue=2;spage=79;epage=81;aulast=Aminzadeh
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