The utility of a modified WHO TB screening tool among children at a Botswana child welfare clinic

Mashalla, Yohana J.

The utility of a modified WHO TB screening tool among children at a Botswana child welfare clinic

dc.contributor.author	Mashalla, Yohana J.
dc.date.accessioned	2022-06-15T11:20:54Z
dc.date.available	2022-06-15T11:20:54Z
dc.date.issued	2021-05-23
dc.description.abstract	Background: In high TB/HIV settings, the increased risk for TB amongst children exposed to HIV has been established through biomedical tests. Screening HIV exposed children for TB can improve early childhood TB detection and treatment. Objective: This study assessed the utility of a modified World Health Organization (WHO) tool by including HIV variables, to determine TB exposure amongst HIV exposed children presenting to a “Well Child” Clinic (CWC). Methods: Clinical data were obtained from medical records and/or from the caregivers of children presenting to CWC. Data was analyzed to explore factors associated with positive screening for TB, including being exposed to HIV and current HIV status. Results: Five percent (55/1100) screened reported a close TB contact and 21% (n=231) had positive TB symptom screen. History of close TB contact was a risk factor for positive screening for TB symptoms (OR 1.89 CI 1.05-3.4) while being HIV negative was protective (OR 0.3, Cl 0.19-0.62). HIV exposure was associated with increased risk of TB exposure (OR 2.9 CI 1.61-5.19). Conclusion: Integrating HIV variables in the existing WHO screening tool for childhood TB can be useful in early detec- tion and treatment of TB in HIV exposed children in resource limited settings. Keywords: Childhood TB screening, HIV Exposure screening, TB/HIV integration.	en_US
dc.identifier.citation	Dikobe, W., Molefi, M., Nkomo, B., Kgwaadira, B., Gasenelwe, B., Seloilwe, E. and Mashalla, Y., 2021. The utility of a modified WHO TB screening tool among children at a Botswana child welfare clinic. African Health Sciences, 21(1), pp.64-71.	en_US
dc.identifier.other	1. https://dx.doi.org/10.4314/ ahs.v21i1.11S
dc.identifier.uri	http://hdl.handle.net/123456789/1000
dc.language.iso	en	en_US
dc.publisher	African Health Sciences	en_US
dc.subject	Childhood TB screening	en_US
dc.subject	HIV Exposure screening	en_US
dc.subject	TB/HIV integration	en_US
dc.title	The utility of a modified WHO TB screening tool among children at a Botswana child welfare clinic	en_US
dc.type	Article	en_US