@article {Safdar:2010:1027-3719:872,title = "Diagnosis and outcome of childhood tuberculosis: implementing public health policy in three districts of Pakistan",
journal = "The International Journal of Tuberculosis and Lung Disease",
parent_itemid = "infobike://iuatld/ijtld",
publishercode ="iuatld",
year = "2010",
volume = "14",
number = "7",
publication date ="2010-07-01T00:00:00",
pages = "872-877",
itemtype = "ARTICLE",
issn = "1027-3719",
eissn = "1815-7920",
url = "http://www.ingentaconnect.com/content/iuatld/ijtld/2010/00000014/00000007/art00014",
keyword = "outcome, Pakistan, childhood tuberculosis, diagnosis"
abstract = "SETTING: All nine public sector hospitals in three districts of Pakistan.OBJECTIVE: To estimate case notifications of children with tuberculosis (TB) and their outcomes.DESIGN: A retrospective cohort following all children aged RESULTS: With the introduction of the new NTP policy, case notification of childhood TB increased from 189 (20042005) to 731 for the 2 years 20062007. The annual notification rate of childhood TB cases increased from 1.4 (20042005) to 5.2 per 100000 population (20062007). Of the total 920 childhood TB cases registered, 610 were pulmonary, 202 extra-pulmonary and the remaining 108 unclassified. The three-fold increase in case notification was accompanied by a lack of follow-up, resulting in an increase in unknown treatment outcomes from 21.7% to 73.3%.CONCLUSION: Managing children with TB in routine NTP practice is possible, but without adequate operational guidelines, expanding services and follow-up, it can lead to suboptimal results.",
author = "Safdar, N. and Hinderaker, S. G. and Baloch, N. A. and Enarson, D. and Khan, M. A. and Morkve, O.",
}