Nyirenda M, Sinfield R, Haves S, Molyneux E M, Graham S M
Department of Paediatrics, College of Medicine, Blantyre, Malawi.
Int J Tuberc Lung Dis. 2006 May;10(5):585-7.
Child tuberculosis (TB) contact clinic, Queen Elizabeth Central Hospital, Blantyre, Malawi.
Patients registered with smear-positive pulmonary TB (PTB) were encouraged to bring childhood household contacts to the clinic for assessment and management. Data of TB cases registered over the same period were collected from the Blantyre District TB Office.
Attendance at the contact clinic was very poor, representing only 7.7% of all adults registered with smear-positive PTB over 17 months, and was significantly lower for potential male source cases than females (OR 0.36, 95% CI 0.23-0.55, P < 0.001).
Improved uptake and implementation of child contact management in Malawi is a challenge.
马拉维布兰太尔伊丽莎白女王中央医院儿童结核病接触者诊所。
鼓励登记为涂片阳性肺结核（PTB）的患者带儿童家庭接触者到诊所进行评估和管理。同期登记的结核病病例数据从布兰太尔区结核病办公室收集。
接触者诊所的就诊率非常低，在17个月内仅占所有登记为涂片阳性PTB的成年人的7.7%，潜在男性传染源病例的就诊率显著低于女性（比值比0.36，95%置信区间0.23 - 0.55，P < 0.001）。
在马拉维改善儿童接触者管理的接受度和实施情况是一项挑战。
