An evaluation of the completeness of reporting of childhood tuberculosis

Teo, S. S. S., Alfaham, Mazin, Evans, Meirion Rhys ORCID: https://orcid.org/0000-0003-3578-1866, Watson, J. M., Riordan, A., Sonnenberg, P., Clark, J., Hayward, A., Sharland, M., Moore-Gillon, J., Novelli, V., Quinn, D. and Shingadia, D. 2009. An evaluation of the completeness of reporting of childhood tuberculosis. European Respiratory Journal 34 (1) , pp. 176-179. 10.1183/09031936.00031808

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Abstract

The sensitivity of the Enhanced Tuberculosis Surveillance (ETS) scheme for monitoring tuberculosis in children is unknown. We used the British Paediatric Surveillance Unit (BPSU) reporting scheme to conduct a prospective observational study of tuberculosis in children aged <16 yrs in the UK. Reported cases were then matched with records from the ETS database. A total of 320 cases were reported to the BPSU between January and December 2004. We estimated that there were 557 paediatric cases in England, Wales and Northern Ireland in 2004: 222 (40%) cases reported to both BPSU and ETS, 98 (18%) reported to BPSU but not ETS and 237 (42%) reported to ETS but not BPSU. Children aged <5 yrs were significantly less likely to be reported to ETS compared with older children (p<0.01). There is substantial under-reporting of childhood tuberculosis, especially of children aged <5 yrs. ETS provides a representative picture of the demographics but may miss ∼20% of cases. This should be taken into account when planning training and resource requirements for tuberculosis. Increased efforts are needed to ensure that all paediatric cases are reported to ETS.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Subjects:	R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Uncontrolled Keywords:	child, disease notification, medical record linkage, population surveillance, tuberculosis
Publisher:	European Respiratory Society
ISSN:	0903-1936
Last Modified:	20 Oct 2022 08:28
URI:	https://orca.cardiff.ac.uk/id/eprint/28458

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