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Dendup, T., Dorji, T., Edgnton, M.E., Kumar, A.M.V., Wangchuk, D., Dophu, U., et al. (2013) Childhood Tuberculosis in Bhutan: Profile and Treatment Outcomes. Public Heal Action. The International Union against Tuberculosis and Lung Disease, 3, 11-14.

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• TITLE: Did “Screeners” Increase Pediatric Tuberculosis Case Notification in Sindh, Pakistan?

  AUTHORS: Afshan Khurshid, Sven Gudmund Hinderaker, Einar Heldal, Razia Fatima, Mahboobul Haq, Aashifa Yaqoob, Amanullah Ansari, Kashif Anwar, Ejaz Qadeer, Ajay M. V. Kumar

  KEYWORDS: Childhood Tuberculosis, Pediatricians, Screener, Xpert MTB/RIF, SORT IT

  JOURNAL NAME: Journal of Tuberculosis Research, Vol.5 No.1, March 29, 2017

  ABSTRACT: To identify missing childhood Tuberculosis (TB) cases, “screeners” (hospital-based health workers trained to screen accompanying contacts of TB patients for symptoms) were introduced in eight tertiary care hospitals of Sindh, Pakistan in 2013. There was a 55% increase in childhood TB notifications in 2014 compared to 2012 in facilities with screeners (n = 8) compared to 40% increase in facilities without screeners (n = 22). This apparent association disappeared when stratified by presence of “trained pediatrician” whose introduction was associated with a massive increase in notifications while transfer was associated with a marked decrease. In conclusion, screeners were not associated with increase in pediatric TB case notifications.