作者
Kunchok Dorjee, Sonam Topgyal, Chungdak Dorjee, Tenzin Tsundue, Tenzin Namdol, Tenzin Tsewang, Tenzin Nangsel, Dekyi Lhadon, Tsering Choetso, Tenzin Dawa, Tenzin Phentok, Andrea N DeLuca, Lobsang Tsering, Dawa Phunkyi, Tsetan D Sadutshang, Elizabeth J Bonomo, Zorba Paster, Richard E Chaisson
发表日期
2019/8/16
期刊
Clinical Infectious Diseases
卷号
69
期号
5
页码范围
760-768
出版商
Oxford University Press
简介
Background
Tuberculosis (TB) prevalence is high among Tibetan refugees in India, with almost half of cases occurring in congregate facilities, including schools. A comprehensive program of TB case finding and treatment of TB infection (TBI) was undertaken in schools for Tibetan refugee children.
Methods
Schoolchildren and staff in Tibetan schools in Himachal Pradesh, India, were screened for TB with an algorithm using symptoms, chest radiography, molecular diagnostics, and tuberculin skin testing. Individuals with active TB were treated and those with TBI were offered isoniazid-rifampicin preventive therapy for 3 months.
Results
From April 2017 to March 2018, we screened 5391 schoolchildren (median age, 13 years) and 786 staff in 11 Tibetan schools. Forty-six TB cases, including 1 with multidrug resistance, were found in schoolchildren, for a …
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