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Int J Tuberc Lung Dis. 2015 Dec;19:50-53. doi: 10.5588/ijtld.15.0418.

Childhood tuberculosis in the United States: shifting the focus to prevention.

The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease

A T Cruz, B J Martinez

Affiliations

  1. Department of Pediatrics, Baylor College of Medicine, Houston.
  2. Bureau of Tuberculosis Control, Houston Department of Health and Human Services, Houston, Texas, USA.

PMID: 26564542 DOI: 10.5588/ijtld.15.0418

Abstract

In the last century, the United States has transitioned from a high to a low tuberculosis (TB) incidence country. A major factor in this decline has been the emphasis on identification and treatment of patients with tuberculous infection. While identification, testing, and preventive therapy pose challenges, recent developments in childhood TB offer more options for effective strategies that are acceptable to both children and their families. These include screening and testing in non-traditional settings, use of more specific assays (interferon-gamma release assays) for testing, and implementation of shorter-course preventive regimens.

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