Table 1:
Children with delay* |
Children without delay |
|
---|---|---|
n=11 | n=15 | |
Age, median [range] | 2.5 [0.9-14.9] | 5.3 [0.6-14.8] |
Female sex, n (%) | 5 (45%) | 10 (67%) |
Days from diagnosis to treatment initiation, median [range]** | 26 [7-117] | 1 [0-6] |
Case status, n (%) | ||
Culture-confirmed TB | 4 (36%) | 6 (40%) |
Clinically-diagnosed, unconfirmed TB | 7 (64%) | 9 (60%) |
Received a regimen other than HREZ, n (%)** | 5 (42%) | 1 (7%) |
Other regimen received n (%) | ||
PAS/AMK/CS/ETO/LFX | 0 (0%) | 1 (7%)*** |
AMK/CS/ETO/LFX/PZA | 1 (9%) | 0 (0%) |
EMB/LFX/PZA/RIF | 2 (18%) | 0 (0%) |
CS/EMB/ETO/KM/LFX/PZA | 2 (18%) | 0 (0%) |
Delay defined as time lapse of seven or more days between diagnosis to treatment start, as documented in the child’s medical record
N=25. One child with a TB treatment delay did not start treatment until after study closure. We were therefore unable to obtain data on date of treatment initiation and regimen.
This case represents an exception to committee review for drug resistant cases: due to known MDR-TB in both parents, that drugs happened to be available at the clinic and the attending physician was a member of the national committee of experts, the child was able to start treatment quickly