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An Assessment of KAP Towards LTBI in Under-5 Children among Physicians Treating Adult/Adolescent TB Patients in Dhaka City

Received: 24 October 2024     Accepted: 11 November 2024     Published: 29 November 2024
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Abstract

Introduction: LTBI is the precursor to TB, making early detection and treatment of infected children vital to preventing pediatric morbidity and mortality. This study assesses the knowledge, attitudes, and practices of physicians treating adult and adolescent TB patients in managing LTBI among under-5 children in Dhaka. Aim of the study: The aim of the study was to evaluate the knowledge, attitude, and practices of physicians treating adult and adolescent tuberculosis patients in Dhaka City regarding the diagnosis and management of latent tuberculosis infection (LTBI) in under-5 children. Methods: This six-month cross-sectional, semi-qualitative study was conducted from January to June 2020 at the Department of Paediatrics in five Dhaka hospitals, involving 50 physicians treating adult and adolescent TB patients. Data were collected through standardized questionnaires, with consent obtained, and qualitative responses categorized and scored using SPSS Version 25.0. Result: Among 50 physicians, most were aged 30-39, and 62% had recent TB training. Knowledge of latent tuberculosis infection (LTBI) was limited, with only 14% accurately defining it, while 88% acknowledged isoniazid preventive therapy (IPT) availability. Only 12% inquired about family members of pulmonary TB patients, and 10% asked about under-five children. A significant 80% had no involvement in managing LTBI in children, with just 6% prescribing IPT. Additionally, 84% believed IPT could cause drug resistance, and those with recent training scored higher in knowledge. Conclusion: This KAP study identifies key barriers to LTBI tracing and IPT/TPT implementation in children under five, emphasizing the need for structured training to enhance physician practices.

Published in American Journal of Pediatrics (Volume 10, Issue 4)
DOI 10.11648/j.ajp.20241004.15
Page(s) 185-192
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Latent Tuberculosis Infection (LTBI), Knowledge, Attitude, Practices (KAP), Under-5 Children, Physicians, Tuberculosis (TB) Management

References
[1] World Health Organization. Use of high burden country lists for TB by WHO in the post-2015 era (discussion paper). Geneva: World Health Organization; 2015.
[2] World Health Organization. Global tuberculosis report 2020. Geneva: World Health Organization; 2020.
[3] Lillebaek T, Dirksen A, Baess I, Strunge B, Thomsen VØ, Andersen ÅB. Molecular evidence of endogenous reactivation of Mycobacterium tuberculosis after 33 years of latent infection. The Journal of infectious diseases. 2002 Feb 1; 185(3): 401-4.
[4] Uplekar M, Weil D, Lonnroth K, Jaramillo E, Lienhardt C, Dias HM, Falzon D, Floyd K, Gargioni G, Getahun H, Gilpin C. WHO's new end TB strategy. The Lancet. 2015 May 2; 385(9979): 1799-801.
[5] World Health Organization. Latent tuberculosis infection: updated and consolidated guidelines for programmatic management. World Health Organization; 2018.
[6] Ishikawa CS, Matsuo OM, Sarno F. Latent tuberculosis infection and tuberculosis in children and adolescents. Einstein (Sao Paulo). 2018 Sep 17; 16: eAO4090.
[7] National Tuberculosis Programme. Bangladesh. UNHLM: Innovations towards ending childhood TB.
[8] Mascie-Taylor CG, Karim R, Karim E, Akhtar S, Ahmed T, Montanari RM. The cost-effectiveness of health education in improving knowledge and awareness about intestinal parasites in rural Bangladesh. Economics & Human Biology. 2003 Dec 1; 1(3): 321-30.
[9] Matibag GC, Kamigaki T, Kumarasiri PV, Wijewardana TG, Kalupahana AW, Dissanayake DA, De Silva DN, Gunawardena GP, Obayashi Y, Kanda K, Tamashiro H. Knowledge, attitudes, and practices survey of rabies in a community in Sri Lanka. Environmental health and preventive medicine. 2007 Mar; 12: 84-9.
[10] World Health Organization. Guideline for national tuberculosis programmes on the management of tuberculosis in children. Geneva: World Health Organization; 2016.
[11] Houben RM, Dodd PJ. The global burden of latent tuberculosis infection: a re-estimation using mathematical modelling. PLoS medicine. 2016 Oct 25; 13(10): e1002152.
[12] Bangladesh Bureau of Statistics (BBS), Centers for Disease Control and Prevention (CDC), Directorate General of Health Services, Ministry of Health and Family Welfare (Bangladesh), National Tuberculosis Control Program (NTP) (Bangladesh), United States Agency for International Development (USAID). Bangladesh National Tuberculosis Prevalence Survey 2015-2016. Dhaka: Bangladesh; 2016.
[13] Krentel A, Fischer P, Manoempil P, Supali T, Servais G, Rückert P. Using knowledge, attitudes and practice (KAP) surveys on lymphatic filariasis to prepare a health promotion campaign for mass drug administration in Alor District, Indonesia. Tropical Medicine & International Health. 2006 Nov; 11(11): 1731-40.
[14] Trajman A, Wakoff-Pereira MF, Ramos-Silva J, Cordeiro-Santos M, Militão de Albuquerque MD, Hill PC, Menzies D. Knowledge, attitudes and practices on tuberculosis transmission and prevention among auxiliary healthcare professionals in three Brazilian high-burden cities: a cross-sectional survey. BMC health services research. 2019 Dec; 19: 1-8.
[15] Abdulrazaak AT, Govender I, Nzaumvila D. Knowledge, attitudes and practices of doctors regarding isoniazid preventive therapy in HIV/AIDS patients at Odi District Hospital, Gauteng province, South Africa. Southern African Journal of Infectious Diseases. 2018 Dec 1; 33(5): 1-1.
[16] Hill L, Blumberg E, Sipan C, Schmitz K, West J, Kelley N, Hovell M. Multi-level barriers to LTBI treatment: a research note. Journal of immigrant and minority health. 2010 Aug; 12: 544-50.
[17] Hussain H, Mori AT, Khan AJ, Khowaja S, Creswell J, Tylleskar T, Robberstad B. The cost-effectiveness of incentive-based active case finding for tuberculosis (TB) control in the private sector Karachi, Pakistan. BMC health services research. 2019 Dec; 19: 1-0.
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  • APA Style

    Sonia, U. Q., Thakur, M., Jesmine, J., Sultana, A., Jui, F. A., et al. (2024). An Assessment of KAP Towards LTBI in Under-5 Children among Physicians Treating Adult/Adolescent TB Patients in Dhaka City. American Journal of Pediatrics, 10(4), 185-192. https://doi.org/10.11648/j.ajp.20241004.15

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    ACS Style

    Sonia, U. Q.; Thakur, M.; Jesmine, J.; Sultana, A.; Jui, F. A., et al. An Assessment of KAP Towards LTBI in Under-5 Children among Physicians Treating Adult/Adolescent TB Patients in Dhaka City. Am. J. Pediatr. 2024, 10(4), 185-192. doi: 10.11648/j.ajp.20241004.15

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    AMA Style

    Sonia UQ, Thakur M, Jesmine J, Sultana A, Jui FA, et al. An Assessment of KAP Towards LTBI in Under-5 Children among Physicians Treating Adult/Adolescent TB Patients in Dhaka City. Am J Pediatr. 2024;10(4):185-192. doi: 10.11648/j.ajp.20241004.15

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  • @article{10.11648/j.ajp.20241004.15,
      author = {Umme Qulsum Sonia and Mukta Thakur and Jakiya Jesmine and Ajmiri Sultana and Farjana Afroze Jui and Sadia Tabassum and Shakil Ahmed},
      title = {An Assessment of KAP Towards LTBI in Under-5 Children among Physicians Treating Adult/Adolescent TB Patients in Dhaka City
    },
      journal = {American Journal of Pediatrics},
      volume = {10},
      number = {4},
      pages = {185-192},
      doi = {10.11648/j.ajp.20241004.15},
      url = {https://doi.org/10.11648/j.ajp.20241004.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20241004.15},
      abstract = {Introduction: LTBI is the precursor to TB, making early detection and treatment of infected children vital to preventing pediatric morbidity and mortality. This study assesses the knowledge, attitudes, and practices of physicians treating adult and adolescent TB patients in managing LTBI among under-5 children in Dhaka. Aim of the study: The aim of the study was to evaluate the knowledge, attitude, and practices of physicians treating adult and adolescent tuberculosis patients in Dhaka City regarding the diagnosis and management of latent tuberculosis infection (LTBI) in under-5 children. Methods: This six-month cross-sectional, semi-qualitative study was conducted from January to June 2020 at the Department of Paediatrics in five Dhaka hospitals, involving 50 physicians treating adult and adolescent TB patients. Data were collected through standardized questionnaires, with consent obtained, and qualitative responses categorized and scored using SPSS Version 25.0. Result: Among 50 physicians, most were aged 30-39, and 62% had recent TB training. Knowledge of latent tuberculosis infection (LTBI) was limited, with only 14% accurately defining it, while 88% acknowledged isoniazid preventive therapy (IPT) availability. Only 12% inquired about family members of pulmonary TB patients, and 10% asked about under-five children. A significant 80% had no involvement in managing LTBI in children, with just 6% prescribing IPT. Additionally, 84% believed IPT could cause drug resistance, and those with recent training scored higher in knowledge. Conclusion: This KAP study identifies key barriers to LTBI tracing and IPT/TPT implementation in children under five, emphasizing the need for structured training to enhance physician practices.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - An Assessment of KAP Towards LTBI in Under-5 Children among Physicians Treating Adult/Adolescent TB Patients in Dhaka City
    
    AU  - Umme Qulsum Sonia
    AU  - Mukta Thakur
    AU  - Jakiya Jesmine
    AU  - Ajmiri Sultana
    AU  - Farjana Afroze Jui
    AU  - Sadia Tabassum
    AU  - Shakil Ahmed
    Y1  - 2024/11/29
    PY  - 2024
    N1  - https://doi.org/10.11648/j.ajp.20241004.15
    DO  - 10.11648/j.ajp.20241004.15
    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
    SP  - 185
    EP  - 192
    PB  - Science Publishing Group
    SN  - 2472-0909
    UR  - https://doi.org/10.11648/j.ajp.20241004.15
    AB  - Introduction: LTBI is the precursor to TB, making early detection and treatment of infected children vital to preventing pediatric morbidity and mortality. This study assesses the knowledge, attitudes, and practices of physicians treating adult and adolescent TB patients in managing LTBI among under-5 children in Dhaka. Aim of the study: The aim of the study was to evaluate the knowledge, attitude, and practices of physicians treating adult and adolescent tuberculosis patients in Dhaka City regarding the diagnosis and management of latent tuberculosis infection (LTBI) in under-5 children. Methods: This six-month cross-sectional, semi-qualitative study was conducted from January to June 2020 at the Department of Paediatrics in five Dhaka hospitals, involving 50 physicians treating adult and adolescent TB patients. Data were collected through standardized questionnaires, with consent obtained, and qualitative responses categorized and scored using SPSS Version 25.0. Result: Among 50 physicians, most were aged 30-39, and 62% had recent TB training. Knowledge of latent tuberculosis infection (LTBI) was limited, with only 14% accurately defining it, while 88% acknowledged isoniazid preventive therapy (IPT) availability. Only 12% inquired about family members of pulmonary TB patients, and 10% asked about under-five children. A significant 80% had no involvement in managing LTBI in children, with just 6% prescribing IPT. Additionally, 84% believed IPT could cause drug resistance, and those with recent training scored higher in knowledge. Conclusion: This KAP study identifies key barriers to LTBI tracing and IPT/TPT implementation in children under five, emphasizing the need for structured training to enhance physician practices.
    
    VL  - 10
    IS  - 4
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