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The Pediatric Forum | July 2001

A Successful Strategy for Increasing Adherence to Tuberculosis Test Reading in High-Risk Children

Philip O. Ozuah, MD, MSEd

Arch Pediatr Adolesc Med. 2001;155(7):856. doi:10.1001/archpedi.155.7.855.

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Guidelines issued by the Committee on Infectious Diseases of the American Academy of Pediatrics mandate that all tuberculin skin test results be read by trained health care workers.¹ This requirement necessitates a return visit to the practice site. Poor adherence to this follow-up in high-risk populations has been well documented in the literature.²^- 3 Reported adherence rates to tuberculin test readings range from 40% to 45% without an intervention.²^- 3 We describe a successful strategy for increasing adherence to follow-up for tuberculin skin test readings. Our study was conducted at an inner-city community health center serving an indigent minority population. Fifty-five percent of registered children were Hispanic, 44% were African American, and 50% were female. Forty-four percent of the children had no health insurance while 47% were covered by Medicaid.

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Ozuah PO. A Successful Strategy for Increasing Adherence to Tuberculosis Test Reading in High-Risk Children. Arch Pediatr Adolesc Med. 2001;155(7):856. doi:10.1001/archpedi.155.7.855.

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