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Mohr-Holland E, Daniels J, Douglas-Jones B, Mema N, Scott V, Trivino-Duran L, Pfaff C, Furin J, Isaakidis P. A positive COVID-19 test is associated with high mortality in RR-TB-HIV patients. Int J Tuberc Lung Dis 2021; 25:409-412. [PMID: 33977912 PMCID: PMC8091908 DOI: 10.5588/ijtld.21.0010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Affiliation(s)
- E Mohr-Holland
- Médecins Sans Frontières (MSF), Khayelitsha, Cape Town, South Africa, MSF Southern Africa Medical Unit, Observatory, Cape Town, South Africa
| | - J Daniels
- Médecins Sans Frontières (MSF), Khayelitsha, Cape Town, South Africa
| | - B Douglas-Jones
- Médecins Sans Frontières (MSF), Khayelitsha, Cape Town, South Africa
| | - N Mema
- Médecins Sans Frontières (MSF), Khayelitsha, Cape Town, South Africa
| | - V Scott
- City of Cape Town Health Department, Khayelitsha, Cape Town, South Africa
| | - L Trivino-Duran
- Médecins Sans Frontières (MSF), Khayelitsha, Cape Town, South Africa
| | - C Pfaff
- Médecins Sans Frontières (MSF), Khayelitsha, Cape Town, South Africa
| | - J Furin
- Harvard Medical School, Boston, MA, USA
| | - P Isaakidis
- MSF Southern Africa Medical Unit, Observatory, Cape Town, South Africa
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Mohr-Holland E, Apolisi I, Reuter A, de Azevedo V, Hill J, Matthee S, Seddon JA, Isaakidis P, Furin J, Trivino-Duran L. Barriers and solutions to finding rifampicin-resistant tuberculosis cases in older children and adolescents. Public Health Action 2019; 9:174-176. [PMID: 32042611 DOI: 10.5588/pha.19.0050] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2019] [Accepted: 08/12/2019] [Indexed: 11/10/2022] Open
Abstract
Little is known about the barriers to post-exposure management of rifampicin-resistant tuberculosis (RR-TB) in older children and adolescents. We report on implementation lessons from a pilot programme targeting household-exposed individuals aged 6-18 years in Khayelitsha, South Africa. Barriers included misperceptions regarding risk of exposure, multiple research and implementation stakeholders, additional workload for an overburdened healthcare system, logistical issues faced by families, and insufficient human and financial resources. Solutions to these barriers are possible, but creativity and persistence are required. Our experience can guide others looking to roll-out care for children and adolescents exposed to RR-TB.
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Affiliation(s)
- E Mohr-Holland
- Médecins Sans Frontières (MSF), Khayelitsha and Cape Town, South Africa.,Southern Africa Medical Unit, MSF, Cape Town, South Africa
| | - I Apolisi
- Médecins Sans Frontières (MSF), Khayelitsha and Cape Town, South Africa
| | - A Reuter
- Médecins Sans Frontières (MSF), Khayelitsha and Cape Town, South Africa
| | | | - J Hill
- Technical Division, KNCV Tuberculosefonds, The Hague, Netherlands
| | - S Matthee
- Provincial Government of the Western Cape Health Department, Cape Town, South Africa
| | - J A Seddon
- Desmond Tutu TB Centre, Department of Paediatric and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.,Department of Paediatrics, Imperial College London, London, UK
| | - P Isaakidis
- Southern Africa Medical Unit, MSF, Cape Town, South Africa
| | - J Furin
- Harvard Medical School, Department of Global Health and Social Medicine, Boston, MA, USA
| | - L Trivino-Duran
- Médecins Sans Frontières (MSF), Khayelitsha and Cape Town, South Africa
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