Evidence map›Paper›PMID 25199005›Full record

ArticleThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease2014

Isoniazid preventive treatment in children in two districts of South India: does practice follow policy?

H R Shivaramakrishna, A Frederick, A Shazia, L Murali, S Satyanarayana, S A Nair, A M Kumar, P K Moonan

Open access · greenAbstract read
In one paragraph

Article in The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 4 pooled it
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 4 syntheses or guidelines pooled it, 52 citations in OpenAlex.

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  4. Quality of tuberculosis care in India: a systematic review.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2015
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

H R Shivaramakrishna<label>*</label>World Health Organization Country Office in India, New Delhi.
A Frederick<label><sup>†</sup></label>Revised National TB Control Programme (RNTCP) District Tuberculosis Unit, Krishnagiri and Dharmapuri Districts, Tamilnadu.
A Shazia<label>*</label>World Health Organization Country Office in India, New Delhi.
L Murali<label><sup>‡</sup></label>RNTCP State Tuberculosis Unit, Tamilnadu.
S Satyanarayana<label><sup>§</sup></label>International Union Against Tuberculosis and Lung Disease, South-East Asia Regional Office, New Delhi, India.
S A Nair<label>*</label>World Health Organization Country Office in India, New Delhi.
A M Kumar<label><sup>§</sup></label>International Union Against Tuberculosis and Lung Disease, South-East Asia Regional Office, New Delhi, India.
P K Moonan<label><sup>¶</sup></label>Division of Tuberculosis Elimination, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
World Health Organization - India · INCenters for Disease Control and Prevention · US

Funding

Intramural CDC HHS CC999999World Health Organization 001
6 · The paper itself

Abstract

settingTwo districts of Tamil Nadu, India

objectivesTo determine the proportion of household contacts aged <6 years of patients with tuberculosis (TB) with positive sputum microscopy results who initiated and completed isoniazid preventive treatment (IPT), and to determine reasons for non-initiation and non-completion of IPT.

designHousehold visits were conducted on a random sample of adult patients registered during January-June 2012 to identify household contacts aged <6 years.

resultsAmong 271 children living with 691 index patients, 218 (80%) were evaluated and 9 (4%) were diagnosed with TB. Of 209 remaining contacts, 70 (33%) started IPT and 16 (22.9%) completed a full course of IPT. Of 139 contacts who did not start IPT, five developed TB disease. Reasons for non-initiation of IPT included no home visit by the field staff (19%) and no education about IPT (61%). Reasons for non-completion included isoniazid not provided (52%) and long duration of treatment (28%).

conclusionThis study shows that Revised National TB Programme guidance was not being followed and IPT implementation was poor. Poor IPT uptake represents a missed opportunity to prevent future TB cases. Provision of IPT may be improved through training, improved logistics and enhanced supervision and monitoring.

Indexed as

Health PolicyAdultAntitubercular AgentsChildChild, PreschoolContact TracingCross-Sectional StudiesFemaleHumansIndiaInfantIsoniazidMaleNational Health ProgramsSputumTuberculosisAntitubercular AgentsIsoniazid

Identifiers

PMID25199005
PMCPMC4589200
OpenAlexW2075070342

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.