An evaluation of the completeness of reporting of childhood tuberculosis

Teo, S. S. S., Alfaham, M., Evans, M. R., Watson, J. M., Riordan, A., Sonnenberg, P., Clark, J., Hayward, A., Sharland, M., Moore-Gillon, J., Novelli, V., Quinn, D. and Shingadia, D. (2009) An evaluation of the completeness of reporting of childhood tuberculosis. European Respiratory Journal, 34 1: 176-179. doi:10.1183/09031936.00031808

Author Teo, S. S. S.
Alfaham, M.
Evans, M. R.
Watson, J. M.
Riordan, A.
Sonnenberg, P.
Clark, J.
Hayward, A.
Sharland, M.
Moore-Gillon, J.
Novelli, V.
Quinn, D.
Shingadia, D.
Title An evaluation of the completeness of reporting of childhood tuberculosis
Journal name European Respiratory Journal   Check publisher's open access policy
ISSN 0903-1936
Publication date 2009-01-01
Year available 2009
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1183/09031936.00031808
Open Access Status Not yet assessed
Volume 34
Issue 1
Start page 176
End page 179
Total pages 4
Place of publication Lausanne, Switzerland
Publisher European Respiratory Society
Language eng
Abstract The sensitivity of the Enhanced Tuberculosis Surveillance (ETS) scheme for monitoring tuberculosis in children is unknown. We used the British Paediatric Surveillance Unit (BPSU) reporting scheme to conduct a prospective observational study of tuberculosis in children aged <16 yrs in the UK. Reported cases were then matched with records from the ETS database. A total of 320 cases were reported to the BPSU between January and December 2004. We estimated that there were 557 paediatric cases in England, Wales and Northern Ireland in 2004: 222 (40%) cases reported to both BPSU and ETS, 98 (18%) reported to BPSU but not ETS and 237 (42%) reported to ETS but not BPSU. Children aged <5 yrs were significantly less likely to be reported to ETS compared with older children (p<0.01). There is substantial under-reporting of childhood tuberculosis, especially of children aged <5 yrs. ETS provides a representative picture of the demographics but may miss ∼20% of cases. This should be taken into account when planning training and resource requirements for tuberculosis. Increased efforts are needed to ensure that all paediatric cases are reported to ETS.
Keyword Child
Disease notification
Medical record linkage
Population surveillance
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: School of Medicine Publications
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