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The Pediatric Forum
July 2001

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

Author Affiliations

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Copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2001

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

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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