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Table 3 Indicators of (missed) opportunities in childhood tuberculosis control 2005-2012

From: The epidemiology of childhood tuberculosis in the Netherlands: still room for prevention

Opportunity

Indicator

Number

Total target group for the intervention

% of target group

Primary prevention: BCG vaccination and infection prevention

Children with LTBI belonging to target groups of BCG vaccination without BCG vaccination

163

474

34%

Children with TB belonging to target groups of BCG vaccination without BCG vaccination

83

212

39%

Children with TB meningitis or miliary TB belonging to target groups of BCG vaccination without evidence of BCG vaccination

7

9

78%

Children with passively detected TB and no known source case and no source or contact investigation

26

153

17%

Secondary prevention: screening and preventive treatment of LTBI

Foreign-born children with TB 7–30 months after entry in the Netherlands and detected passively through the development of symptoms

27

45

60%

Children with TB reported with a history of contact with infectious TB patient but not detected through contact investigation

16

237

7%

Children with LTBI not started on preventive treatment

71

1120

6%

Children not completing preventive treatment

85

1024

8%

Tertiary prevention: early case finding and adequate treatment of TB

Foreign-born children with TB < 6 months after entry in the Netherlands and detected passively through the development of symptoms

15

48

31%

Children with TB with an unfavorable outcome of TB treatment

14

375

4%

Overall*

Children with TB and at least 1 missed opportunity for prevention

150

403

37%

  1. *Children may have more than one ‘missed’ opportunity for TB prevention. Definition of abbreviations: NL Netherlands, TB tuberculosis, LTBI latent tuberculosis infection, BCG Bacillus Calmette-Guérin.