Abstract
There is limited literature documenting the interaction between radiologists and clinicians caring for children, especially in regions where HIV and tuberculosis (TB) are endemic. The dual burden of these diseases in resource-limited settings creates unique challenges for radiographic interpretation and utilization. This review aims to heighten awareness of issues confronting radiologists and clinicians caring for children and to encourage greater collaboration between these two disciplines in HIV- and TB-endemic regions. The Child-Friendly Healthcare Initiative is discussed, emphasizing opportunities to promote child friendliness in radiology services.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Gunderman R, Ambrosius WT, Cohen M (2000) Radiology reporting in an academic children’s hospital: what referring physicians think. Pediatr Radiol 30:307–314
Schreiber MH (1997) Communicating with the referring physician: the standard of care. AJR 169:343–345
Nelson LJ, Wells CD (2004) Global epidemiology of childhood tuberculosis. Int J Tuberc Lung Dis 8:636–647
UNAIDS (2008) 2008 Report on the global AIDS epidemic. http://www.unaids.org/en/KnowledgeCentre/HIVData/GlobalReport/2008/2008_Global_report.asp. Accessed 17 Feb 2009
ASSA (2005) ASSA2003 AIDS and demographic model. http://www.actuarialsociety.org.za/Models-274.aspx. Accessed 17 Feb 2009
Mahomed H, Kibel M, Hawkridge T et al (2006) The impact of a change in bacille Calmette-Guérin vaccine policy on tuberculosis incidence in children in Cape Town, South Africa. Pediatr Infect Dis J 25:1167–1172
Chintu C (2007) Tuberculosis and human immunodeficiency virus co-infection in children: management challenges. Paediatr Respir Rev 8:142–147
Marais BJ, Graham SM, Cotton MF et al (2007) Diagnostic and management challenges for childhood tuberculosis in the era of HIV. J Infect Dis 196 (Suppl 1):S76–S85
Marais BJ, Gie RP, Hesseling AC et al (2006) A refined symptom-based approach to diagnose pulmonary tuberculosis in children. Pediatrics 118:1350–1359
Schaaf HS, Krook S, Hollemans DW et al (2005) Recurrent culture-confirmed tuberculosis in human immunodeficiency virus-infected children. Pediatr Infect Dis J 24:685–691
Southall DP, Burr S, Smith RD et al (2000) The Child-Friendly Healthcare Initiative (CFHI): Healthcare provision in accordance with the UN Convention on the Rights of the Child. Child Advocacy International. Department of Child and Adolescent Health and Development of the World Health Organization (WHO). Royal College of Nursing (UK). Royal College of Paediatrics and Child Health (UK). United Nations Children’s Fund (UNICEF). Pediatrics 106:1054–1064
Escombe AR, Moore DA, Gilman RH et al (2008) The infectiousness of tuberculosis patients coinfected with HIV. PLoS Med 5:e188
Behr MA, Warren SA, Salamon H et al (1999) Transmission of Mycobacterium tuberculosis from patients smear-negative for acid-fast bacilli. Lancet 353:444–449
Schaaf HS, Marais BJ, Whitelaw A et al (2007) Culture-confirmed childhood tuberculosis in Cape Town, South Africa: a review of 596 cases. BMC Infect Dis 7:140
Acknowledgements
A.D. and M.M.M. were supported by the National Institutes of Health Office of the Director, Fogarty International Centre, Office of AIDS Research, National Cancer Institute, National Eye Institute, National Heart, Blood, and Lung Institute, National Institute of Dental & Craniofacial Research, National Institute On Drug Abuse, National Institute of Mental Health, and the National Institute of Allergy and Infectious Diseases Health, through the International Clinical Research Fellows Program at Vanderbilt University (R24 TW007988).
Author information
Authors and Affiliations
Corresponding author
Additional information
A.D., M.M.M. and L.F. contributed equally to this report.
Rights and permissions
About this article
Cite this article
Dramowski, A., Morsheimer, M.M., Frigati, L. et al. Radiology services for children in HIV- and TB-endemic regions: scope for greater collaboration between radiologists and clinicians caring for children. Pediatr Radiol 39, 541–544 (2009). https://doi.org/10.1007/s00247-009-1199-4
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00247-009-1199-4