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A statewide assessment of tuberculin skin testing of preschool children enrolled in medicaid managed care.
Matern Child Health J. 2006 Mar; 10(2):171-6.MC

Abstract

OBJECTIVES

This study examined tuberculosis screening among preschool children enrolled in a statewide Medicaid managed care program.

METHODS

A random sample of 2,000 was selected from 19 to 35 month old children who were continuously enrolled in Rhode Island's Medicaid managed care program for 1 year. Sociodemographic data were obtained from computerized administrative databases. Medical record audits were performed to obtain the dates and results of tuberculosis tests.

RESULTS

Data from the medical record audits were available for 1,988 of the study children. For 1,215 of the study children (1,215/1,988 = 61%) a tuberculin skin test had been performed, but a reading was only documented for 736 children (60% of children who received a tuberculin skin test) and only one child tested positive (0.1%).

CONCLUSIONS

A majority of preschool children in this population in which the prevalence of risk factors for tuberculosis is likely to be relatively high did have a tuberculosis test performed. However, in many cases the tuberculin skin test was either not read or the results not documented. The low rate of positivity is consistent with current AAP guidelines for selective tuberculin skin testing.

Authors+Show Affiliations

Department of Community Health, Brown University, Providence, RI 02912, USA. Patrick_Vivier@Brown.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16496221

Citation

Vivier, Patrick M., et al. "A Statewide Assessment of Tuberculin Skin Testing of Preschool Children Enrolled in Medicaid Managed Care." Maternal and Child Health Journal, vol. 10, no. 2, 2006, pp. 171-6.
Vivier PM, O'haire C, Alario AJ, et al. A statewide assessment of tuberculin skin testing of preschool children enrolled in medicaid managed care. Matern Child Health J. 2006;10(2):171-6.
Vivier, P. M., O'haire, C., Alario, A. J., Simon, P., Leddy, T., & Peter, G. (2006). A statewide assessment of tuberculin skin testing of preschool children enrolled in medicaid managed care. Maternal and Child Health Journal, 10(2), 171-6.
Vivier PM, et al. A Statewide Assessment of Tuberculin Skin Testing of Preschool Children Enrolled in Medicaid Managed Care. Matern Child Health J. 2006;10(2):171-6. PubMed PMID: 16496221.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A statewide assessment of tuberculin skin testing of preschool children enrolled in medicaid managed care. AU - Vivier,Patrick M, AU - O'haire,Christen, AU - Alario,Anthony J, AU - Simon,Peter, AU - Leddy,Tricia, AU - Peter,Georges, PY - 2006/2/24/pubmed PY - 2006/12/13/medline PY - 2006/2/24/entrez SP - 171 EP - 6 JF - Maternal and child health journal JO - Matern Child Health J VL - 10 IS - 2 N2 - OBJECTIVES: This study examined tuberculosis screening among preschool children enrolled in a statewide Medicaid managed care program. METHODS: A random sample of 2,000 was selected from 19 to 35 month old children who were continuously enrolled in Rhode Island's Medicaid managed care program for 1 year. Sociodemographic data were obtained from computerized administrative databases. Medical record audits were performed to obtain the dates and results of tuberculosis tests. RESULTS: Data from the medical record audits were available for 1,988 of the study children. For 1,215 of the study children (1,215/1,988 = 61%) a tuberculin skin test had been performed, but a reading was only documented for 736 children (60% of children who received a tuberculin skin test) and only one child tested positive (0.1%). CONCLUSIONS: A majority of preschool children in this population in which the prevalence of risk factors for tuberculosis is likely to be relatively high did have a tuberculosis test performed. However, in many cases the tuberculin skin test was either not read or the results not documented. The low rate of positivity is consistent with current AAP guidelines for selective tuberculin skin testing. SN - 1092-7875 UR - https://www.unboundmedicine.com/medline/citation/16496221/A_statewide_assessment_of_tuberculin_skin_testing_of_preschool_children_enrolled_in_medicaid_managed_care_ L2 - https://doi.org/10.1007/s10995-005-0059-6 DB - PRIME DP - Unbound Medicine ER -