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SAMJ: South African Medical Journal

versão On-line ISSN 2078-5135
versão impressa ISSN 0256-9574

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VAN DER WESTHUIZEN, A et al. Hospital-based evaluation of tuberculosis-exposed neonates: An approach to complement the South African national guidance. SAMJ, S. Afr. med. j. [online]. 2021, vol.111, n.8, pp.724-728. ISSN 2078-5135.  http://dx.doi.org/10.7196/samj.2021.v111i8.15575.

The South African National Department of Health published updated guidelines in 2019 for the prevention of mother-to-child transmission of communicable diseases. The proposed management of a neonate born to a mother with tuberculosis (TB) was included, and recommended referral of all symptomatic TB-exposed neonates to hospital for TB evaluation. However, no standard approach exists for evaluating hospitalised, symptomatic TB-exposed neonates, including preterm and low-birthweight (LBW) neonates born to mothers with TB. We use a clinical case report to illustrate a suggested approach to hospital-based evaluation of TB-exposed neonates, including preterm and LBW neonates. Guidance for the interpretation of different TB screening investigations in this population is also provided.

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