Research Article

Knowledge, Attitude, and Practice on Pediatric Tuberculosis Management among Healthcare Workers in the Centre Region of Cameroon: A Cross-Sectional Study

Table 2

Knowledge of HCWs on pediatric TB management.

Pediatric TB knowledge questionsTrue, N (%)False, N (%)Do not know, N (%)

TB epidemiology
 TB is transmitted by a mosquito bite0 (0)337 (99.1)3 (0.9)
 Close contact with an index case is not a risk for developing TB in children32 (9.4)275 (80.9)33 (9.7)
 TB is no longer a health threat to children because there are medications available148 (43.5)174 (51.2)18 (5.3)
 Persistent cough for more than 14 days is a typical symptom of TB in children282 (82.9)40 (11.8)18 (5.3)
TB diagnosis
 Extrapulmonary TB is more common than pulmonary TB in children119 (35.0)140 (40.2)81 (23.8)
 Chest X-ray remains an important tool for the diagnosis of pulmonary TB in children295 (86.8)28 (8.2)17 (5.0)
 The induced sputum is not an appropriate specimen for the diagnosis of TB in children103 (30.3)173 (50.9)64 (18.8)
 A negative biological test (e.g., microscopy, Gene-Xpert, or culture) is an indication of no TB in children135 (39.7)152 (44.7)53 (15.6)
TB treatment
 The recommended therapeutic regimen for childhood TB in Cameroon is 2 (RHZE)/7 (RH)113 (33.2)114 (33.5)113 (33.2)
 Treatment outcome is not important data for monitoring and evaluation36 (10.6)253 (74.4)51 (15.0)
 During TB treatment in children, the most important adverse reaction is urine with an orange colour142 (41.8)91 (26.8)107 (31.5)
 During the treatment of childhood TB, dosages are calculated according to age177 (52.1)137 (40.3)26 (7.6)
TB coinfection
 In case of TB/HIV coinfection, TB treatment and ART must be initiated at the same time80 (23.5)227 (66.8)33 (9.7)
 Nutritional support is not necessary for TB/HIV coinfected children18 (5.3)303 (89.1)19 (5.6)
 HIV-infected children have a high risk of exposure to TB infection and disease308 (90.6)21 (6.2)11 (3.2)
 All HIV-infected children should be regularly screened for symptoms of possible TB295 (86.8)26 (7.6)19 (5.6)
TB prevention
 BCG protects children for life against TB102 (30.0)222 (65.3)16 (4.7)
 Non-TB-infected contacts under 5 years of age are eligible for preventive treatment236 (69.4)56 (16.5)48 (14.1)
 All contact cases with symptoms of TB must not be referred to the hospital for clinical examination21 (6.2)305 (89.7)14 (4.1)
 Infection control measures are not an approach implemented in health facilities to prevent TB in children41 (12.1)230 (67.6)69 (20.3)
Overall knowledge levelGood knowledge 173 (50.9)
Poor knowledge 167 (49.1)