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Congenital Tuberculosis: A New Concern in the Neonatal Intensive Care Unit.

Publication ,  Journal Article
Newberry, DM; Robertson Bell, T
Published in: Advances in neonatal care : official journal of the National Association of Neonatal Nurses
October 2018

Congenital tuberculosis (TB) is rare in the United States. Recent immigration patterns to the United States have made the diagnosis of congenital TB an important public health issue.To explore the epidemiology, pathophysiology, diagnostic evaluation, treatment, and prognosis for congenital TB. The implications for exposed healthcare professionals in the neonatal intensive care unit (NICU) setting are also explored.Relevant articles were accessed via PubMed, CINAHL, and Google Scholar.Until 1994, fewer than 400 cases of confirmed congenital TB had been reported in the literature worldwide. An additional 18 cases were reported from 2001 to 2005. Neonatal providers need to be aware of the potential for congenital TB infection as the immigrant population in the United States continues to increase, many of whom originate from TB endemic countries.The interpretation of TB-specific tests is problematic in newborns due to decreased sensitivity and specificity. Congenital TB should be ruled out in infants with signs and symptoms of sepsis or pneumonia and in whom broad-spectrum antibiotic therapy does not improve their clinical status.The interpretation of TB-specific tests is problematic in newborns due to decreased sensitivity and specificity; more research is needed regarding best practice in diagnosis. Established protocols are needed to address the healthcare of TB-exposed providers in the NICU.

Duke Scholars

Published In

Advances in neonatal care : official journal of the National Association of Neonatal Nurses

DOI

EISSN

1536-0911

ISSN

1536-0903

Publication Date

October 2018

Volume

18

Issue

5

Start / End Page

341 / 349

Related Subject Headings

  • United States
  • Tuberculosis
  • Prognosis
  • Pregnancy Complications, Infectious
  • Pregnancy
  • Pediatrics
  • Male
  • Intensive Care Units, Neonatal
  • Infectious Disease Transmission, Vertical
  • Infectious Disease Transmission, Patient-to-Professional
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Newberry, D. M., & Robertson Bell, T. (2018). Congenital Tuberculosis: A New Concern in the Neonatal Intensive Care Unit. Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses, 18(5), 341–349. https://doi.org/10.1097/anc.0000000000000555
Newberry, Desi M., and Tracey Robertson Bell. “Congenital Tuberculosis: A New Concern in the Neonatal Intensive Care Unit.Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses 18, no. 5 (October 2018): 341–49. https://doi.org/10.1097/anc.0000000000000555.
Newberry DM, Robertson Bell T. Congenital Tuberculosis: A New Concern in the Neonatal Intensive Care Unit. Advances in neonatal care : official journal of the National Association of Neonatal Nurses. 2018 Oct;18(5):341–9.
Newberry, Desi M., and Tracey Robertson Bell. “Congenital Tuberculosis: A New Concern in the Neonatal Intensive Care Unit.Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses, vol. 18, no. 5, Oct. 2018, pp. 341–49. Epmc, doi:10.1097/anc.0000000000000555.
Newberry DM, Robertson Bell T. Congenital Tuberculosis: A New Concern in the Neonatal Intensive Care Unit. Advances in neonatal care : official journal of the National Association of Neonatal Nurses. 2018 Oct;18(5):341–349.

Published In

Advances in neonatal care : official journal of the National Association of Neonatal Nurses

DOI

EISSN

1536-0911

ISSN

1536-0903

Publication Date

October 2018

Volume

18

Issue

5

Start / End Page

341 / 349

Related Subject Headings

  • United States
  • Tuberculosis
  • Prognosis
  • Pregnancy Complications, Infectious
  • Pregnancy
  • Pediatrics
  • Male
  • Intensive Care Units, Neonatal
  • Infectious Disease Transmission, Vertical
  • Infectious Disease Transmission, Patient-to-Professional