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Tuberculosis Program

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 Respiratory Diseases
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The Tuberculosis Program at Children's Hospital Boston cares for more than 400 TB-infected children each year. Located on the fourth floor of the Farley Building, our program provides services ranging from evaluation and diagnosis to treatment and patient education.
Evaluation & Diagnosis
Our program provides initial assessment to children who may have tuberculosis. Our evaluation process includes:

  • comprehensive history and physical exam
  • chest X-ray
  • computerized tomography (CT) scan
  • bronchoscopy
  • sputum analysis
  • screening with PPD testing and blood work.
Treatment
Children who are suspected of having active tuberculosis (usually tuberculous pneumonia) are often hospitalized to begin treatment with several anti-tuberculosis antibiotics.

The Department of Public Health is notified and arrangements are made for them to oversee medication administration after the child leaves the hospital.

  • Active TB Patients
    Once they are allowed to go home, active TB patients are followed in our outpatient clinic with monthly physician and nursing visits.

  • Inactive TB Patients
    Children who are infected with tuberculosis but do not have active disease are treated with an oral antibiotic for nine months and are followed monthly by a clinic nurse until they have completed their treatment. This is a standard recommendation by the Center for Disease Control and helps prevent TB from progressing to active disease.

Blood work (liver function test monitoring), chest radiographs and vision screening are performed during all follow-up visits when necessary.

Patient and Family Education
At clinic appointments, we give parents and patients extensive education about tuberculosis. Our staff provides training and guidance regarding home care, including how to give your child his or her medication.
Who should be referred?
  • Any child (age 18 or younger) who has a questionable PPD reading in his or her pediatrician's office may be referred to us.

  • Any child who has been exposed to someone with active tuberculosis or has symptoms of tuberculosis may be referred for screening, assessment and treatment.

  • A referring provider can call 617-355-1900 to make clinic appointments. Emergency appointments are available when there is concern about active TB.
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Related topics:
Tuberculosis (TB)
Useful Links:
Centers for Disease Control and Prevention
Massachusetts Department of Public Health
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