Publications by authors named "T C Eap"

Article Synopsis
  • Chest X-ray (CXR) misinterpretation poses a significant challenge to accurately diagnosing tuberculosis (TB) in children, and implementing external quality assurance (EQA) can improve the skills of CXR readers.
  • In a study across six resource-limited countries, 60.8% of eligible CXRs were selected for re-reading under EQA, showing a decrease in discordant interpretations over time and a 100% sensitivity in clinician readings following EQA.
  • The primary challenges faced included the transfer of CXRs and the workload of re-readers, indicating that while EQA can enhance diagnosis, operational issues need to be addressed for success.
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Background: Chest X-ray (CXR) interpretation is challenging for the diagnosis of paediatric TB. We assessed the performance of a three half-day CXR training module for healthcare workers (HCWs) at low healthcare levels in six high TB incidence countries.

Methods: Within the TB-Speed Decentralization Study, we developed a three half-day training course to identify normal CXR, CXR of good quality and identify six TB-suggestive features.

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The role of microbial coinfection in the pathogenesis of pneumonia in children is not well known. The aim of this work was to describe the prevalence of microorganism co-detection in nasopharyngeal samples (NPS) of pneumonia cases and control subjects and to study the potential association between nasopharyngeal microorganism co-detection and pneumonia. A case-control study was carried out from 2010 to 2014 in nine study sites located in low- or middle-income countries.

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Background: Improving knowledge regarding Streptococcus pneumoniae distribution in pneumonia cases is important to better target preventive and curative measures. The objective was to describe S. pneumoniae serotypes in children with or without pneumonia.

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Background: We have previously estimated that respiratory syncytial virus (RSV) was associated with 22% of all episodes of (severe) acute lower respiratory infection (ALRI) resulting in 55 000 to 199 000 deaths in children younger than 5 years in 2005. In the past 5 years, major research activity on RSV has yielded substantial new data from developing countries. With a considerably expanded dataset from a large international collaboration, we aimed to estimate the global incidence, hospital admission rate, and mortality from RSV-ALRI episodes in young children in 2015.

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