Source: Annual Congress 2002 - Diagnosis of tuberculosis
Disease area: Respiratory infections

Abstract

Pulmonary tuberculosis is a very great problem because the diagnosis is complicate and the treatment is controversial.
The aim of this study is to reveal the profile of the 269 children treated in our hospital, from January to December 2000 ( 8 median age, sex male/ female 41/69 ).
The surveyed parameters include: the history of BCG vaccination, the intrafamilial tuberculosis contact, the size of PPD induration, the microbiological results, the chest X-ray, the associated affections, the treatment and the follow-up. 97 (36%) children were diagnosticated with tuberculosis disease, 136 (50%) with tuberculosis infection and 38(14%) with tuberculosis contacts. 41(42%) children had a microbiological evidence of tuberculosis ([dsquote]definite[dsquote] tuberculosis disease); 56(48%) were [dsquote]probable[dsquote] tuberculosis disease (diagnosis based on epidemiological, clinical and radiological criteria).
The chest radiographs of 56(48%) patients showed abnormal mediastinum (suspecting intratoracic tuberculous lymphadenopathy) and of 41(42 % ) cases atypical changes.
17 cases were tuberculosis disease and AIDS, and 2 cases were MDR tuberculosis - AIDS . All cases with tuberculosis disease commenced the treatment in accordance with WHO recommandations (DOTS).Chemoprophylaxis was used in the tuberculosis infection and contact groups.Epidemiological, clinical and radiological criteria are not sufficient for clarifying the diagnosis of [dsquote]probable[dsquote] tuberculosis disease and the difference between tuberculosis disease and tuberculosis infection.The utilisation of complementary investigations (CT scan, flexible bronchoscopy etc.) in these cases would eliminate an inadequate antituberculosis treatment generator of adverse effects and resistance of M. tuberculosis.

Rating:

Share or cite this content

Citations should be made in the following way:
N. Brinza, S. Bodi, E. Chistruga, L. Savin, D. Diculencu (Iasi, Romania). Aspects of diagnosis and treatment in pulmonary tuberculosis in children. Eur Respir J 2002; 20: Suppl. 38, 1074

Member's Comments

No comment yet.

Related content which might interest you: Diagnosis and treatment delay in patients with pulmonary tuberculosis Source: Eur Respir J 2003; 22: Suppl. 45, 520s Year: 2003 Causes of delay in the diagnosis of pulmonary tuberculosis Source: Annual Congress 2011 - Clinical tuberculosis Year: 2011 Effects of complex treatment with izofon of a pulmonary tuberculosis in children Source: Eur Respir J 2004; 24: Suppl. 48, 652s Year: 2004 Treatment outcomes of pulmonary tuberculosis cases in Izmit/Turkey Source: Eur Respir J 2004; 24: Suppl. 48, 651s Year: 2004 Delays in diagnosis and treatment of patients with smear-positive pulmonary tuberculosis Source: Eur Respir J 2005; 26: Suppl. 49, 689s Year: 2005 Characteristics of smear-positive pulmonary tuberculosis patients with delayed diagnosis Source: Virtual Congress 2020 – Non-tuberculous mycobacteria and latent tuberculosis infection Year: 2020 Diagnosis of pleuro-pulmonary tuberculosis in children Source: Eur Respir J 2005; 26: Suppl. 49, 421s Year: 2005 Diagnosing and treatment of latent tuberculosis infction in children Source: Annual Congress 2009 - Tuberculosis contact screening Year: 2009 Basics in diagnosis and treatment of tuberculosis Source: ERS Course 2018 - Summer school of paediatric respiratory medicine Year: 2018 Pulmonary tuberculosis in elderly patients – particular endobronchial aspects Source: Annual Congress 2008 - Difficult tuberculosis cases Year: 2008 Pulmonary tuberculosis in children Source: Eur Respir J 2007; 30: Suppl. 51, 90s Year: 2007 A review of the diagnosis and treatment of smear-negative pulmonary tuberculosis Source: Annual Congress 2008 - Problems in managing pulmonary and extrapulmonary tuberculosis Year: 2008 Clinical profile and outcome of complicated pulmonary tuberculosis in children Source: Eur Respir J 2002; 20: Suppl. 38, 362s Year: 2002 The course of pulmonary TB in children with COVID-19 Source: Virtual Congress 2021 – Acute paediatric respiratory infections Year: 2021 Challenges in the prevention, diagnosis, and treatment of tuberculosis in children Source: International Congress 2019 – Tuberculosis: latest advances and challenges in patient management Year: 2019 Surgical treatment of pulmonary tuberculosis Source: Eur Respir Monogr 2013; 61: 20-36 Year: 2013 Predictors of treatment failure among pulmonary tuberculosis patients in Pakistan Source: International Congress 2019 – Tuberculosis: from diagnosis to complications Year: 2019 Diagnosis criteria of childhood tuberculosis Source: Eur Respir J 2004; 24: Suppl. 48, 427s Year: 2004 Diagnosis of latent tuberculosis in children Source: Eur Respir J 2003; 22: Suppl. 45, 160s Year: 2003