Naslov
Epidemiologic trends in children with tuberculosis (2001-2005)

Autori
Pavlov, Neven ; Dragišić-Ivulić, Slavica, Pavlov, Vesna

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
European Respiratory Journal / European Respiratory Society - München : European Respiratory Society, 2006, 380-380

Skup
16th ERS Annual Congress

Mjesto i datum
München, Njemačka, 02.09.2006. - 06.09.2006

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
tuberculosis; epidemiology; children

Sažetak
Aim: to compare epidemiologic characteristics of 30 children treated for tuberculosis (Tb) in Pediatric Clinic during 1990-95 (P1), 18 during 1996-2000 (P2, Pavlov N. et al. Eur Respir J 2001 ; 18, Suppl 33: 470) and 7 children during 2001-2005 (P3). Results: frequency of extrapulmonal Tb compared to pulmonal decreased: 25(P1), 38(P2), 17%(P3). The incidence difference in various age groups dimished: age 0-4 y: 43(P1), 50(P2) and 29%(P3). The percentage of patients found by preventive measures increased (contact with Tb patient, positive PPD test): 40(P1) and 39(P2) but 100% in P3. PPD test was negative in 13(P1), 22 (P2) and 0% of P3 patients, equal and more than 15 mm in 30(P1), 50(P2) and 86%(P3) and even vesicular in 43(P1), 22(P2) and 29%(P3). Percentage of positive bacteriology cultures decreased: 50(P1), 39(P2) and 14% P3 children. Mycobacterium tuberculosis (My Tb) was isolated mainly from gastric lavage (28 P2, 14% P3), once from bronchoscopy specimen (P2, P3) and expectorated sputum (P2, P3). We had 3 cases of smear-positive acid-fast bacilli (bronchoscopy specimen, gastric lavage): 2(P2), 1(P3). Isolated My Tb was resistant to isoniasid in 3(P1) and 1(P2) patient, but not in P3. Radiographic manifestations were found in 90(P1), 78(P2) and 71%(P3) patients: specific parenchymal lesions with lymphadenopathy 30(P1), 28(P2) and 29% (P3), only parenchymal lesions 23(P1), 33(P2) and 57%(P3). Conclusion: The most noticeable facts are decreased incidence of Tb in P3 children and decreased percentage of positive bacteriology cultures.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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