Naslov
Tuberculosis in children: Evaluation of diagnostic procedure

Autori
Dragišić-Ivulić, Slavica ; Pavlov, Neven ; Balarin, Livio

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

Izvornik
European Respiratory Journal, Supplement 28 / European Respiratory Society - Ženeva : European Respiratory Society, 1998, 136-136

Skup
ERS Annual Congress

Mjesto i datum
Ženeva, Švicarska, 19.09.1998. - 23.09.1998

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
tuberkuloza; dijete; dijagnoza
(tuberculosis; child; diagnosis)

Sažetak
In the observed period from 1990-1996, 34 children with newly discovered tuberculosis (Tbc) were hospitalized in the Pediatrics Department of the Clinical Hospital Split. 26 (76%) of them had pulmonary Tbc and 8 (24%) extrapulmonary (2 pleuritis, 2 genitourinary, 2 lymphadenitis, 1 bone and 1 connate Tbc). In 1994 the quadruple increase of Tbc patients was noticed than the year before. There were 35% of patients from Bosnia and Herzegovina and 65% from Split and our District. According to the age they were mostly in the youngest group: 47% from 0-4 years, 12% from 5-9 years and 41% from 10-14 years old. Males were presented by 67%. By preventive cure (contact with Tbc patient, positive PPD test) only 35% of patiens were discovered, mainly parents took their children to the phisician after the first signs of illness. PPD test was valuable diagnosic test. It was negative in 21% of patients, 6-14 mm in 15%, equal and more than 15 mm in 26% and even vesicular in 38%. 25 (76%) children were successfully BCG immunizated. 50% of cases had positive bacteriological culture. During the war this percentage was higher (58%). Mycobacterium tuberculosis was isolated mainly from gastric lavage (one patient had positive smear, two urine, one swab of skin erosion). None was directly positive. Four patients had positive histological findings. Isolated Mycobacterium tuberculosis was resistant to isoniasid in three patients. 29% patients had radiographic manifestations (12 specific parenchymal lesions with lymphadenopathy, 7 only parenchymal lesions, 8 only lymphadenopathy and 2 pleuritis). Conclusion: PPD test, although our Tbc patients were mostly BCG immunated, together with bacteriological culture, radiographic and histological finding, is good diagnostic method in discovering new Tbc patients.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA