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[The child in tuberculosis hotbeds]
1Spitalul Clinic de Pneumologie Leon Daniello Cluj-Napoca.
Insights
Tuberculosis incidence is rising in Cluj-Napoca, Romania, but pediatric cases remain benign. Effective epidemiological and prophylactic measures show a 90% healing rate in children, though socio-economic factors require attention.
Area of Science:
- Public Health
- Epidemiology
- Pediatrics
Context:
- Cluj-Napoca and Cluj County previously had low tuberculosis (TB) incidence.
- A concerning rise in both adult and child TB cases has been observed over the past five years.
- This study focuses on pediatric TB cases in relation to adult infectious sources.
Purpose:
- To analyze the increasing trend of tuberculosis in children in Cluj-Napoca.
- To investigate the correlation between adult TB infectious foci and pediatric TB cases.
- To evaluate the effectiveness of current antituberculosis strategies in children.
Summary:
- Analyzed 150 adult TB cases and 280 child contacts from 1995-2000.
- Examined clinical forms, sources of infection, age groups, and diagnostic methods in pediatric TB.
- Assessed treatment and prophylaxis outcomes, including X-ray findings and BCG vaccination status.
Impact:
- Despite rising incidence, pediatric TB cases were benign with no fatalities.
- A 90% healing rate was achieved within one year, indicating effective management of pediatric TB.
- Sustained improvement requires addressing socio-economic and cultural contexts alongside medical interventions.
Abstract:
The city of Cluj-Napoca and the Cluj County, once situated in the comfortable zone of tuberculosis incidence, below the country, average, have registered a permanent and alarming increase in the both adult and child incidence of tuberculosis the last 5 years, which made us find the analysis of the phenomenon useful and constructive--having in view children mainly. Therefore we started to study all the adult bacillary hotbeds, bacteriologically confirmed in the city (150, totaling 172 cases) and having in contact between 1995-2000 with 280 children; superposing period of the 1995-2000. Antituberculosis National Programme reviewed in 1997. Statistical correlation between clinical forms of tuberculosis identified in children has been analyzed as well as aspects connected to: sources (number, contagiousness, intimacy of contact etc), epidemiological inquiry, intradermoreaction, groups of age, bacteriological confirmation (of adults and children), X-ray aspects, B.C.G, treatment (place of application, regime), prophylaxis. In spite of the growing incidence, the clinical forms of tuberculosis registered in children have been benign, no death registered and a positive evaluation after a year (90% achieved healing and treatment) which demonstrates a good epidemiological, therapeutical and prophylactic covering of a pediatric cases from the patent hotbeds of adult tuberculosis, but which must be completed and sustained by a socio-economical and better cultural context.