Epidemiological aspects of tuberculosis in children and adolescents in Rio de Janeiro

Thaise Pereira Matos1, Afrânio Lineu Kritski, Antônio Ruffino Netto

  • 1Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil. thaise.silva@ig.com.br

Jornal De Pediatria
|August 24, 2012
PubMed

Insights

This study analyzed childhood tuberculosis (TB) in Brazil, finding high rates of drug-resistant TB and HIV co-infection. Further research is needed to assess TB control effectiveness in children.

Area of Science:

  • Epidemiology
  • Infectious Diseases
  • Pediatrics

Background:

  • Childhood tuberculosis (TB) remains a significant global health challenge.
  • Understanding the epidemiological characteristics of pediatric TB is crucial for effective control strategies.
  • Brazilian reference hospitals serve as key centers for managing complex pediatric TB cases.

Purpose of the Study:

  • To delineate the epidemiological profile of childhood tuberculosis (TB) in a Brazilian reference hospital.
  • To identify key risk factors and clinical presentations associated with pediatric TB.
  • To assess the prevalence of drug resistance and HIV co-infection in children with TB.

Main Methods:

  • Retrospective study conducted between 1999 and 2008.
  • Inclusion of 473 children (0-14 years) diagnosed with or treated for TB.
  • Data collection through medical records, monitoring reports, and TB unit notifications.

Main Results:

  • Tuberculin skin test positivity in 52% and history of contact with pulmonary TB in 66% of cases.
  • Disseminated TB observed in 22% of children; HIV co-infection identified in 17% of tested cases.
  • Confirmed TB diagnosis in 31%, more frequent in older children; 33% of tested isolates showed resistance to anti-TB drugs, with 0.8% multi-drug-resistant.

Conclusions:

  • High rates of drug-resistant TB and HIV co-infection necessitate further investigation.
  • Findings underscore the need to evaluate the impact of current TB control activities on pediatric populations.
  • Urgent need for enhanced strategies to combat childhood TB, particularly drug-resistant forms and in co-infected individuals.
Abstract

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