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[Urogenital tuberculosis in children]

A E Soloviev1,2, A N Mayorov1,2, E A Efimov1,2

  • 1) FGBOU VO Ryazan State Medical University of the Ministry of Health of Russia, Ryazan, Russia.

Urologiia (Moscow, Russia : 1999)
|June 12, 2019
PubMed

Insights

Pediatric urogenital tuberculosis (TB) incidence decreased significantly between the 1990s and 2010s. Advanced diagnostics and treatments improved outcomes for children with this condition.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Urology

Background:

  • Urogenital tuberculosis (TB) in children presents a complex clinical challenge.
  • Understanding trends in pediatric urogenital TB is crucial for public health initiatives.

Purpose of the Study:

  • To analyze the evolving clinical spectrum of pediatric urogenital tuberculosis.
  • To compare disease presentation and outcomes between two distinct time periods (1993-1997 and 2013-2017).

Main Methods:

  • Retrospective analysis of pediatric patients diagnosed with urogenital TB.
  • Utilized conventional diagnostic methods (clinical, laboratory, imaging, tuberculin skin test, urine culture).
  • Employed contemporary diagnostic tools including urine culture, Diaskintest, ultrasound, and instrumental methods.

Main Results:

  • A 1.5-fold decrease in pediatric urogenital TB cases was observed in the later period (2013-2017) compared to the earlier period (1993-1997).
  • The proportion of destructive forms of urogenital TB decreased by fourfold.
  • Improved diagnostic accuracy and treatment efficacy were noted with modern approaches.

Conclusions:

  • The incidence of pediatric urogenital TB has declined.
  • Contemporary diagnostic modalities significantly enhance the detection of urogenital TB in children.
  • Multidisciplinary collaboration and public health interventions are vital for managing and identifying pediatric urogenital TB.
Abstract

Keywords:
childrengenitourinary systemtuberculosis

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