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[The role of the epidemiological survey in childhood tuberculosis]
P Mihăilescu1, E Dediu, S Andreica
1Institutul de Pneumoftiziologie, Marius Nasta, Bucureşti.
Insights
Tuberculosis in children increased after 1985, particularly among gypsy children. Most childhood tuberculosis cases originated from adult pulmonary tuberculosis, with chronic cases posing a significant infection risk.
Area of Science:
- Pediatric epidemiology
- Infectious disease surveillance
Abstract:
All epidemiological inquiries in tuberculous children are centralized and processed in the Institute of Pneumophtisiology. The analysis of 4,171 inquiries processed during 1985-1992 shows: after 1985 an increase of diseased children is noted. This increase is higher in gipsy children, whose weight reached 38.7% out of the total in 1992; the tb. children were found out mainly by symptoms and in 20-25% by ascendent epidemiological inquiry; the bacillary sources which infected the children have been found out by ascendent epidemiological inquiry in 70% of cases; the infection sources consisted mainly in new lung tb. cases in adults (78-82%), relapses (6-8%) and chronic cases (12-14%). In certain areas, the weight of chronic cases as infection sources exceded 20%.