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[Tuberculosis in children--analysis of morbidity in the years 1991-93]
1Wojewódzki Zespół Publicznych, Zakładów Opieki Zdrowotnej Chorób Płuc i Gruźlicy, Narutowicza.
Insights
Tuberculosis in children, particularly affecting tracheo-bronchial lymph nodes, was diagnosed in 316 young patients. Many cases, especially lymph node tuberculosis, presented without prior clinical symptoms, highlighting diagnostic challenges.
Area of Science:
- Pediatric Pulmonology
- Infectious Diseases
- Public Health
Context:
- Study conducted between January 1990 and December 1993 at the Lung and Tuberculosis Hospital in Otwock, Warsaw province.
- Involves a cohort of 316 children aged 3 months to 14 years suspected of tuberculosis.
Purpose:
- To analyze the epidemiological and clinical characteristics of tuberculosis in hospitalized children.
- To identify the most common forms of tuberculosis and associated diagnostic signs in pediatric patients.
Summary:
- Lung tuberculosis was diagnosed in 168 children, and extrapulmonary tuberculosis in 15.
- Tuberculosis of tracheo-bronchial lymph nodes was the most frequent form, with 90% of these cases lacking prior clinical symptoms.
- A strongly positive tuberculin skin test was observed in 134 patients; 182 children received antituberculous drugs, and 132 received isoniazid (INH) chemoprophylaxis.
Impact:
- Highlights the prevalence of asymptomatic tracheo-bronchial lymph node tuberculosis in children, underscoring the need for vigilant diagnostic approaches.
- Provides insights into treatment and chemoprophylaxis strategies for pediatric tuberculosis in the studied region.
- Contributes to understanding the burden and presentation of childhood tuberculosis for public health initiatives.
Abstract:
316 children aged 3 months-14 years suspected of tuberculosis were hospitalized since 1 Jan. 1990 until 31 Dec. 1993 in the Lung and Tuberculosis Hospital in Warsaw province at Otwock. In 168 patients lung tuberculosis and in 15 cases-extrapulmonary tuberculosis was recognized. Strongly positive tuberculin skin test as a single sign was observed in 134 patients. 182 children with recognised tuberculosis were treated with antituberculous drugs, and in 132 children chemoprophylaxis (INH) was applied. Tuberculosis of tracheo-bronchial lymph nodes was the most frequent form. In the examined group 90 per cent of children suffering from this form of tuberculosis had no clinical symptoms prior to the diagnosis.