Características clínico epidemiológicas de los casos de tuberculosis infantil diagnosticados en el Hospital Infantil Dr. Robert Reid Cabral 2007- 2012
Date
Subject
Tuberculosis
Childhood Tuberculosis
TB / AIDS co-infection
Diagnosis Tuberculosis in children
Epidemiology Tuberculosis in children
Tuberculosis
Tuberculosis infantil
Coinfección TB/SIDA
Diagnóstico Tuberculosis infantil
Epidemiología Tuberculosis infantil
Childhood Tuberculosis
TB / AIDS co-infection
Diagnosis Tuberculosis in children
Epidemiology Tuberculosis in children
Tuberculosis
Tuberculosis infantil
Coinfección TB/SIDA
Diagnóstico Tuberculosis infantil
Epidemiología Tuberculosis infantil
Language:
Journal Title
Journal ISSN
Volume Title
Publisher
Intituto Tecnológico de Santo Domingo (INTEC)
Introducción: la TB infantil es considerada como un evento centinela de transmisión de la enfermedad y su control no ha sido una prioridad. República Dominicana es un país de elevada incidencia de TB y los datos reportados de TB infantil apuntan a una baja detección de casos y un sub diagnóstico.
Objetivo: conocer las características clínico epidemiológicas de los casos de Tuberculosis infantil diagnosticados en el Hospital Infantil Dr. Robert Reid Cabral. 2007- 2012.
Métodos: estudio descriptivo. Se revisaron los expedientes clínicos de los pacientes menores de 15 años de edad diagnosticados y seguidos en el programa de tuberculosis infantil del Hospital Infantil Robert Reid Cabral en los años 2007-2012.
Resultados: se evaluaron 249 pacientes, 81% con diagnóstico de TB infantil y 19% con Infección Latente por Tuberculosis. 56.2% tenía menos de 5 años de edad y 61.4% tenían cicatriz de vacuna BCG. 63.5% de los casos refería el contacto con un caso de Tuberculosis, y en el 70.0% era intradomiciliario. La manifestación pulmonar representó el 63.4% de los casos TB y el 27.3% tenían baciloscopia positiva.
Conclusión: existen diferencias importantes en el diagnóstico y manejo de la tuberculosis infantil y la TB en el adultos. Estas deben ser considerados en la implementación de estrategias para el control; con acciones integradas, un enfoque orientado no solo al niño, sino también a la familia y tomando en consideración los determinantes sociales
Objective: to know the clinical epidemiological characteristics of cases of childhood Tuberculosis diagnosed in the Dr. Robert Reid Cabral Children’s Hospital 2007- 2012 Methods: descriptive study. We reviewed the clinical records of patients under 15 years of age diagnosed and followed in the childhood tuberculosis program of the Robert Reid Cabral Children’s Hospital in the years 2007-2012 Background: childhood TB is considered a sentinel event of transmission of the disease and its control has not been a priority. The Dominican Republic is a country with a high incidence of TB and the reported data on childhood TB point to a low detection of cases and a sub-diagnosis Results: 249 patients were evaluated, 81% with a diagnosis of childhood TB and 19% Latent Tuberculosis Infection. 56.2% had less than 5 years of age and 61.4% had BCG vaccine scar. 63.5% of the cases referred to the contact with a case of Tuberculosis, and in 70.0% it was intradomiciliary. Pulmonary manifestation represented 63.4% of TB cases and 27.3% had smear positive. Conclusion: there are important differences in the diagnosis and management of childhood tuberculosis and TB in adults, these should be considered in the implementation of strategies for control; with integrated actions, an approach oriented not only to the child, but also to the family and taking into consideration the social determinants.
Objective: to know the clinical epidemiological characteristics of cases of childhood Tuberculosis diagnosed in the Dr. Robert Reid Cabral Children’s Hospital 2007- 2012 Methods: descriptive study. We reviewed the clinical records of patients under 15 years of age diagnosed and followed in the childhood tuberculosis program of the Robert Reid Cabral Children’s Hospital in the years 2007-2012 Background: childhood TB is considered a sentinel event of transmission of the disease and its control has not been a priority. The Dominican Republic is a country with a high incidence of TB and the reported data on childhood TB point to a low detection of cases and a sub-diagnosis Results: 249 patients were evaluated, 81% with a diagnosis of childhood TB and 19% Latent Tuberculosis Infection. 56.2% had less than 5 years of age and 61.4% had BCG vaccine scar. 63.5% of the cases referred to the contact with a case of Tuberculosis, and in 70.0% it was intradomiciliary. Pulmonary manifestation represented 63.4% of TB cases and 27.3% had smear positive. Conclusion: there are important differences in the diagnosis and management of childhood tuberculosis and TB in adults, these should be considered in the implementation of strategies for control; with integrated actions, an approach oriented not only to the child, but also to the family and taking into consideration the social determinants.
Description
Type
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/publishedVersion
Source
Science and Health; Vol 3 No 1 (2019): Science and Health, january-april; 9-13
Ciencia y Salud; Vol. 3 Núm. 1 (2019): Ciencia y Salud, enero-abril; 9-13
2613-8824
2613-8816
10.22206/cysa.2019.v3i1
Ciencia y Salud; Vol. 3 Núm. 1 (2019): Ciencia y Salud, enero-abril; 9-13
2613-8824
2613-8816
10.22206/cysa.2019.v3i1