Open AccessCHILDHOOD TUBERCULOSIS IN GOMELREGION
Author(s) -
И. В. Буйневич,
Ж. Е. Сверж,
В. А. Горбачева,
С. В. Бутько
Publication year - 2018
Publication title -
problemy zdorovʹâ i èkologii
Language(s) - English
Resource type - Journals
eISSN - 2708-6011
pISSN - 2220-0967
DOI - 10.51523/2708-6011.2018-15-1-11
Subject(s) - tuberculosis , medicine , pediatrics , mantoux test , disease , incidence (geometry) , human immunodeficiency virus (hiv) , immunology , tuberculin , pathology , physics , optics
Objective: to analyze cases of childhood tuberculosis in Gomel region over the last 12 years. Material and methods. We have conducted a retrospective study of tuberculosis cases in children aged 1-14 over the period 2006-2017. Results. The ratio of childhood tuberculosis was 0.7% (0.5-0.8) among all new cases of the disease. A high level of microbiological confirmation of tuberculosis (26.7%, 16.0-39.6) was observed. Contact with a tuberculosis patients was found in 53.3% (40-66.3). The Mantoux test remains relevant in the diagnosis of childhood tuberculosis (the size of the papule is 12.3 ± 4.8 mm). More than a third of the sick children were in a socially dangerous situation. HIV-associated tuberculosis in the children was 18.3%. Most of those children lived in families being in contact with tuberculosis patients. Conclusion. A low rate of childhood tuberculosis has been recorded in the region. A high incidence rate of tuberculosis in children in contact with tuberculosis patients indicates a low grade of measures against the exposure to tuberculosis infection. The prevention and detection of tuberculosis among HIV-positive children are a topical issue.