A tuberculose na infância e na adolescência é difícil de diagnosticar?

Detalhes bibliográficos
Autor(a) principal: Coelho Filho, João Carlos
Data de Publicação: 2011
Outros Autores: Caribé, Marwal Araújo, Caldas, Simone Castro Couto, Martins Netto, Eduardo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://www.repositorio.ufba.br/ri/handle/ri/5428
Resumo: p. 288-293.
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spelling Coelho Filho, João CarlosCaribé, Marwal AraújoCaldas, Simone Castro CoutoMartins Netto, EduardoCoelho Filho, João CarlosCaribé, Marwal AraújoCaldas, Simone Castro CoutoMartins Netto, Eduardo2012-02-24T11:04:59Z2012-02-24T11:04:59Z20111806-3713http://www.repositorio.ufba.br/ri/handle/ri/5428v. 37, n. 3.p. 288-293.Objective: To determine the sensitivity of the scoring system proposed by the Brazilian National Ministry of Health in 2002 for the diagnosis of tuberculosis in children and adolescents suspected of having the disease. Methods: This was a retrospective study of 316 children and adolescents (0-14 years of age) diagnosed with pulmonary tuberculosis between 1997 and 2007 at the Brazilian Institute for Tuberculosis Research, located in the city of Salvador, Brazil. After reviewing the medical charts and chest X-rays of the patients, we calculated the tuberculosis scores. Results: The majority of the subjects (80.4%) had a history of close household contact with an AFB-positive adult within the last two years. The tuberculin test was negative in 11 subjects (3.5%). According to the scoring system, 251 (79.4%) were very likely to have tuberculosis (score, ≥ 40), 63 (19.9%) were moderately likely to have tuberculosis (score, 30-35), and 2 (0.7%) were unlikely to have tuberculosis (score, ≤ 25). When a cut-off score of 30 was used, the sensitivity of this scoring system was 99.3%. Conclusions: In our sample, the sensitivity of this scoring system was high when the selected cut-off score was employed. If a cut-off score of 40 had been used, 20% of the subjects would not have been treated. Therefore, scores between 30 and 35 are critical for diagnostic confirmation. Judicious clinical evaluation should prevail in the decision of treating these patients. When the cut-off score of 30 is used, 30% of individuals with other pathologies will be treated for tuberculosis. This highlights the need for improved diagnostic methods for tuberculosis.Submitted by JURANDI DE SOUZA SILVA (jssufba@hotmail.com) on 2012-02-24T11:04:59Z No. of bitstreams: 1 __www.scielo.br_pdf_jbpneu_v37n3_en_v37n3a03.pdf: 126925 bytes, checksum: ce2193a296480606ea2571d0f4e40e72 (MD5)Made available in DSpace on 2012-02-24T11:04:59Z (GMT). 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dc.title.pt_BR.fl_str_mv A tuberculose na infância e na adolescência é difícil de diagnosticar?
dc.title.alternative.pt_BR.fl_str_mv Jornal Brasileiro de Pneumologia
title A tuberculose na infância e na adolescência é difícil de diagnosticar?
spellingShingle A tuberculose na infância e na adolescência é difícil de diagnosticar?
Coelho Filho, João Carlos
Tuberculosis/diagnosis,
Epidemiology
Diagnostic techniques
Procedures
title_short A tuberculose na infância e na adolescência é difícil de diagnosticar?
title_full A tuberculose na infância e na adolescência é difícil de diagnosticar?
title_fullStr A tuberculose na infância e na adolescência é difícil de diagnosticar?
title_full_unstemmed A tuberculose na infância e na adolescência é difícil de diagnosticar?
title_sort A tuberculose na infância e na adolescência é difícil de diagnosticar?
author Coelho Filho, João Carlos
author_facet Coelho Filho, João Carlos
Caribé, Marwal Araújo
Caldas, Simone Castro Couto
Martins Netto, Eduardo
author_role author
author2 Caribé, Marwal Araújo
Caldas, Simone Castro Couto
Martins Netto, Eduardo
author2_role author
author
author
dc.contributor.author.fl_str_mv Coelho Filho, João Carlos
Caribé, Marwal Araújo
Caldas, Simone Castro Couto
Martins Netto, Eduardo
Coelho Filho, João Carlos
Caribé, Marwal Araújo
Caldas, Simone Castro Couto
Martins Netto, Eduardo
dc.subject.por.fl_str_mv Tuberculosis/diagnosis,
Epidemiology
Diagnostic techniques
Procedures
topic Tuberculosis/diagnosis,
Epidemiology
Diagnostic techniques
Procedures
description p. 288-293.
publishDate 2011
dc.date.issued.fl_str_mv 2011
dc.date.accessioned.fl_str_mv 2012-02-24T11:04:59Z
dc.date.available.fl_str_mv 2012-02-24T11:04:59Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://www.repositorio.ufba.br/ri/handle/ri/5428
dc.identifier.issn.none.fl_str_mv 1806-3713
dc.identifier.number.pt_BR.fl_str_mv v. 37, n. 3.
identifier_str_mv 1806-3713
v. 37, n. 3.
url http://www.repositorio.ufba.br/ri/handle/ri/5428
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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