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Perhimpunan Dokter Paru Indonesia - Pulmonary tuberculosis in children from family contacts
 
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Pulmonary tuberculosis in children from family contacts

Background: The problem of tuberculosis in children from family contacts is urgent nowadays. The reason is that children from family contacts fall ill by tuberculosis more often, than other children.

Objective:The study of 96 cases of pulmonary tuberculosis in children from family contacts.

Design/Methods:The focus group included 48 children from families with cases of death from tuberculosis and 48 children from families without cases of death from tuberculosis.

Analysis of history of disease, clinical, bacteriological, X-ray methods and statistical analysis have been applied.


Read More : Risk of developing active TB in children with latent TB infection


Results:
Both groups did not differ by quantity of boys and girls, by average age.

Children with pulmonary tuberculosis often had no complaints.
Cavities were recorded in 11 children (22,9%) from families with cases of death and in 13 children (27,1%) from families without cases of death (χ2 = 0,056; p = 0,814). The excretion of Mycobacterium tuberculosis was determined in 16 children (33,3%) from families with cases of death and 11 children (22,9%) from families without cases of death (χ2 = 0,824;p = 0,364).
The frequency of multidrug-resistant tuberculosis in the groups differed. Multidrug-resistant tuberculosis was observed in 11 children (22,9%) from families with cases of death and 2 children (4,2%) from families without cases of death (χ2 = 5,694; p = 0,017).

Conclusions: Children from families with cases of death from tuberculosis often have drug-resistant tuberculosis.

Shogo Kumagai, Tadashi Ishida, Hiromasa Tachibana, Yuhei Ito, Akihiro Ito and Toru Hashimoto
Department of Respiratory Medicine, Kurashiki Central Hospital, Kurashiki, Okayama Japan

Sumber : http://erj.ersjournals.com/content/44/Suppl_58/P2644



PDPI Surakarta. 16/04/18.




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