Avaliação do sistema de pontuação para o diagnóstico da tuberculose na infância preconizado pelo Ministério da Saúde, Brasil

Maciel, Ethel Leonor Nóia; Dietze, Reynaldo; Silva, Rita Elizabeth Checon de Freitas; Hadad, David Jamil; Struchiner, Cláudio J.

doi:10.1590/s0102-311x2008000200019

Cited by 19 publications

(16 citation statements)

References 13 publications

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“…30,31 In Brazil, 15% of reported TB cases occur in those under 15 years old. 13,14,21 TB in children should be considered a sentinel event from a public health perspective as it indicates recent infection due to exposure to an infectious person. 2 Children play a major role in the chain of TB transmission being reservoirs of Mycobacterium tuberculosis and may later develop active disease.…”

Section: Introductionmentioning

confidence: 99%

Coleta de lavado gástrico para diagnóstico de tuberculose pulmonar infantil: revisão sistemática

et al. 2010

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OBJECTIVE:To analyze standardization of gastric lavage protocols in the diagnosis of pulmonary tuberculosis in children. METHODS:A systematic review was conducted for the period between 1968 and 2008 in the following databases: LILACS, SCIELO and MEDLINE. The search strategy included the following terms: "gastric lavage and tuberculosis" or "gastric washing and tuberculosis" with the restriction of "children aged up to 15 years;" "gastric lavage and tuberculosis and childhood" or "gastric washing and tuberculosis and childhood." There were retrieved 80 articles and their analysis was based on information on the gastric lavage protocol for the diagnosis of pulmonary tuberculosis in children: preparation of children and fasting; time of gastric aspiration; aspiration of gastric residues; total volume of aspirate; solution used for aspiration of gastric contents; decontaminant solution; buffer solution; and time for forwarding samples to the laboratory. After a thorough analysis, 14 articles were selected. RESULTS:No article detailed the whole procedure. Some articles had missing information on: amount of gastric aspirate; aspiration before or after solution injection; solution used for gastric aspiration; buffer solution used; and waiting time between specimen collection and laboratory processing. These results showed inconsistencies of gastric lavage protocols. CONCLUSIONS:Although gastric lavage is a secondary diagnostic approach used only in special cases that did not reach the diagnostic scoring as recommended by the Brazilian Ministry of Health, there is a need to standardize gastric lavage protocols for the diagnosis of pulmonary tuberculosis in children.

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Section: Introductionmentioning

confidence: 99%

Coleta de lavado gástrico para diagnóstico de tuberculose pulmonar infantil: revisão sistemática

et al. 2010

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“…Among the 70 cases identified positive by scoring system, this is similar to findings reported in Ministry of Health in Brazilian, they used Keith Edward scoring system (authorized by the WHO to diagnose TB). They revealed good sensitivity to diagnose TB (possible tuberculosis), with 92% sensitivity, thus feasible for use as an ancillary diagnostic test in children [16] . Regarding BCG vaccine, the study revealed that (84.3%) of children with TB found to be vaccinated, while only 15.7% were not vaccinated.…”

Section: Discussionmentioning

confidence: 99%

The Reliability of Immunochromatographic Test in Tuberculous Children Diagnosed by Scoring System at Mohamed Elamin Hamid Hospital – Sudan

Omer¹,

Alsheikh²,

Adam³

2017

IOSR JNHS

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“…(5,16) The scoring system proposed by the Brazilian National Ministry of Health for the diagnosis of childhood TB is, in our opinion, the best system to standardize the diagnosis of TB cases in our settings. (24,25) One of the obstacles to discussing childhood TB is the lack of standard descriptive terminology to classify the diverse disease spectrum. Accurate disease classification is important, since the correct identification of the specific disease entity has definite prognostic value.…”

Section: Discussionmentioning

confidence: 99%

Acurácia do lavado gástrico realizado em ambiente hospitalar e ambulatorial no diagnóstico da tuberculose pulmonar em crianças

et al. 2008

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Objective: To compare gastric lavage (GL) performed in inpatients with GL performed in outpatients in terms of its accuracy in diagnosing pulmonary tuberculosis (TB) in children. Methods: A prospective study was carried out in the state of Espírito Santo, Brazil, from 1999 to 2003. A total of 230 children suspected of having TB (103 inpatients and 127 outpatients) were selected to undergo GL. Those thus diagnosed with TB (n = 53) were divided into two groups: inpatient GL (n = 30) and outpatient GL (n = 23). All 53 children were monitored for 6 months in order to evaluate the accuracy of the diagnosis. Accuracy was determined based on any change in diagnosis, cure rate, and the percentage of positive cultures in the two groups studied. Results: The cure rate was 100% in both groups, and there was no change in diagnosis in the 53 children studied. No significant difference was found between the two groups studied in terms of detection of Mycobacterium tuberculosis (RR = 1.47; 95% CI: 0.95-2.27; p = 0.095), although the outpatient group presented a greater rate of positive cultures. Conclusions: Our results show that the accuracy of GL performed in an inpatient setting is similar to that of GL performed in an outpatient setting. This indicates that hospitalization is required only in more severe cases in which GL cannot be performed as an outpatient procedure.Keywords: Gastric lavage; Tuberculosis; Diagnosis. ResumoObjetivo: Comparar a acurácia do lavado gástrico (LG) realizado em ambiente hospitalar e ambulatorial no diagnóstico da tuberculose (TB) pulmonar em crianças. Métodos: Estudo retrospectivo realizado no Estado do Espírito Santo, Brasil, de 1999 a 2003. Um total de 230 crianças com suspeita de TB foi selecionado para realizar exame de LG em ambiente hospitalar (n = 103) ou em ambiente ambulatorial (n = 27). Desse total, 53 foram diagnosticadas como casos de TB e divididas em dois grupos: LG hospitalar (n = 30) e LG ambulatorial (n = 23). Todas as 53 crianças foram monitoradas por 6 meses para avaliação da acurácia do diagnóstico. A acurácia foi determinada com base na mudança do diagnóstico, na taxa de cura e no percentual de culturas positivas nos dois grupos estudados. Resultados: A taxa de cura foi de 100% nos dois grupos, e não houve mudança de diagnóstico nas 53 crianças estudadas. Nenhuma diferença significativa foi encontrada entre os dois grupos estudados em relação ao achado do Mycobacterium tuberculosis (RR = 1,47; IC95%: 0,27; p = 0,095), apesar de o grupo LG ambulatorial ter apresentado o maior índice de cultura positivas. Conclusões: Nossos resultados mostram que a acurácia do LG realizado em ambiente hospitalar é semelhante à do realizado em ambiente ambulatorial, o que indica que a internação é necessária apenas em casos mais graves nos quais não se pode realizar o procedimento em ambiente ambulatorial.

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Avaliação do sistema de pontuação para o diagnóstico da tuberculose na infância preconizado pelo Ministério da Saúde, Brasil

Abstract: Avaliação do sistema de pontuação para o diagnóstico da tuberculose na infância preconizado pelo Ministério da Saúde, Brasil Evaluation of a scoring system recommended by the Brazilian Ministry of Health for the diagnosis of childhood tuberculosis

Cited by 19 publications

References 13 publications

Coleta de lavado gástrico para diagnóstico de tuberculose pulmonar infantil: revisão sistemática

Coleta de lavado gástrico para diagnóstico de tuberculose pulmonar infantil: revisão sistemática

The Reliability of Immunochromatographic Test in Tuberculous Children Diagnosed by Scoring System at Mohamed Elamin Hamid Hospital – Sudan

Acurácia do lavado gástrico realizado em ambiente hospitalar e ambulatorial no diagnóstico da tuberculose pulmonar em crianças

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