Epidemiologia da tuberculose infantil na cidade do Rio de Janeiro, RJ

Alves, Rosana; Sant’Anna, Clemax Couto; Cunha, Antônio José La da

doi:10.1590/s0034-89102000000400015

Cited by 14 publications

(15 citation statements)

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“…3 The present study was motivated by the increase in the number of TB cases in Rio de Janeiro since the 1990's, which was also observed among children. 1 Its aim was to detect TB infection or disease among the contacts of patients with pulmonary TB. As our study was carried out in a basic healthcare unit in the city of Rio de Janeiro, our results may provide a stimulus for public network healthcare professionals to investigate the contacts of TB patients, especially children.…”

Section: Resultsmentioning

confidence: 99%

Controle de crianças e adolescentes comunicantes de tuberculosos, Rio de Janeiro, RJ

2004

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Section: Resultsmentioning

confidence: 99%

Controle de crianças e adolescentes comunicantes de tuberculosos, Rio de Janeiro, RJ

2004

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“…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. 28 TB in children has broad clinical presentations, from asymptomatic to severe disseminated forms, usually accompanied by severe cachexia, which often leads to death.…”

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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“…O deslocamento da curva de incidência de tuberculose para as faixas etárias mais jovens e para as crianças, conforme observado neste estudo, deve ser visto como um evento sentinela em saúde coletiva. Isso denota que está ocorrendo infecção recente por contato com tuberculosos bacilíferos, evidenciando que o controle de contatos não está sendo eficaz (Alland et al, 1994;Alves et al, 2000;Natal, 2000).…”

Section: Discussionunclassified

A medicação assistida e os índices de cura de tuberculose e de abandono de tratamento na população indígena Guaraní-Kaiwá no Município de Dourados, Mato Grosso do Sul, Brasil

Marques

Cunha

2003

Cad. Saúde Pública

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In January 1998, home treatment regimens were launched in the municipality of Dourados, State of Mato Grosso do Sul, Brazil, and accompanied by indigenous health agents as a means of replacing the previous regimen, in which Guaraní-Kaiwá tuberculosis patients were systematically hospitalized for up to six months in the Porta da Esperan a Hospital. In order to verify whether this change in strategy had any effect on the cure and treatment dropout rates, a retrospective study was conducted on 594 patient records from January 1996 to December 1999. Patients were divided into two groups: Group I, treated by hospitalization (291 cases) and Group II, treated as outpatients (303 cases). Group II patients showed a significant increase in the cure rate and a significant reduction in the treatment dropout rate. The study also showed a high tuberculosis prevalence rate in children (40%), subsequently reported to the competent health authorities and thus launching specific projects to deal with this epidemiological reality. Based on these results, it is recommended that the assisted treatment strategy be adopted for other Indian populations.

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Epidemiologia da tuberculose infantil na cidade do Rio de Janeiro, RJ

Cited by 14 publications

References 2 publications

Controle de crianças e adolescentes comunicantes de tuberculosos, Rio de Janeiro, RJ

Controle de crianças e adolescentes comunicantes de tuberculosos, Rio de Janeiro, RJ

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

A medicação assistida e os índices de cura de tuberculose e de abandono de tratamento na população indígena Guaraní-Kaiwá no Município de Dourados, Mato Grosso do Sul, Brasil

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