Tuberculosis in children. Challenges and opportunities

Caminero, José A.; Scardigli, Anna

doi:10.1016/j.anpede.2016.10.002

Cited by 4 publications

(4 citation statements)

References 10 publications

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“…It challenges in confirming the diagnosis. 15,16 The most common early sign/ symptom was cough (20.4%) more than 2 weeks that followed to another symptom such as weight loss/ failure to thrive, chronic fever, fatigue, less active children. [15][16][17] Most of subjects were unclear history of contact (74.3%).…”

Section: Discussionmentioning

confidence: 99%

“…15,16 The most common early sign/ symptom was cough (20.4%) more than 2 weeks that followed to another symptom such as weight loss/ failure to thrive, chronic fever, fatigue, less active children. [15][16][17] Most of subjects were unclear history of contact (74.3%). Most of TB cases are affected by previous adult positive bacteriological confirmed mainly.…”

Section: Discussionmentioning

confidence: 99%

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Childhood Tuberculosis Services in Bunda Medical Centre Private Secondary Level Hospital

Fazlisia¹

2021

Human Care

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CHILDHOOD TUBERCULOSIS SERVICES IN BUNDA MEDICAL CENTRE PRIVATE SECONDARY LEVEL HOSPITALAbstrakLatar Belakang: Tuberkulosis (TB) pada anak berkontribusi sebesar 10% terhadap angka rawat inap pasien anak dan kematian anak di rumah sakit. RS Bunda Medical Citra sebagai layanan kesehatan tingkat lanjut ikut terlibat dalam penanganan TB anak di kota Padang yang dijamin oleh Jaminan Kesehatan Nasional. Tujuan: Mendeskripsikan profi lpasien TB anak di RS BMC pada era Jaminan Kesehatan Nasional. Metode: Penelitian dilakukan dengan metode deskriptif retrospektif dengan menggunakan data seluruh pasien TB anak sejak Agustus 2017 sampai dengan Desember 2019. Sampel penelitian adalah semua data pada formulir TB 03. Data dianalisis menggunakan SPSS 23. Hasil: Kami mengumpulkan 152 data dari rekam medis pasien TB anak, 86 diantaranya adalah laki-laki (56,6%).Jumlah kelompok umur tertinggi adalah kelompok umur 0-1 tahun (26,9%). Pasien umumnya asimtomatik (31,3%) namun ada juga yang memiliki gejala seperti batuk kronis (20,4%). Terdapat 107 subjek (70,4%) dengan riwayat kontak tidak jelas. Uji tuberculin positif ditemukan pada sebagaian besar pasien (65,1%). Hasil rontgen dada yang paling banyak ditemukan adalah kalsifikasi, penebalan hilus, dan infiltrat. Berdasarkan data yang dimiliki, tidak terdapat kasus yang ditemukan dari pemeriksaan gen Xpert sputum. Mayoritas pasien didiagnosis sebagai tuberculosis paru. Sebanyak 42 pasien (27,6%) dinyatakan sembuh setelah menjalani pengobatan selama enam bulan dan 76 subjek (50%) memerlukan waktu pengobatan selama Sembilan bulan. Sebanyak 24 pasien (15,8%) dikategorikan sebagai pasien putus berobat. Simpulan: Penelitian kami menunjuk kanbahwa TB pada anak di RS BMC Padang merupakan TB paru tanpa komplikasi yang sebagian besar terdiagnosis melalui gejala klinis, TST, dan rontgen thorax, namun belum terkonfirmasi secara bakteriologis.Kata kunci: rontgen thorax, tuberculosis anak, uji tuberkulin, kontak tuberkulosis AbstractBackground: Childhood TB caused more than 10% of pediatric hospital admissions and death.Bunda Medical Citra hospital as private secondary hospital level involved in management of childhood TB in Padang city and covered by National Health Insurance.Objective: To describe archives of childhood TB patients in BMC Hospital through National Health Insurance era.Methods:This retrospective descriptive study was carried out the data of all childhood TB patientssince August 2017 until December 2019. The samples were TB 03 forms. Data were analyzed by Statistical Package for the Social Science (SPSS) 23 software.Results:We collected 152 data from medical record, 86 of them were males (56.6%). The highest number of age group was 0-1years old (26.9%). Patients were common asymptomatic (31.3%) or had chronic cough as symptom (20.4%).There were 107 subjects (70.4%) that had unclear close contact. Positive tuberculin skin test has found in 65.1%. The most finding of chest X-ray was calcification, hilar thickness, and infiltrate. None cases through gen Xpert examination for sputum. Majority of patients were diagnosed as lung tuberculosis. There were 42 subjects (27.6%) who recovered for six months and 76 subjects (50%) required nine months for therapy. There were 24 subjects (15.8%) who categorized as loss contact patients.Conclusion: Our study showed that childhood TB in BMC private hospital were lung tuberculosis without complication, but most of them has been diagnosed through clinical symptoms, TST, and chest X-ray, no bacteriological confirmation. Keywords:chest X-ray, childhood tuberculosis, tuberculin skin test, tuberculosis contact

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Childhood Tuberculosis Services in Bunda Medical Centre Private Secondary Level Hospital

Fazlisia¹

2021

Human Care

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“…Program pemerintah terhadap TB saat ini lebih berfokus pada pasien dewasa karena jumlah kasus TB anak yang tidak signifikan. Namun, nyatanya sebagian besar kasus TB anak tidak terdeteksi atau tidak dilaporkan sehingga menjadi epidemi tersembunyi (Caminero & Scardigli, 2016). Tantangan pada TB anak adalah sulitnya menegakan diagnosis atau kesalahan diagnosis karena manifestasi klinis yang tidak khas seperti orang dewasa dan terutama pada anak usia <5 tahun, TB memiliki gejala yang serupa penyakit infeksi paru-paru lainnya, seperti pneumonia (Gröschel et al, 2019).…”

Section: Pendahuluanunclassified

Pengaruh Edukasi Kesehatan Melalui Media Visual Poster di Posyandu Jatinangor Terkait Penyakit Tuberkulosis pada Anak

Putrianti,

Giftarina,

Batari

et al. 2024

kontribusi

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Tuberkulosis anak lebih sulit untuk didiagnosis karena tidak memiliki gejala yang khas. Peningkatan risiko TB pada anak meningkatkan urgensi terhadap pencegahan penyakit tersebut sedini mungkin melalui pemberian edukasi kesehatan dengan pendekatan kepada keluarga dan lingkungan terdekat. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan ibu yang berkunjung ke posyandu dan kader posyandu tentang TB pada anak melalui metode One-Group Pretest-Posttest Design dengan edukasi menggunakan media visual. Terdapat seratus empat puluh partisipan yang berasal dari Desa Sayang dan Hegarmanah Kecamatan Jatinangor, Sumedang, Jawa barat yang mengikuti rangkaian penelitian ini dengan mengikuti pre-test, kemudian diberikan intervensi edukasi melalui poster dan dievaluasi melalui post-test. Hasil penelitian ini adalah adanya peningkatan pengetahuan ibu dan kader posyandu setelah intervensi edukasi kesehatan menggunakan poster dengan rata-rata total skor pre-test 5.87 menjadi 8.9 pada post-test.

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“…This often results in treatment failures and the emergence of drug resistance that ends up being more difficult to manage effectively. The management of the disease at this stage is complicated by the lengthy treatment duration, increased cost (relative to the first-line drugs) and need for injectable drugs that make therapy less tolerable and cause even more severe side effects [ 143 , 144 ].…”

Section: Management Strategiesmentioning

confidence: 99%

Pediatric Tuberculosis Management: A Global Challenge or Breakthrough?

et al. 2022

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Managing pediatric tuberculosis (TB) remains a public health problem requiring urgent and long-lasting solutions as TB is one of the top ten causes of ill health and death in children as well as adolescents universally. Minors are particularly susceptible to this severe illness that can be fatal post-infection or even serve as reservoirs for future disease outbreaks. However, pediatric TB is the least prioritized in most health programs and optimal infection/disease control has been quite neglected for this specialized patient category, as most scientific and clinical research efforts focus on developing novel management strategies for adults. Moreover, the ongoing coronavirus pandemic has meaningfully hindered the gains and progress achieved with TB prophylaxis, therapy, diagnosis, and global eradication goals for all affected persons of varying age bands. Thus, the opening of novel research activities and opportunities that can provide more insight and create new knowledge specifically geared towards managing TB disease in this specialized group will significantly improve their well-being and longevity.

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Tuberculosis in children. Challenges and opportunities

Cited by 4 publications

References 10 publications

Childhood Tuberculosis Services in Bunda Medical Centre Private Secondary Level Hospital

Childhood Tuberculosis Services in Bunda Medical Centre Private Secondary Level Hospital

Pengaruh Edukasi Kesehatan Melalui Media Visual Poster di Posyandu Jatinangor Terkait Penyakit Tuberkulosis pada Anak

Pediatric Tuberculosis Management: A Global Challenge or Breakthrough?

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