Tuberculosis detection in children of tuberculosis outbreaks

Abstract

Introduction. In the Republic of Moldova, the TB incidence in children is decreasing by 12% compared to 2013.In 2014, there have been registered 157 illness in children compared to 180 illness in 2013, the incidence of 22 and 24 to 100 thousand children. Objectives: The particularities of finding out the tuberculosis in children from the centre of the tuberculosis. The evolution of the tuberculosis in children from the centre of the tuberculosis. The treatment efficiency at the children from the centre of the tuberculosis.

Materials and methods: Descriptive study about the children from the centre of the tuberculosis,wich includes the analysis of 81 children from the centre of the tuberculosis from IMSP the municipal clinical hospital of the phtisiopneumology. Results: The study result demonstrated that most of the children suffering from tuberculosis were diagnosed at contact prophylactic control. It was detected by prophylactic examination that intrathoracic lymph node TB prevails-54 (67%)children,followed 21 (26%)children with infiltative pulmonary TB and 6 (7%) children with primary complex TB. The biggest coeficients had the risk factors as: contact with tuberculosis patients-81 children (28%), non-chemoprophylaxis - 76 children (27%),concomitant diseases - 42 children (15%),unsatisfactory conditions - 30 children (10%), incomplete families - 23 children (8%), lack of vaccination and bad vaccination - 11 children (4%), outbreaks of death - 10 children.Contact in home with parents and brothers - 75 cases (75%). Contact with mother has been found most frequently - 40 children (41%),with father-26 children (26%),with brothers-9 children (9%). Close contact was found at 24 cases (25%).The most frequent contact is with the grandparents - 12 children. Through prophylactic examination it was found that 75% of children are with a single postvaccination scar, 15%-with 2 post-vaccination scars, but at 13% information is missing. The postvaccinatio scar prevailed ≥ 4 mm to 50% of children. Conclusion: Has been estabilished that most of the children with complex tuberculosis were found out by examination as contacts with people wich are sick of TB disease - 100% of cases. In the clinic structure of the extrapulmonary tuberculosis prevails the tuberculosis of the ganglia lymph intrathoracic-54 cases (67%). In 4% of the casesthe children weren't vaccinated BCG after different medical indications.