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Revista americana de medicina respiratoria

On-line version ISSN 1852-236X


BISERO, Elsa et al. Tuberculosis en una población pediátrica atendida en un hospital público. Adherencia al tratamiento: Estudio descriptivo. Rev. amer. med. respiratoria [online]. 2013, vol.13, n.4, pp.184-189. ISSN 1852-236X.

Based on the World Health Organization "Stop TB Strategy", the current situation of the Hospital Prof. Dr. A. Posadas was evaluated. Primary Objective: to contribute to the strategy for tuberculosis reduction. Secondary Objectives: a) to evaluate the adherence to treatment b) to describe clinical and epidemiological features of tuberculosis in a pediatric population at a public hospital. Materials& Method: Observational, longitudinal and retrospective study. Treatment default was defined as the period of one or more months during which a patient does not receive medications, in any phase of treatment. Results: During the years 2008 and 2009, 30 children with tuberculosis were registered. Median age was 56 months (range 1m-14 years). Masculinity Index: 0.87. At the time of the first visit, 80% did not present any symptoms and 86% presented a normal nutritional status. Contacts study was positive in 72% of the cases. Tuberculin test (PPD 2 TU) was positive = 10mm in 63% of the patients. Pulmonary TB was the predominant form of presentation. Severe pulmonary TB was recorded in 12/23 patients and mild or moderate TB, in 11/23 patients. Among the extrapulmonary forms, pleural tuberculosis was predominant. Chest X-ray: unilateral pulmonary TB with no cavity was predominant, 11/23 patients. Bacteriological diagnosis was positive in 36.7% of the patients. Outcome: in 2008, default rate was 50% and in 2009, 44.44%. There were no deceased patients. Conclusions: There is a low case detection by contact history. There were no differences in treatment outcome between severe and non severe pulmonary TB. Pleural tuberculosis was predominant as an extrapulmonary presentation. Treatment default was very high in this population; for this reason individual, particular and general interventions are suggested.

Keywords : Tuberculosis; Treatment default; Non adherence.

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