Evaluation of the followed up patients with childhood tuberculosis

INTRODUCTION: Tuberculosis is still a major reason for mortality and morbidity. This study aims to evaluate followed up patients with childhood tuberculosis. METHODS: 109 applied patients were taken into this study. Personal and familial demographics, laboratory, clinical and radiological examinatio...

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Main Authors: Emrah Başak, Muhammet Asena, İlhan Tan
Format: Article
Language:English
Published: Van Yuzuncu Yil University, School of Medicine 2020-09-01
Series:Van Tıp Dergisi
Subjects:
Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=vtd&un=VTD-35683
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author Emrah Başak
Muhammet Asena
İlhan Tan
author_facet Emrah Başak
Muhammet Asena
İlhan Tan
author_sort Emrah Başak
collection DOAJ
description INTRODUCTION: Tuberculosis is still a major reason for mortality and morbidity. This study aims to evaluate followed up patients with childhood tuberculosis. METHODS: 109 applied patients were taken into this study. Personal and familial demographics, laboratory, clinical and radiological examinations and the treatments of the patients were recorded. RESULTS: 50.5% of the patients were male, 50% of the patient were from rural area and 69.7% of the patients had low income. The smoking rate at the house was 58.3%. There was intrafamiliar contact at 23.9% of the patients and extrafamiliar contact at 2.8%. The most frequent complaints of the patients were cough and fever. The most involvement area of the tuberculosis was lungs. PPD was positive at 60.5% of the patients, whereas BCG score was positive at 44% of the patients. The most seen direct graphy and tomography findings were hillar and mediastinal lymphadenopathy. 12.9% of the patients demonstrate Acid resistant bacilli (ARB) positivity with minimal method and reproduction detected at 17% of cultures. Positive results were obtained from 33,3% of the 36 patients, which Polymerase Chain Reaction was performed. In 12 case, diagnosis was made by biopsy. The adaptation of the patients to the treatment was 90% and full recovery ratio was 81.6%. DISCUSSION AND CONCLUSION: Tuberculosis is a serious public health subject within crowded and low education and socioeconomic level families. Intrafamilial and extrafamilial contacts are risk factor for children. Diagnosis ratio with culture, which is a golden standard for diagnosis, is low and because of this reason, alternative diagnosis methods are needed.
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spelling doaj.art-c2689c03798a4e8ca666d169221960c82023-12-02T20:22:25ZengVan Yuzuncu Yil University, School of MedicineVan Tıp Dergisi2587-03512020-09-0127450651310.5505/vtd.2020.35683VTD-35683Evaluation of the followed up patients with childhood tuberculosisEmrah Başak0Muhammet Asena1İlhan Tan2Department Of Pediatrics, Silvan Dr. Yusuf Azizoğlu State Hospital, Diyarbakir, TurkeyDepartment Of Pediatrics, Gazi Yaşargil Training And Research Hospital, Diyarbakir, TurkeyDepartment Of Pediatrics, Special Siirt Hayat Hospital, Siirt, TurkeyINTRODUCTION: Tuberculosis is still a major reason for mortality and morbidity. This study aims to evaluate followed up patients with childhood tuberculosis. METHODS: 109 applied patients were taken into this study. Personal and familial demographics, laboratory, clinical and radiological examinations and the treatments of the patients were recorded. RESULTS: 50.5% of the patients were male, 50% of the patient were from rural area and 69.7% of the patients had low income. The smoking rate at the house was 58.3%. There was intrafamiliar contact at 23.9% of the patients and extrafamiliar contact at 2.8%. The most frequent complaints of the patients were cough and fever. The most involvement area of the tuberculosis was lungs. PPD was positive at 60.5% of the patients, whereas BCG score was positive at 44% of the patients. The most seen direct graphy and tomography findings were hillar and mediastinal lymphadenopathy. 12.9% of the patients demonstrate Acid resistant bacilli (ARB) positivity with minimal method and reproduction detected at 17% of cultures. Positive results were obtained from 33,3% of the 36 patients, which Polymerase Chain Reaction was performed. In 12 case, diagnosis was made by biopsy. The adaptation of the patients to the treatment was 90% and full recovery ratio was 81.6%. DISCUSSION AND CONCLUSION: Tuberculosis is a serious public health subject within crowded and low education and socioeconomic level families. Intrafamilial and extrafamilial contacts are risk factor for children. Diagnosis ratio with culture, which is a golden standard for diagnosis, is low and because of this reason, alternative diagnosis methods are needed.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=vtd&un=VTD-35683tuberculosisacidoresistant bacillituberculin skin testlung graphy
spellingShingle Emrah Başak
Muhammet Asena
İlhan Tan
Evaluation of the followed up patients with childhood tuberculosis
Van Tıp Dergisi
tuberculosis
acidoresistant bacilli
tuberculin skin test
lung graphy
title Evaluation of the followed up patients with childhood tuberculosis
title_full Evaluation of the followed up patients with childhood tuberculosis
title_fullStr Evaluation of the followed up patients with childhood tuberculosis
title_full_unstemmed Evaluation of the followed up patients with childhood tuberculosis
title_short Evaluation of the followed up patients with childhood tuberculosis
title_sort evaluation of the followed up patients with childhood tuberculosis
topic tuberculosis
acidoresistant bacilli
tuberculin skin test
lung graphy
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=vtd&un=VTD-35683
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