Clinical forms and diagnosis of tuberculosis in children and adolescents during the COVID-19 pandemic
ABSTRACT Objective: The present study aimed to describe the clinical forms and the time taken to diagnose new tuberculosis cases and to statistically analyze the isolated and combined forms of the disease in children and adolescents treated at a university hospital in Rio de Janeiro during the firs...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Pneumologia e Tisiologia
2022-11-01
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| Series: | Jornal Brasileiro de Pneumologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132022000600202&tlng=pt |
| _version_ | 1828124379755577344 |
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| author | Michely Alexandrino de Souza Pinheiro Rafaela Baroni Aurilio Ana Alice Amaral Ibiapina Parente Maria de Fátima Bazhuni Pombo Sant’Anna Ana Cristina Cisne Frota Cristina Barroso Hofer Thalita Fernandes de Abreu Sidnei Ferreira Clemax Couto Sant’Anna |
| author_facet | Michely Alexandrino de Souza Pinheiro Rafaela Baroni Aurilio Ana Alice Amaral Ibiapina Parente Maria de Fátima Bazhuni Pombo Sant’Anna Ana Cristina Cisne Frota Cristina Barroso Hofer Thalita Fernandes de Abreu Sidnei Ferreira Clemax Couto Sant’Anna |
| author_sort | Michely Alexandrino de Souza Pinheiro |
| collection | DOAJ |
| description | ABSTRACT Objective: The present study aimed to describe the clinical forms and the time taken to diagnose new tuberculosis cases and to statistically analyze the isolated and combined forms of the disease in children and adolescents treated at a university hospital in Rio de Janeiro during the first year of the COVID-19 pandemic in Brazil. Methods: This was a cross-sectional study that used retrospective data on children (0-9 years old) and adolescents (10-18 years old) with pulmonary (PTB), extrapulmonary (EPTB), and combined tuberculosis (PTB + EPTB) followed up at the outpatient clinic from January 2019 to March 2021. Categorical data were analyzed by descriptive statistics and expressed as frequency and proportions. Categorical variables were compared using the Chi-square test, and numerical variables using Student’s T-test. Results: A total of 51 cases were included, 63% (32/51) of which comprised patients in the year of the pandemic (group A), while 37% (19/51) were patients attended in previous years (group B). In group A, 19% (6/32) of the patients presented PTB, 59% (16/32) had EPTB, and 31% (10/32) had PTB+EPTB. In group B, 42% (8/19) of the patients presented PTB, 42% (8/19) had EPTB, and 16% (3/19) had PTB+EPTB. Conclusion: Our study revealed more tuberculosis cases in the first year of the pandemic than in the same period of the previous year, with greater variation of sites affected by the disease, including rarer and more severe forms. |
| first_indexed | 2024-04-11T15:05:31Z |
| format | Article |
| id | doaj.art-d652e191db0e437199e9eaf94a9fac9f |
| institution | Directory Open Access Journal |
| issn | 1806-3756 |
| language | English |
| last_indexed | 2024-04-11T15:05:31Z |
| publishDate | 2022-11-01 |
| publisher | Sociedade Brasileira de Pneumologia e Tisiologia |
| record_format | Article |
| series | Jornal Brasileiro de Pneumologia |
| spelling | doaj.art-d652e191db0e437199e9eaf94a9fac9f2022-12-22T04:16:49ZengSociedade Brasileira de Pneumologia e TisiologiaJornal Brasileiro de Pneumologia1806-37562022-11-0148610.36416/1806-3756/e20220240Clinical forms and diagnosis of tuberculosis in children and adolescents during the COVID-19 pandemicMichely Alexandrino de Souza Pinheirohttps://orcid.org/0000-0003-4780-9280Rafaela Baroni Auriliohttps://orcid.org/0000-0003-2727-520XAna Alice Amaral Ibiapina Parentehttps://orcid.org/0000-0003-1349-7311Maria de Fátima Bazhuni Pombo Sant’Annahttps://orcid.org/0000-0002-3633-6070Ana Cristina Cisne Frotahttps://orcid.org/0000-0002-2825-4374Cristina Barroso Hoferhttps://orcid.org/0000-0001-8633-0913Thalita Fernandes de Abreuhttps://orcid.org/0000-0002-6412-1093Sidnei Ferreirahttps://orcid.org/0000-0002-2778-3645Clemax Couto Sant’Annahttps://orcid.org/0000-0001-8732-8065ABSTRACT Objective: The present study aimed to describe the clinical forms and the time taken to diagnose new tuberculosis cases and to statistically analyze the isolated and combined forms of the disease in children and adolescents treated at a university hospital in Rio de Janeiro during the first year of the COVID-19 pandemic in Brazil. Methods: This was a cross-sectional study that used retrospective data on children (0-9 years old) and adolescents (10-18 years old) with pulmonary (PTB), extrapulmonary (EPTB), and combined tuberculosis (PTB + EPTB) followed up at the outpatient clinic from January 2019 to March 2021. Categorical data were analyzed by descriptive statistics and expressed as frequency and proportions. Categorical variables were compared using the Chi-square test, and numerical variables using Student’s T-test. Results: A total of 51 cases were included, 63% (32/51) of which comprised patients in the year of the pandemic (group A), while 37% (19/51) were patients attended in previous years (group B). In group A, 19% (6/32) of the patients presented PTB, 59% (16/32) had EPTB, and 31% (10/32) had PTB+EPTB. In group B, 42% (8/19) of the patients presented PTB, 42% (8/19) had EPTB, and 16% (3/19) had PTB+EPTB. Conclusion: Our study revealed more tuberculosis cases in the first year of the pandemic than in the same period of the previous year, with greater variation of sites affected by the disease, including rarer and more severe forms.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132022000600202&tlng=ptpandemicchildrenadolescentstuberculosiscoronavirus |
| spellingShingle | Michely Alexandrino de Souza Pinheiro Rafaela Baroni Aurilio Ana Alice Amaral Ibiapina Parente Maria de Fátima Bazhuni Pombo Sant’Anna Ana Cristina Cisne Frota Cristina Barroso Hofer Thalita Fernandes de Abreu Sidnei Ferreira Clemax Couto Sant’Anna Clinical forms and diagnosis of tuberculosis in children and adolescents during the COVID-19 pandemic Jornal Brasileiro de Pneumologia pandemic children adolescents tuberculosis coronavirus |
| title | Clinical forms and diagnosis of tuberculosis in children and adolescents during the COVID-19 pandemic |
| title_full | Clinical forms and diagnosis of tuberculosis in children and adolescents during the COVID-19 pandemic |
| title_fullStr | Clinical forms and diagnosis of tuberculosis in children and adolescents during the COVID-19 pandemic |
| title_full_unstemmed | Clinical forms and diagnosis of tuberculosis in children and adolescents during the COVID-19 pandemic |
| title_short | Clinical forms and diagnosis of tuberculosis in children and adolescents during the COVID-19 pandemic |
| title_sort | clinical forms and diagnosis of tuberculosis in children and adolescents during the covid 19 pandemic |
| topic | pandemic children adolescents tuberculosis coronavirus |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132022000600202&tlng=pt |
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