PEDIATRIC
TUBERCULOSIS: A DISEASE IN REGRESSION IN OUR HOSPITAL?
Zhou M, Liao QK, Yuan
XJ, Zhao YH
Pediatric
Department, Second University Hospital, West China Medical Center of
Sichuan University, Chendu, China.
Objective: Our aim was
to analyze clinical, diagnostic, therapeutical and epidemiological features
in a pediatric population with tuberculosis (TB).
Methods: The medical
records of 142 children with TB admitted to Second University Hospital of
West China medical center of Sichuan University between 1996 and 2000 were
analyzed retrospectively.
Results: Tuberculous
meningitis was the most common TB (57 cases in 142). The total cases of TB
per year increased from seven to forty-six. 42% of patients had positive
contact history. 69% of patients came from countryside and 92% of them
without BCG veccination. The diagnosis was based on finding the indirect
evidence rather than etiological examination.
Conclusion: TB is not a
disease in regression but a disease threatening the health of children, The
BCG vaccination should be enhanced in the countryside. Fast diagnosis tests
used for M. tubercuosis identification are needed by clinical work.