title: [Epidemiology of Tuberculosis in Children from 1968 til 1973 in Schleswig-Holstein (author's transl)].
abstract: In Schleswig-Holstein 271 children (131 boys, 140 girls) were treated for tuberculosis between january 1968 and June 1973; 84% were aged 5--14 years, 14% between 1--4 years and 29% between 0--1 year. Each year, nearly the same number of infections occurred in the various districts of the country. In 246 children a primary form of tuberculosis was diagnosed (in 11 cases with pleurisy). 11 patients tuberculous meningitis, 3 patients miliary tuberculosis and 5 patients another form of the disease, 18 of 271 patients (7%) had been vaccinated against tuberculosis as newborns; in 4 of these children tubercle bacilli could be isolated. BCG vaccination had been done 8--12 years before disease in 11 cases and 1--5 years before disease in 7 cases. None of these vaccinated children had a hematogenous tuberculosis or died. Of the non-vaccinated children two patients had meninogencephalitis and died. The other children were cured by chemotherapy, 12 children by additional surgery. The morbidity of tuberculosis in Schleswig-Holstein was 7--10 per 100000 children. Therefore, further BCG vaccination, chemoprophylaxis or preventive chemotherapy seems necessary. Early recognition of tuberculosis in old persons may be of practical value to prevent infections in children.
mesh_terms: D000293:Adolescent; D000367:Age Factors; D001500:BCG Vaccine; D002648:Child; D002675:Child, Preschool; D005260:Female; D005860:Germany, West; D006801:Humans; D007223:Infant; D008297:Male; D009333:Neck; D012189:Retrospective Studies; D012424:Rural Population; D012737:Sex Factors; D013997:Time Factors; D014376:Tuberculosis / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology* / Q000601:surgery; D014388:Tuberculosis, Lymph Node / Q000453:epidemiology; D014390:Tuberculosis, Meningeal / Q000453:epidemiology; D014391:Tuberculosis, Miliary / Q000453:epidemiology; D014397:Tuberculosis, Pulmonary / Q000453:epidemiology; D014505:Urban Population
chemical_list: D001500:BCG Vaccine
vernacular_title: Zur Situation der kindlichen Tuberkulose in Schleswig-Holstein von 1968-1973