[The child in tuberculosis hotbeds].
The city of Cluj-Napoca and the Cluj County, once situated in the comfortable zone of tuberculosis incidence, below the country, average, have registered a permanent and alarming increase in the both adult and child incidence of tuberculosis the last 5 years, which made us find the analysis of the phenomenon useful and constructive--having in view children mainly. Therefore we started to study all the adult bacillary hotbeds, bacteriologically confirmed in the city (150, totaling 172 cases) and having in contact between 1995-2000 with 280 children; superposing period of the 1995-2000. Antituberculosis National Programme reviewed in 1997. Statistical correlation between clinical forms of tuberculosis identified in children has been analyzed as well as aspects connected to: sources (number, contagiousness, intimacy of contact etc), epidemiological inquiry, intradermoreaction, groups of age, bacteriological confirmation (of adults and children), X-ray aspects, B.C.G, treatment (place of application, regime), prophylaxis. In spite of the growing incidence, the clinical forms of tuberculosis registered in children have been benign, no death registered and a positive evaluation after a year (90% achieved healing and treatment) which demonstrates a good epidemiological, therapeutical and prophylactic covering of a pediatric cases from the patent hotbeds of adult tuberculosis, but which must be completed and sustained by a socio-economical and better cultural context.
Răduţă
Mihaela
M
Spitalul Clinic de Pneumologie Leon Daniello Cluj-Napoca.
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000995:Antitubercular Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D008297:Male; D015995:Prevalence; D012008:Recurrence; D012307:Risk Factors; D012383:Romania / Q000453:epidemiology; D016896:Treatment Outcome; D014397:Tuberculosis, Pulmonary / Q000188:drug therapy / Q000453:epidemiology* / Q000635:transmission
D000995:Antitubercular Agents