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Çocukluk Çağı Tüberkülozunda Tanı Sorunları

Year 2008, Volume: 6 Issue: 5, 26 - 30, 01.12.2008

Abstract

Çocuklarda tüberkülozun doğal seyri ve klinik bulguları, erişkinlerde görülenhastalıktan belirgin olarak farklıdır. Çocuklar, hastalığın daha az spesifik bulgu vesemptomlarına ve de daha az pozitif mikobakteriyel kültüre sahiptir. Bu nedenle,çocukluk çağında tüberkülozun tanısı oldukça zordur ve nadiren kanıtlanır,çoğunlukla klinik bulgulara, semptomlara ve özel araştırmalara dayandırılır. Buderlemede, çocuklarda tüberkülozun tanı kriterleri bir kez daha vurgulanmıştır

References

  • 1. Feja K, Saiman L. Tuberculosis in Children. Clin Chest Med 2005;26:295-312.
  • 2. Hesseling AC, Schaaf HS, Gie RP, Starke JR, Beyers N. A critical review of diagnostic approaches used in the diagnosis of childhood tuberculosis. Int J Tuberc Lung Dis 2002;6:1038-45.
  • 3. Eamranond P, Jaramillo E. Tuberculosis in children: reassessing the need for improved diagnosis in global control strategies. Int J Tuberc Lung Dis 2001;5:594-603.
  • 4. Marais BJ, Pai M. Recent advances in the diagnosis of childhood tuberculosis. Arch Dis Child 2007;92:446-52.
  • 5. Marais BJ, Obihara CC, Warren RM, Schaaf HS, Gie RP, Donald PR. The burden of childhood tuberculosis: a public health perspective. Int J Tuberc Lung Dis 2005;9:1305-13.
  • 6. Theart AC, Marais BJ, Gie RP, Hesseling AC, Beyers N. Criteria used for the diagnosis of childhood tuberculosis at primary health care level in a high-burden, urban setting. Int J Tuberc Lung Dis 2005;9:1210-4.
  • 7. Mandalakas AM, Starke JR. Current concept of childhood tuberculosis. Semin Pediatr Infect Dis 2005;16:93-104.
  • 8. Wells CD, Nelson LJ. New international efforts in childhood tuberculosis: proceedings from the 2002 workshop on childhood tuberculosis, Montreal, Canada, 6-7 October 2002. Int J Tuberc Lung Dis 2004;8:630-5.
  • 9. Heininger U. Diagnosing tuberculosis. Arch Dis Child 2005;90:1104.
  • 10. Marais BJ, Gie RP, Hesseling AC, et al,. A refined symptombased approach to diagnose pulmonary tuberculosis in children. Pediatrics 2006;118:1350-9.
  • 11. Shingadia D, Novelli V. Diagnosis and treatment of tuberculosis in children. Lancet Infect Dis 2003;3:624-32.
  • 12. Enarson DA. Children and the global tuberculosis situation. Paediatr Resp Rev 2004; 5 Suppl A: S143-5.
  • 13. Marais BJ, Obihara CC, Gie RP, et al. The prevalence of symptoms associated with pulmonary tuberculosis in randomly selected children from a high burden community. Arch Dis Child 2005;90:1166-70.
  • 14. Cruz AT, Starke JR. Clinical manifestations of tuberculosis in children. Paediatr Respir Rev 2007;8:107-17.
  • 15. Merino JM, Carpintero I, Alvarez T, Rodrigo J, Sanchez J, Coello JM. Tuberculous pleural effusion in children. Chest 1999;115:26-30.
  • 16. Trunz BB, Fine PEM, Dye C. Effect of BCG vaccination on childhood tuberculous meningitis and miliary tuberculosis worldwide: a meta-analysis and assessment of cost-effectiveness. The Lancet 2006;367:1173-80.
  • 17. Hoskyns W. Paediatric tuberculosis. Postgrad Med 2003;79:272-8.
  • 18. Graham SM, Gie RP, Schaaf HS, Coulter JBS, Espinal MA, Beyers N. Childhood tuberculosis: Clinical research needs. 2004;8:648-57.
  • 19. Khan EA, Starke JR. Diagnosis of tuberculosis in children: increased need for better methods. Emerg Infect Dis 1995;1:115-23.
  • 20. Marais BJ, Gie RP, Obihara CC, Hesseling AC, Schaaf HS, Beyers N. Well defined symptoms are of value in the diagnosis of childhood pulmonary tuberculosis. Arch Dis Child 2005;90:1162-5.
  • 21. Nelson LJ, Wells CD. Tuberculosis in children: Considerations for children from developing countries. Semin Pediatr Infect Dis 2004;15:150-4.
  • 22. Marais BJ, Gie RP, Schaaf HS, Beyers N, Donald PR, Starke JR. Childhood pulmonary tuberculosis: old wisdom and new challenges. Am J Respir Crit Care Med 2006;173:1078-90.
  • 23. Starke JR. Childhood tuberculosis: ending the neglect. Int J Tuberc Lung Dis 2002;6:373-4.
  • 24. Sanchez-Albisua I, Baquero-Artigao F, Del Castillo F, et al. Twenty years of pulmonary tuberculosis in children: what has changed? Pediatr Infect Dis J 2002;21:49-53.
  • 25. Starke JR. New concepts in childhood tuberculosis. Curr Opin Pediatr 2007;19:306-13.
  • 26. Schaaf HS, Beyers N, Gie RP, et al. Respiratory tuberculosis in childhood: the diagnostic value of clinical features and special investigations. Pediatr Infect Dis J 1995;14:189-94.
  • 27. Engelbrecht AL, Marais BJ, Donald PR, Schaaf HS. A critical look at the diagnostic value of culture-confirmation in childhood tuberculosis. J Infection 2006;53:364-9.
  • 28. Somu N, Swaminathan S, Paramasivan CN, et al. Value of bronchoalveolar lavage and gastric lavage in the diagnosis of pulmonary tuberculosis in children. Tubercle Lung Dis 1995;76:295-9.
  • 29. Bibi H, Mosheyev A, Shoseyov D, Feigenbaum D, Kurzbart E, Weiller Z. Should bronchoscopy be performed in the evaluation of suspected pediatric pulmonary tuberculosis? Chest 2002;122:1604-8.
  • 30. de Charnace G, Delacourt C. Diagnostic techniques in paediatric tuberculosis. Paediatr Resp Rev 2001;2:120-6

Problems of Diagnosis in Childhood Tuberculosis

Year 2008, Volume: 6 Issue: 5, 26 - 30, 01.12.2008

Abstract

The natural history and clinical manifestations of tuberculosis in children differsignificantly from those of the disease seen in adults. Children have less specific signs and symptoms of disease and fewer positive mycobacterial cultures.Therefore, the diagnosis of tuberculosis in childhood is quite difficult, seldomconfirmed and is based mainly on clinical signs, symptoms and special investigations. In this review, diagnostic criterions of tuberculosis in children wereemphasized

References

  • 1. Feja K, Saiman L. Tuberculosis in Children. Clin Chest Med 2005;26:295-312.
  • 2. Hesseling AC, Schaaf HS, Gie RP, Starke JR, Beyers N. A critical review of diagnostic approaches used in the diagnosis of childhood tuberculosis. Int J Tuberc Lung Dis 2002;6:1038-45.
  • 3. Eamranond P, Jaramillo E. Tuberculosis in children: reassessing the need for improved diagnosis in global control strategies. Int J Tuberc Lung Dis 2001;5:594-603.
  • 4. Marais BJ, Pai M. Recent advances in the diagnosis of childhood tuberculosis. Arch Dis Child 2007;92:446-52.
  • 5. Marais BJ, Obihara CC, Warren RM, Schaaf HS, Gie RP, Donald PR. The burden of childhood tuberculosis: a public health perspective. Int J Tuberc Lung Dis 2005;9:1305-13.
  • 6. Theart AC, Marais BJ, Gie RP, Hesseling AC, Beyers N. Criteria used for the diagnosis of childhood tuberculosis at primary health care level in a high-burden, urban setting. Int J Tuberc Lung Dis 2005;9:1210-4.
  • 7. Mandalakas AM, Starke JR. Current concept of childhood tuberculosis. Semin Pediatr Infect Dis 2005;16:93-104.
  • 8. Wells CD, Nelson LJ. New international efforts in childhood tuberculosis: proceedings from the 2002 workshop on childhood tuberculosis, Montreal, Canada, 6-7 October 2002. Int J Tuberc Lung Dis 2004;8:630-5.
  • 9. Heininger U. Diagnosing tuberculosis. Arch Dis Child 2005;90:1104.
  • 10. Marais BJ, Gie RP, Hesseling AC, et al,. A refined symptombased approach to diagnose pulmonary tuberculosis in children. Pediatrics 2006;118:1350-9.
  • 11. Shingadia D, Novelli V. Diagnosis and treatment of tuberculosis in children. Lancet Infect Dis 2003;3:624-32.
  • 12. Enarson DA. Children and the global tuberculosis situation. Paediatr Resp Rev 2004; 5 Suppl A: S143-5.
  • 13. Marais BJ, Obihara CC, Gie RP, et al. The prevalence of symptoms associated with pulmonary tuberculosis in randomly selected children from a high burden community. Arch Dis Child 2005;90:1166-70.
  • 14. Cruz AT, Starke JR. Clinical manifestations of tuberculosis in children. Paediatr Respir Rev 2007;8:107-17.
  • 15. Merino JM, Carpintero I, Alvarez T, Rodrigo J, Sanchez J, Coello JM. Tuberculous pleural effusion in children. Chest 1999;115:26-30.
  • 16. Trunz BB, Fine PEM, Dye C. Effect of BCG vaccination on childhood tuberculous meningitis and miliary tuberculosis worldwide: a meta-analysis and assessment of cost-effectiveness. The Lancet 2006;367:1173-80.
  • 17. Hoskyns W. Paediatric tuberculosis. Postgrad Med 2003;79:272-8.
  • 18. Graham SM, Gie RP, Schaaf HS, Coulter JBS, Espinal MA, Beyers N. Childhood tuberculosis: Clinical research needs. 2004;8:648-57.
  • 19. Khan EA, Starke JR. Diagnosis of tuberculosis in children: increased need for better methods. Emerg Infect Dis 1995;1:115-23.
  • 20. Marais BJ, Gie RP, Obihara CC, Hesseling AC, Schaaf HS, Beyers N. Well defined symptoms are of value in the diagnosis of childhood pulmonary tuberculosis. Arch Dis Child 2005;90:1162-5.
  • 21. Nelson LJ, Wells CD. Tuberculosis in children: Considerations for children from developing countries. Semin Pediatr Infect Dis 2004;15:150-4.
  • 22. Marais BJ, Gie RP, Schaaf HS, Beyers N, Donald PR, Starke JR. Childhood pulmonary tuberculosis: old wisdom and new challenges. Am J Respir Crit Care Med 2006;173:1078-90.
  • 23. Starke JR. Childhood tuberculosis: ending the neglect. Int J Tuberc Lung Dis 2002;6:373-4.
  • 24. Sanchez-Albisua I, Baquero-Artigao F, Del Castillo F, et al. Twenty years of pulmonary tuberculosis in children: what has changed? Pediatr Infect Dis J 2002;21:49-53.
  • 25. Starke JR. New concepts in childhood tuberculosis. Curr Opin Pediatr 2007;19:306-13.
  • 26. Schaaf HS, Beyers N, Gie RP, et al. Respiratory tuberculosis in childhood: the diagnostic value of clinical features and special investigations. Pediatr Infect Dis J 1995;14:189-94.
  • 27. Engelbrecht AL, Marais BJ, Donald PR, Schaaf HS. A critical look at the diagnostic value of culture-confirmation in childhood tuberculosis. J Infection 2006;53:364-9.
  • 28. Somu N, Swaminathan S, Paramasivan CN, et al. Value of bronchoalveolar lavage and gastric lavage in the diagnosis of pulmonary tuberculosis in children. Tubercle Lung Dis 1995;76:295-9.
  • 29. Bibi H, Mosheyev A, Shoseyov D, Feigenbaum D, Kurzbart E, Weiller Z. Should bronchoscopy be performed in the evaluation of suspected pediatric pulmonary tuberculosis? Chest 2002;122:1604-8.
  • 30. de Charnace G, Delacourt C. Diagnostic techniques in paediatric tuberculosis. Paediatr Resp Rev 2001;2:120-6
There are 30 citations in total.

Details

Primary Language Turkish
Journal Section Collection
Authors

Ayten Pamukçu Uyan This is me

Publication Date December 1, 2008
Published in Issue Year 2008 Volume: 6 Issue: 5

Cite

APA Pamukçu Uyan, A. (2008). Çocukluk Çağı Tüberkülozunda Tanı Sorunları. Güncel Pediatri, 6(5), 26-30.
AMA Pamukçu Uyan A. Çocukluk Çağı Tüberkülozunda Tanı Sorunları. Güncel Pediatri. December 2008;6(5):26-30.
Chicago Pamukçu Uyan, Ayten. “Çocukluk Çağı Tüberkülozunda Tanı Sorunları”. Güncel Pediatri 6, no. 5 (December 2008): 26-30.
EndNote Pamukçu Uyan A (December 1, 2008) Çocukluk Çağı Tüberkülozunda Tanı Sorunları. Güncel Pediatri 6 5 26–30.
IEEE A. Pamukçu Uyan, “Çocukluk Çağı Tüberkülozunda Tanı Sorunları”, Güncel Pediatri, vol. 6, no. 5, pp. 26–30, 2008.
ISNAD Pamukçu Uyan, Ayten. “Çocukluk Çağı Tüberkülozunda Tanı Sorunları”. Güncel Pediatri 6/5 (December 2008), 26-30.
JAMA Pamukçu Uyan A. Çocukluk Çağı Tüberkülozunda Tanı Sorunları. Güncel Pediatri. 2008;6:26–30.
MLA Pamukçu Uyan, Ayten. “Çocukluk Çağı Tüberkülozunda Tanı Sorunları”. Güncel Pediatri, vol. 6, no. 5, 2008, pp. 26-30.
Vancouver Pamukçu Uyan A. Çocukluk Çağı Tüberkülozunda Tanı Sorunları. Güncel Pediatri. 2008;6(5):26-30.