Author | Carvalho, Roberta Feijó | |
Author | Carvalho, Anna Cristina Calçada | |
Author | Velarde, Luis Guillermo Coca | |
Author | Rossoni, Andrea Maciel de Oliveira | |
Author | Aurílio, Rafaela Baroni | |
Author | Sias, Selma Maria de Azevedo | |
Author | Schmidt, Christiane Mello | |
Author | Moreira, Adriana da Silva Rezende | |
Author | Martins, Pedro da Silva | |
Author | Gonçalves, Lorrayne Isidoro | |
Author | Martire, Terezinha Miceli | |
Author | Barbosa, Ana Paula Ferreira | |
Author | Santos, Ana Paula Quintanilha dos | |
Author | Romanelli, Roberta Maia de Castro | |
Author | Oliveira, Maria das Graças Rodrigues de | |
Author | Diniz, Lilian Martins Oliveira | |
Author | Carvalho, Andrea Lucchesi | |
Author | Lucena, Sheila Cunha | |
Author | Cruz, Maria Letícia Santos | |
Author | Saavedra, Mariza Curto | |
Author | Tahan, Tony Tannous | |
Author | Rodrigues, Cristina de Oliveira | |
Author | Kritski, Afrânio Lineu | |
Author | Sant’Anna, Clemax Couto | |
Author | Cardoso, Claudete Aparecida Araújo | |
Author | Sant’Anna, Maria de Fátima Bazhuni Pombo | |
Access date | 2021-01-03T20:03:49Z | |
Available date | 2021-01-03T20:03:49Z | |
Document date | 2020 | |
Citation | CARVALHO, Roberta Feijó et al. Diagnosis of pulmonary tuberculosis in children and adolescents: comparison of two versions of the Brazilian Ministry of Health scoring system. Revista do Instituto de Medicina Tropical de São Paulo, São Paulo, p. 1-7, out. 2020. | pt_BR |
ISSN | 1678-9946 | pt_BR |
URI | https://www.arca.fiocruz.br/handle/icict/45490 | |
Language | eng | pt_BR |
Publisher | Instituto de Medicina Tropical de São Paulo | pt_BR |
Rights | open access | pt_BR |
Subject in Portuguese | Tuberculose pulmonar | pt_BR |
Subject in Portuguese | Crianças | pt_BR |
Subject in Portuguese | Diagnóstico | pt_BR |
Subject in Portuguese | Protocolos clínicos | pt_BR |
Subject in Portuguese | Teste de pele de tuberculina | pt_BR |
Subject in Portuguese | Sistema de pontuação da tuberculose | pt_BR |
Title | Diagnosis of pulmonary tuberculosis in children and adolescents: comparison of two versions of the Brazilian Ministry of Health scoring system | pt_BR |
Type | Article | pt_BR |
DOI | 10.1590/s1678-9946202062081 | |
Abstract | The aim of this study was to evaluate the concordance between two versions of the scoring system (2011 and 2019), recommended by the Brazilian Ministry of Health, for the diagnosis of pulmonary tuberculosis (PTB) in children and adolescents. A retrospective descriptive study was performed to assess the medical records of children and adolescents with PTB, in TB units from Brazilian cities located in Rio de Janeiro, Minas Gerais, and Parana States, from January 1 st , 2004, to December 1 st , 2018. Patients aged 0 to 18 years old with a diagnosis of PTB were included. The comparison between the two scoring systems showed a moderate concordance according to the κ coefficient value = 0.625. Fourteen patients showed a reduction in the TB score, going from 30 points in the 2011, to 25 points or less in the 2019 one. Seventy one percent of these 14 patients had radiological changes suggestive of PTB and 86% had tuberculin skin tests greater than 10 mm. The study concluded that a moderate agreement was observed between the 2011 and 2019 scoring systems, with an increase in the number of patients scoring 25 points or less in 2019, which can eventually hinder the diagnosis of PTB. | pt_BR |
Affilliation | Universidade Federal Fluminense. Niterói, RJ, Brasil. | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil. | pt_BR |
Affilliation | Universidade Federal Fluminense. Niterói, RJ, Brasil. | pt_BR |
Affilliation | Universidade Federal do Paraná. Curitiba. PR, Brasil. | pt_BR |
Affilliation | Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil. | pt_BR |
Affilliation | Universidade Federal Fluminense. Niterói, RJ, Brasil. | pt_BR |
Affilliation | Universidade Federal Fluminense. Niterói, RJ, Brasil. | pt_BR |
Affilliation | Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil. | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil. | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil. | pt_BR |
Affilliation | Universidade Federal do Estado do Rio de Janeiro. Rio de Janeiro,RJ, Brasil. | pt_BR |
Affilliation | Programa de Controle da Tuberculose. São Gonçalo, RJ, Brasil. | pt_BR |
Affilliation | Programa de Controle da Tuberculose, Itaboraí, RJ, Brasil. | pt_BR |
Affilliation | Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil. | pt_BR |
Affilliation | Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil. | pt_BR |
Affilliation | Fundação Hospitalar do Estado de Minas Gerais, Belo Horizonte, MG, Brasil. | pt_BR |
Affilliation | Fundação Hospitalar do Estado de Minas Gerais, Belo Horizonte, MG, Brasil. | pt_BR |
Affilliation | Hospital Municipal Raphael de Paula Souza. Rio de Janeiro, RJ, Brasil. | pt_BR |
Affilliation | Hospital Federal dos Servidores do Estado. Rio de Janeiro, RJ, Brasil. | pt_BR |
Affilliation | Hospital Federal dos Servidores do Estado. Rio de Janeiro, RJ, Brasil. | pt_BR |
Affilliation | Universidade Federal do Paraná. Curitiba. PR, Brasil. | pt_BR |
Affilliation | Universidade Federal do Paraná. Curitiba. PR, Brasil. | pt_BR |
Affilliation | Universidade Federal do Estado do Rio de Janeiro. Rio de Janeiro,RJ, Brasil. | pt_BR |
Affilliation | Universidade Federal do Estado do Rio de Janeiro. Rio de Janeiro,RJ, Brasil. | pt_BR |
Affilliation | Universidade Federal Fluminense. Niterói, RJ, Brasil. | pt_BR |
Affilliation | Universidade Federal Fluminense. Niterói, RJ, Brasil. | pt_BR |
Subject | Pulmonary tuberculosis | pt_BR |
Subject | Children | pt_BR |
Subject | Diagnosis | pt_BR |
Subject | Clinical protocols | pt_BR |
Subject | Tuberculin skin test | pt_BR |
Subject | Tuberculosis scoring system | pt_BR |