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DIAGNOSIS OF PULMONARY TUBERCULOSIS IN CHILDREN AND ADOLESCENTS: COMPARISON OF TWO VERSIONS OF THE BRAZILIAN MINISTRY OF HEALTH SCORING SYSTEM
Carvalho, Roberta Feijó et al. | Date Issued: 2020
Author
Carvalho, Roberta Feijó
Carvalho, Anna Cristina Calçada
Velarde, Luis Guillermo Coca
Rossoni, Andrea Maciel de Oliveira
Aurílio, Rafaela Baroni
Sias, Selma Maria de Azevedo
Schmidt, Christiane Mello
Moreira, Adriana da Silva Rezende
Martins, Pedro da Silva
Gonçalves, Lorrayne Isidoro
Martire, Terezinha Miceli
Barbosa, Ana Paula Ferreira
Santos, Ana Paula Quintanilha dos
Romanelli, Roberta Maia de Castro
Oliveira, Maria das Graças Rodrigues de
Diniz, Lilian Martins Oliveira
Carvalho, Andrea Lucchesi
Lucena, Sheila Cunha
Cruz, Maria Letícia Santos
Saavedra, Mariza Curto
Tahan, Tony Tannous
Rodrigues, Cristina de Oliveira
Kritski, Afrânio Lineu
Sant’Anna, Clemax Couto
Cardoso, Claudete Aparecida Araújo
Sant’Anna, Maria de Fátima Bazhuni Pombo
Affilliation
Universidade Federal Fluminense. Niterói, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
Universidade Federal Fluminense. Niterói, RJ, Brasil.
Universidade Federal do Paraná. Curitiba. PR, Brasil.
Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.
Universidade Federal Fluminense. Niterói, RJ, Brasil.
Universidade Federal Fluminense. Niterói, RJ, Brasil.
Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
Universidade Federal do Estado do Rio de Janeiro. Rio de Janeiro,RJ, Brasil.
Programa de Controle da Tuberculose. São Gonçalo, RJ, Brasil.
Programa de Controle da Tuberculose, Itaboraí, RJ, Brasil.
Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil.
Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil.
Fundação Hospitalar do Estado de Minas Gerais, Belo Horizonte, MG, Brasil.
Fundação Hospitalar do Estado de Minas Gerais, Belo Horizonte, MG, Brasil.
Hospital Municipal Raphael de Paula Souza. Rio de Janeiro, RJ, Brasil.
Hospital Federal dos Servidores do Estado. Rio de Janeiro, RJ, Brasil.
Hospital Federal dos Servidores do Estado. Rio de Janeiro, RJ, Brasil.
Universidade Federal do Paraná. Curitiba. PR, Brasil.
Universidade Federal do Paraná. Curitiba. PR, Brasil.
Universidade Federal do Estado do Rio de Janeiro. Rio de Janeiro,RJ, Brasil.
Universidade Federal do Estado do Rio de Janeiro. Rio de Janeiro,RJ, Brasil.
Universidade Federal Fluminense. Niterói, RJ, Brasil.
Universidade Federal Fluminense. Niterói, RJ, Brasil.
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.
Keywords in Portuguese
Tuberculose pulmonar
Crianças
Diagnóstico
Protocolos clínicos
Teste de pele de tuberculina
Sistema de pontuação da tuberculose
 
Keywords
Pulmonary tuberculosis
Children
Diagnosis
Clinical protocols
Tuberculin skin test
Tuberculosis scoring system
 
Publisher
Instituto de Medicina Tropical de São Paulo
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.
DOI
10.1590/s1678-9946202062081
ISSN
1678-9946