We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Diagnosis of pulmonary tuberculosis in children and adolescents: comparison of two versions of the Brazilian Ministry of Health scoring system.
- Authors
Carvalho, Roberta Feijó; Calçada Carvalho, Anna Cristina; Coca Velarde, Luis Guillermo; Maciel de Oliveira Rossoni, Andrea; Aurilio, Rafaela Baroni; Maria de Azevedo Sias, Selma; Schmidt, Christiane Mello; da Silva Rezende Moreira, Adriana; da Silva Martins, Pedro; Isidoro Gonçalves, Lorrayne; Miceli Martire, Terezinha; Ferreira Barbosa, Ana Paula; Quintanilha dos Santos, Ana Paula; Maia de Castro Romanelli, Roberta; Rodrigues de Oliveira, Maria das Graças; Oliveira Diniz, Lilian Martins; Lucchesi de Carvalho, Andrea; Lucena, Sheila Cunha; Santos Cruz, Maria Letícia; Saavedra, Mariza Curto
- 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 1st, 2004, to December 1st, 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.
- Publication
Revista do Instituto de Medicina Tropical de São Paulo, 2020, Vol 62, p1
- ISSN
0036-4665
- Publication type
Article
- DOI
10.1590/S1678-9946202062081