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Tuberculosis en menores de 15 años en la población Warao de Venezuela / Tuberculosis in subjects under 15 years of age in the population of Warao in Venezuela
Larrea, Carlos Fernández de; Fandiño, Cecil; López, Diana; Nogal, Berenice del; Rodríguez, Nilia; Convit, Jacinto; Araujo, Zaida; Waard, Jacobus H. de.
Afiliação
  • Larrea, Carlos Fernández de; Universidad Central de Venezuela. Facultad de Medicina. Caracas. VE
  • Fandiño, Cecil; Universidad Central de Venezuela. Facultad de Medicina. Caracas. VE
  • López, Diana; Universidad Central de Venezuela. Facultad de Medicina. Caracas. VE
  • Nogal, Berenice del; Universidad Central de Venezuela. Facultad de Medicina. Caracas. VE
  • Rodríguez, Nilia; Universidad Central de Venezuela. Facultad de Medicina. Caracas. VE
  • Convit, Jacinto; Universidad Central de Venezuela. Facultad de Medicina. Caracas. VE
  • Araujo, Zaida; Universidad Central de Venezuela. Facultad de Medicina. Caracas. VE
  • Waard, Jacobus H. de; Universidad Central de Venezuela. Facultad de Medicina. Caracas. VE
Invest. clín ; Invest. clín;43(1): 35-48, mar. 2002.
Article em Es | LILACS | ID: lil-330981
Biblioteca responsável: BR1.1
ABSTRACT
It is difficult to establish a definitive diagnosis of tuberculosis in rural areas where there is no access to a large hospital. The Warao people of the Delta Amacuro State in Venezuela, have a very high prevalence of adult TB, and we suspected that the Warao children would also have a high prevalence of the disease, almost entirely undiagnosed. We applied a simple methodology to select children suspicious for tuberculosis that is based on a rating system using clinical criteria, reactivity to tuberculin and intradomicilliary contacts. Of the 502 children under the age of 15 that were evaluated with this rating system, 27 were determined to be suspicious of TB and were further evaluated by a chest X-ray. Radiologic confirmation of TB was found in 16 (60) of the 27 suspicious children. Of these 16 patients, 13 (81) were PPD positive and 3 were PPD negative. Additionally, 7 of the 16 children with pathologic x-ray changes had one or more confirmatory

findings:

3 were positive by culture or smear examination and 5 had a positive serologic B diagnostic test. In conclusion this methodology proved to be highly efficient in diagnosing childhood tuberculosis in this population, and should also be useful in other rural populations with a high prevalence of adult TB.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Tuberculose Pulmonar Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male País/Região como assunto: America do sul / Venezuela Idioma: Es Revista: Invest. clín Assunto da revista: Biologia / MEDICINA / Relatos de Casos Ano de publicação: 2002 Tipo de documento: Article País de afiliação: Venezuela País de publicação: Venezuela
Texto completo
Adicionar na Minha BVS
Imprimir
XML
Buscar no Google
Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Tuberculose Pulmonar Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male País/Região como assunto: America do sul / Venezuela Idioma: Es Revista: Invest. clín Assunto da revista: Biologia / MEDICINA / Relatos de Casos Ano de publicação: 2002 Tipo de documento: Article País de afiliação: Venezuela País de publicação: Venezuela