Author/Authors :
Bolursaz، Mohammad Reza نويسنده Pediatric Respiratory Disease Research Center, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran , , Lotfian، Ferial نويسنده Pediatric Respiratory Disease Research Center, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran , , Aghahosseini، Farahnaz نويسنده Clinical Tuberculosis and Epidemiology Research Center, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran , , Hassanzad، Maryam نويسنده , , Ghafaripoor، Hosseinali نويسنده Chronic Respiratory Diseases Research Center, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran , , Khalilzadeh، Soheila نويسنده , , Baghaie، Noshin نويسنده Pediatric Respiratory Disease Research Center, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran , , Velayati، Aliakbar نويسنده Clinical Tuberculosis and Epidemiology Research Center, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran ,
Abstract :
Tuberculosis (TB) is a globally significant cause of morbidity and
mortality in children. Few data on tuberculosis in children and
adolescents are available in Iran. The current study aimed to describe
the case characteristics and clinical-epidemiological aspects of
children and adolescents with TB. A retrospective review was undertaken
on 203 patients aged less than 19 years admitted to a referral TB
hospital from 2006 to 2011. Out of the 203 children and adolescents
diagnosed with TB, 57.6% of cases were female. Median age was 15 years
and 51% were 10 -18 years old; 83% had pure pulmonary TB. The common
type of extrapulmonary TB (EPTB) was pleuritis (64%) and 80% of the EPTB
cases were observed in adolescents aged 15 - 18 years. Female
adolescents aged 15-18 years were more likely to have positive smear
(88%), cultural growth (63.6%) and drug resistant TB infection (71%). In
this referral hospital setting, more pediatric patients with TB were
found among adolescent cases especially females. Early detection of
adolescents at risk to developing infection is the essential constituent
of TB control.