Diagnosis of pulmonary tuberculosis in children and adolescents: comparison of two versions of the Brazilian Ministry of Health scoring system

dc.creatorCarvalho, Roberta Feijó
dc.creatorCarvalho, Anna Cristina Calçada
dc.creatorVelarde, Luis Guillermo Coca
dc.creatorRossoni, Andrea Maciel de Oliveira
dc.creatorAurílio, Rafaela Baroni
dc.creatorSias, Selma Maria de Azevedo
dc.creatorSchmidt, Christiane Mello
dc.creatorMoreira, Adriana da Silva Rezende
dc.creatorMartins, Pedro da Silva
dc.creatorGonçalves, Lorrayne Isidoro
dc.creatorMartire, Terezinha Miceli
dc.creatorBarbosa, Ana Paula Ferreira
dc.creatorSantos, Ana Paula Quintanilha dos
dc.creatorRomanelli, Roberta Maia de Castro
dc.creatorOliveira, Maria das Graças Rodrigues de
dc.creatorDiniz, Lilian Martins Oliveira
dc.creatorCarvalho, Andrea Lucchesi
dc.creatorLucena, Sheila Cunha
dc.creatorCruz, Maria Letícia Santos
dc.creatorSaavedra, Mariza Curto
dc.creatorTahan, Tony Tannous
dc.creatorRodrigues, Cristina de Oliveira
dc.creatorKritski, Afrânio Lineu
dc.creatorSant’Anna, Clemax Couto
dc.creatorCardoso, Claudete Aparecida Araújo
dc.creatorSant’Anna, Maria de Fátima Bazhuni Pombo
dc.date2021-01-03T20:03:49Z
dc.date2021-01-03T20:03:49Z
dc.date2020
dc.date.accessioned2023-09-26T22:34:39Z
dc.date.available2023-09-26T22:34:39Z
dc.identifierCARVALHO, 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.
dc.identifier1678-9946
dc.identifierhttps://www.arca.fiocruz.br/handle/icict/45490
dc.identifier10.1590/s1678-9946202062081
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8880607
dc.descriptionThe 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.
dc.formatapplication/pdf
dc.languageeng
dc.publisherInstituto de Medicina Tropical de São Paulo
dc.rightsopen access
dc.subjectTuberculose pulmonar
dc.subjectCrianças
dc.subjectDiagnóstico
dc.subjectProtocolos clínicos
dc.subjectTeste de pele de tuberculina
dc.subjectSistema de pontuação da tuberculose
dc.subjectPulmonary tuberculosis
dc.subjectChildren
dc.subjectDiagnosis
dc.subjectClinical protocols
dc.subjectTuberculin skin test
dc.subjectTuberculosis scoring system
dc.titleDiagnosis of pulmonary tuberculosis in children and adolescents: comparison of two versions of the Brazilian Ministry of Health scoring system
dc.typeArticle


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