The characteristics of the clinical, radiological and microbiological evolution of secondary tuberculosis in adolescents.
DOI:
https://doi.org/10.52692/1857-0011.2025.3-83.10Keywords:
tuberculosis, secondary forms, adolescentsAbstract
According to literature data, in the current alarming epidemiological conditions, in the pediatric group, forms of tuberculosis characteristic of adults are attested. A study was conducted on a group of 121 adolescent patients in the Pediatric Pneumophthisiology Department of CMHP, Chisinau mun. 2023- 2024. The age of adolescents included in the study was 11-18 years. Household contact statistically significantly predominated over close contact: 72 (59.5 ± 3.92%) cases compared to 17 (14 ± 3.0%) cases (p < 0.05). Antituberculosis chemoprophylaxis was followed by only 22 (18.2 ± 3.4%) patients. Sputum smear results found a significant predominance of patients with a “negative” sputum microscopy result 81 (66.9 ± 4.16%) cases. Limited pulmonary infiltrates were described in 30 (31.3 ± 4.6%) patients,
medium-extended infiltrates – in 34 (35.4 ± 4.8%) patients and extensive infiltrates were assessed in 32 (33.3 ± 4.71%). In the structure of clinical forms of secondary tuberculosis in children, infiltrative pulmonary tuberculosis predominated, followed by tuberculous pleurisy.
References
Ghelis I. Impactul tuberculozei la adolescenți în contextul actual al sănătății publice. Buletinul Academiei de Ştiinţe a Moldovei. Ştiinţe Medicale. 2024, pp. 206-209.
Iavorschi C., Saghin T., Niguleanu A., Malic A., Lesnic E. Factorii de risc și determinanții socio-demografici ai recidivei tuberculozei în populația pediatrică. Buletinul Academiei de Ştiinţe a Moldovei. Ştiinţe Medicale. 2022. 74(3), 34-38.
Kulciţchi S., Iavorschi C., Malic A., Selevestru R., Rotaru-Lungu C., Bounegru A. Tuberculoza pediatrică în raport cu sistemul imun. Buletinul Academiei de Ştiinţe a Moldovei. Ştiinţe Medicale. 2022. 74(3), 29-33.
Lesnic E., Malic, A., Osipov T. Impactul factorilor de risc asupra incidenței tuberculozei în municipiul Chișinău. Arta Medica. Chisinau, 2021, 4(81), 11-17.
Lesnic E., Ustian A., Niguleanu A., et al. Social features of patients with pulmonary tuebrculosis. In: Туберкулез, легеневi хвороби, ВIЛ-iнфекция. Киев, Украина, 2016, 12(25), c. 36-40. ISSN 2220-5071.
Ministerul Sănătății. Protocol Clinic Național. Tuberculoza la adult. Chișinău, 2024. https://old.ms.gov.md/files
Niguleanu A., Lesnic E., Malic A., OsipovT., Ustian A., Ceban R. Pleurezia tuberculoasă-particularitățile clinice, evolutive și rezultate terapeutice. Cercetarea în biomedicină și sănătate: calitate, excelență și performanță. 2024.
Vatavu N., Niguleanu A., Lesnic E., Malic A., Osipov T., Ustian A. Pleurezia tuberculoasă particularitățile clinice, evolutive și rezultate terapeutice. Revista de Științe ale Sănătății din Moldova, Moldovan Journal of Health Sciences. 2024
World Health Organization. Global tuberculosis report. 2022. https://www.who.int/publications/i/item/9789240013131
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