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

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 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.

authors

Carvalho RF,Carvalho ACC,Velarde LGC,Rossoni AMO,Aurilio RB,Sias SMA,Schmidt CM,Moreira ADSR,Martins PDS,Gonçalves LI,Martire TM,Barbosa APF,Santos APQD,Romanelli RMC,Oliveira MDGR,Diniz LMO,Carvalho AL,Lucena SC,Cruz

doi

10.1590/S1678-9946202062081

subject

Has Abstract

pub_date

2020-10-30 00:00:00

pages

e81

eissn

0036-4665

issn

1678-9946

pii

S0036-46652020000100238

journal_volume

62

pub_type

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