Tuberculosis situation in children in Kaluga Region in 2014-2018
https://doi.org/10.21292/2075-1230-2019-97-10-31-36
Abstract
Purpose: to study tuberculosis situation in children in Kaluga Region in 2014-2018.
Subjects and methods. Tuberculosis incidence in children was analyzed and compared with tuberculosis rates in adults in 2014-2018. The primary infection of children with tuberculous mycobacteria, the structure of Dispensary Groups III and IV were studied. All new tuberculosis cases in children aged 0 to 17 years in 2014-2018 were analyzed.
Results. In 2014-2018, there were mixed trends in tuberculosis incidence in children in Kaluga Region. The rate of tuberculosis incidence growth made 0.9%, which was higher than the growth in the overall incidence rate and indirectly indicated the presence of infection sources among adult population. No statistically significant correlation was found between the overall incidence of tuberculosis and the incidence of tuberculosis with a positive result of sputum test (r = 0.9; p > 0.05), as well as between the incidence of tuberculosis with with a positive result of sputum test and tuberculosis incidence in children (r = -0.48; p > 0.05). This points out at defects in the work of laboratory service as well as a poor detection of children exposed to infectious tuberculosis cases. In Kaluga Region, the average incidence in children registered as contacts of a tuberculosis case made 809.7 ± 306.1 per 100,000 children exposed to tuberculous infection in 2014-2018.
About the Authors
I. S. Lapshina
Kaluga Regional Clinical TB Hospital
Russian Federation
Russian Federation
Irina S. Lapshina – Candidate of Medical Sciences, Phthisiologist.
70, Lugovaya St., Kaluga, 248025
Yu. N. Zamyslova
Kaluga Regional Clinical TB Hospital
Russian Federation
Russian Federation
Yulia N. Zamyslova – Phthisiologist.
70, Lugovaya St., Kaluga, 248025
T. V. Myakisheva
Smolensk State Medical University by Roszdrav
Russian Federation
Russian Federation
Tatiana V. Myakisheva–Doctor of Medical Sciences, Associate Professor, Head of Phthisiopulmonology Department.
28, Krupskoy St., Smolensk, 214019
A. V. Paramonov
Kaluga Regional Clinical TB Hospital
Russian Federation
Russian Federation
Andrey V. Paramonov – Deputy Head Physician.
70, Lugovaya St., Kaluga, 248025
V. A. Аndreev
Kaluga Regional Clinical TB Hospital
Russian Federation
Russian Federation
Vladimir A. Аndreev – Head Physician.
70, Lugovaya St., Kaluga, 248025
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Review
For citations:
Lapshina I.S., Zamyslova Yu.N., Myakisheva T.V., Paramonov A.V., Аndreev V.A. Tuberculosis situation in children in Kaluga Region in 2014-2018. Tuberculosis and Lung Diseases. 2019;97(10):31-36. (In Russ.) https://doi.org/10.21292/2075-1230-2019-97-10-31-36
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