Lethal cases of tuberculosis in children in Siberian and Far Eastern Federal Districts in 2018
https://doi.org/10.21292/2075-1230-2020-98-2-25-29
Abstract
The objective of the study: to analyze lethal cases of tuberculosis in children and adolescents in Siberian and Far Eastern Federal Districts, to determine the causes that contributed to lethal outcomes.
Subjects and methods. Reports on 9 lethal outcomes of tuberculosis in children (n = 8) and adolescents (n = 1) in 2018 were retrospectively analyzed in 8 regions of Siberian and Far Eastern Federal Districts.
Results. All the deceased lived in socially disadvantaged families. It was found out that parents failed to fulfill their obligations in providing care for the child. All children, except one, were vaccinated with BCG. No one had been diagnosed with HIV infection. Children under 7 years old prevailed. In 63% of cases, exposure to tuberculosis was detected. Immunodiagnosis of tuberculosis was not carried out or was irregular in the majority of cases (75% of lethal cases). All children died within 1 year of follow-up by a TB unit. Tuberculosis with lesions of the central nervous system was registered in 87.5% of lethal cases.
Conclusion. The main causes contributing to the death of children due to tuberculosis were the socially disadvantaged families and the lack of attention from social service specialists, defects in the work of physicians from primary health services on the early detection of tuberculosis among children, and defects in the work of phthisiologists in the nidi of tuberculosis infections.
About the Authors
I. V. Pavlenok
Novosibirsk Tuberculosis Research Institute
Russian Federation
Russian Federation
Pediatric Phthisiologist, Chief Pediatric TB Expert of the Siberian Federal District
Phone/Fax: +7 (383) 203-83-67
81a, Okhotskaya St., Novosibirsk, 630040
O. V. Revyakina
Novosibirsk Tuberculosis Research Institute
Russian Federation
Russian Federation
Candidate of Medical Sciences, Head of Scientific Organizational Sector
Phone/Fax: +7 (383) 203-83-67
81a, Okhotskaya St., Novosibirsk, 630040
D. V. Stepanov
Novosibirsk Tuberculosis Research Institute
Russian Federation
Russian Federation
Candidate of Economic Sciences, Deputy Director
Phone/Fax: +7 (383) 203-79-92
81a, Okhotskaya St., Novosibirsk, 630040
V. A. Krasnov
Novosibirsk Tuberculosis Research Institute,
Novosibirsk State Medical University
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor, Director
Phone/Fax: +7(383) 203-78-25
81a, Okhotskaya St., Novosibirsk, 630040
References
1. Аksenova V.А., Baryshnikova L.А., Dolzhenko E.N., Kudlay D.А. Topical issues of mass screening in children for tuberculosis under current conditions. Doktor. ru, 2012, vol. 76, no. 8, pp. 27-29. (In Russ.)
2. Аksenova V.А., Klevno N.I., Baryshnikova L.А., Kudlay D.А., Nikolenko N. Yu., Kurilla А.А.Vyavleniye tuberkuleza i taktika dispansernogo nabludeniya za litsami iz grupp riska s ispolzovaniyem rekombinantnogo tuberkuleznogo allergena - Diaskintest®. Metod. rekomendatsii[Detection of tuberculosis and tactics for dispensary follow-up over risk groups with the use of the recombinant tuberculous allergen - Diaskintest®. Guidelines]. Moscow, Pervy MGMU Im. I. M. Sechenova Publ., 2011, 12 p.
3. Аksenova V.А., Levi D.T., Аleksandrova N.V., Kudlay D.А. Current tuberculosis incidence in children, agents for the infection prevention and diagnostics.Biopreparaty. Profilaktika, Diagnostika, Lechenie, 2017, vol. 17, no. 3, pp. 145-151. (In Russ.)
4. Lukashova E.N., Kopylova I.F., Plokhikh D.А. Analysis of lethal outcomes in children in Kemerovo Region. Mat i Ditya v Kuzbasse, 2016, no. 4, pp. 58-60. (In Russ.)
5. Revyakina O.V., Аlekseeva T.V., Filippova O.P., Pavlenok I.V. Osnovnye pokazateli protivotuberkuleznoy deyatelnosti v Sibirskom i Dalnevostochnom federalnykh okrugakh. Sbornik statisticheskikh pokazateley. [Main rates of anti-tuberculosis activities in Siberian and Far Eastern Federal Districts. Collection of statistic rates]. Novosibirsk, Sibmedizdat NGMU Publ., 2016, 92 p.
6. Revyakina O.V., Filippova O.P., Pavlenok I.V., Mitrofanov R.M. Osnovnye pokazateli protivotuberkuleznoy deyatelnosti v Sibirskom i Dalnevostochnom federalnykh okrugakh. Sbornik statisticheskikh pokazateley. [Main rates of anti-tuberculosis activities in Siberian and Far Eastern Federal Districts. Collection of statistic rates]. Novosibirsk, Sibmedizdat NGMU Publ., 2018, 96 p.
7. Federal Law no. 323-FZ as of 21.11.2011 On Basics of Health Care for Citizens of the Russian Federation. (In Russ.) Available: http://www.consultant.ru/document/cons_doc_LAW_121895/
Review
For citations:
Pavlenok I.V., Revyakina O.V., Stepanov D.V., Krasnov V.A. Lethal cases of tuberculosis in children in Siberian and Far Eastern Federal Districts in 2018. Tuberculosis and Lung Diseases. 2020;98(2):25-29. (In Russ.) https://doi.org/10.21292/2075-1230-2020-98-2-25-29
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