Epidemiological Aspects of Tuberculosis in Children and Adolescents from 0 to 17 Years Old during the Improved Tuberculosis Situation
https://doi.org/10.21292/2075-1230-2021-99-9-31-37
Abstract
Between 2008 and 2018, the overall tuberculosis incidence in Novosibirsk Region went down with the moderate annual decrease of 3.9% on average. By the end of 2018, the number of new tuberculosis cases decreased, while the incidence of multiple drug resistant tuberculosis increased. Tuberculosis situation in children from 0 to 17 years old was characterized by stabilization of incidence. In adolescents, these rates moderately decreased (-2.9%), and in children under 14 years old, this rate demonstrated the annual growth of 4.8%. In the context of the large burden of tuberculosis infection (2008), in 61.3% of tuberculosis cases in children aged 0-17 years, the index case of tuberculosis infection (ITBI) was not identified; by 2018, this rate dropped to 30.3%. However, the family exposure to a tuberculosis case was rather a predictor of the disease in children versus adolescents. And among adolescents, the role of casual contacts with ITBI was high (60.6%). Regardless of the epidemic situation, most of the children from 0 to 17 years old who developed tuberculosis were not covered by tuberculosis control activities, one of the reasons was the late detection of the source of tuberculosis infection.
About the Authors
L. V. Poddubnaya
Novosibirsk State Medical University
Russian Federation
Russian Federation
Ludmila V. Poddubnaya, Doctor of Medical Sciences, Associate Professor, Head of Phthisiopulmonology Department
52, Krasny Ave., Novosibirsk, 630091.
Phone/Fax: 383-2-223204
E. P. Shilova
Novosibirsk State Medical University
Russian Federation
Russian Federation
Elena P. Shilova, Assistant of Phthisiopulmonology Department
52, Krasny Ave., Novosibirsk, 630091.
Phone/Fax: 383-2-223204
I. Yu. Igoshina
Novosibirsk Regional Clinical TB Dispensary
Russian Federation
Russian Federation
Inna Yu. Igoshina, Head of Pediatric Department
9/1, A. Nevskogo St., Novosibirsk, 630075.
Phone/Fax: 383-2-714436
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Review
For citations:
Poddubnaya L.V., Shilova E.P., Igoshina I.Yu. Epidemiological Aspects of Tuberculosis in Children and Adolescents from 0 to 17 Years Old during the Improved Tuberculosis Situation. Tuberculosis and Lung Diseases. 2021;99(9):31-37. (In Russ.) https://doi.org/10.21292/2075-1230-2021-99-9-31-37
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