Diagnosis of pulmonary tuberculosis in children and adolescents: comparison of two versions of the brazilian ministry of health scoring system

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dc.creatorRoberta Feijócarvalho
dc.creatorLorrayne Isidoro Gonçalves
dc.creatorTerezinha Miceli Martire
dc.creatorAna Paula Ferreira Barbosa
dc.creatorAna Paula Quintanilha Dos Santos
dc.creatorRoberta Maia de Castro Romanelli
dc.creatorMaria Das Graças Rodrigues de Oliveira
dc.creatorLilian Martins Oliveira Diniz
dc.creatorAndrea Lucchesi de Carvalho
dc.creatorSheila Cunha Lucena
dc.creatorMaria Letícia Santos Cruz
dc.creatorAnna Cristina Calçada Carvalho
dc.creatorMariza Curto Saavedra
dc.creatorTony Tannous Tahan
dc.creatorCristina de Oliveira Rodrigues
dc.creatorAfrânio Lineu Kritski
dc.creatorClemax Couto Sant?anna
dc.creatorClaudete Aparecida Araújo Cardoso
dc.creatorMaria de Fátima Bazhuni Pombo Sant?anna
dc.creatorLuis Guillermo Coca Velarde
dc.creatorAndrea Maciel de Oliveira Rossoni
dc.creatorRafaela Baroni Aurilio
dc.creatorSelma Maria de Azevedo Sias
dc.creatorChristiane Mello Schmidt
dc.creatorAdriana da Silva Rezende Moreira
dc.creatorPedro da Silva Martins
dc.date.accessioned2023-11-13T22:05:51Z
dc.date.accessioned2025-09-08T22:48:47Z
dc.date.available2023-11-13T22:05:51Z
dc.date.issued2020
dc.format.mimetypepdf
dc.identifier.doi10.1590/s1678-9946202062081
dc.identifier.issn16789946
dc.identifier.urihttps://hdl.handle.net/1843/60902
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofRevista do Instituto de Medicina Tropical de São Paulo
dc.rightsAcesso Aberto
dc.subjectTuberculosis, Pulmonary
dc.subjectChildren
dc.subject.otherPulmonary tuberculosis
dc.subject.otherChildren
dc.subject.otherTuberculin skin test
dc.subject.otherTuberculosis scoring system
dc.titleDiagnosis of pulmonary tuberculosis in children and adolescents: comparison of two versions of the brazilian ministry of health scoring system
dc.typeArtigo de periódico
local.citation.epage7
local.citation.spage1
local.citation.volume62
local.description.resumoThe 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 1st, 2004, to December 1st, 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.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE PEDIATRIA
local.publisher.initialsUFMG
local.url.externahttps://doi.org/10.1590/S1678-9946202062081

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