原创力文档high incidence of pulmonary tuberculosis in children admitted with severe pneumonia in uganda高的肺结核发病率在乌干达承认患有严重肺炎的儿童.pdfVIP
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high incidence of pulmonary tuberculosis in children admitted with severe pneumonia in uganda高的肺结核发病率在乌干达承认患有严重肺炎的儿童
Nantongo et al. BMC Pediatrics 2013, 13:16
/1471-2431/13/16
RESEARCH ARTICLE Open Access
High incidence of pulmonary tuberculosis in
children admitted with severe pneumonia in
Uganda
1 2,4* 1 3 3
Josephine M Nantongo , Eric Wobudeya , Ezekiel Mupere , Moses Joloba , Willy Ssengooba ,
Harriet N Kisembo5, Irene R Lubega1,4 and Philippa M Musoke1,4
Abstract
Background: A high prevalence of tuberculosis (TB) in children presenting with severe pneumonia has previously
been reported in South Africa. However, little is known about TB among children with pneumonia in Uganda and
other resource limited countries. Moreover, TB is associated with high morbidity and mortality among such
children. We conducted this study to establish the burden of pulmonary TB in children admitted with severe
pneumonia in our setting.
Methods: A cross-sectional study was conducted at Mulago, a National Referral and teaching hospital in Uganda.
Hospitalised children 2 months to 12 years of age with severe pneumonia based on WHO case definition were
enrolledfrom February to June 2011. Children with a previous TB diagnosis or receiving anti-TB treatment were
excluded. Each child was screened for TB using Tuberculin skin test, Chest X-ray, induced sputum samples and
blood culture for mycobacterium. Sputum smears were examined using fluorescent microscopy, and cultured on
both Lowenstein Jensen media (LJ) and Mycobacterial Growth Indicator Tubes (MGIT).
Results: Of the 270 children with severe pneumonia who were recruited over a 5-month period in 2011, the
incidence ratio of pulmonary TB in children admitted with severe pneumonia was 18.9% (95% CI 14.6 – 23.9). The
proportion of culture confirmed PTB was 6.3% (95% CI 3.8 – 9.7).
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