爱尔兰儿童结核病转诊情况综述。

A review of tuberculosis-related referrals among children in Ireland.

机构信息

Department of Infectious Diseases, Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland.

出版信息

Ir J Med Sci. 2010 Jun;179(2):251-4. doi: 10.1007/s11845-009-0443-0. Epub 2009 Oct 23.

DOI:10.1007/s11845-009-0443-0

PMID:19851708

Abstract

BACKGROUND

Immigration has been shown to have an increasingly important effect on the epidemiology of tuberculosis (TB) in developed countries.

AIM

To review patterns of TB-related referrals to a paediatric infectious diseases clinic.

METHODS

Retrospective chart review of TB-related referrals of children attending the Rainbow Clinic at OLCHC between 2003-2005.

RESULTS

Forty-seven children were assessed: 18 referred from public health clinics, 5 from general practitioners, and 24 from paediatricians. Most common reason for referral was history of TB exposure (60%). Eighteen (38%) were female, 29 (62%) were male. Thirteen (28%) had latent TB, and 17 (36%) had active disease. Of children with TB disease, 25 (83%) were Caucasian Irish, and the remainder was African. Twenty-five children completed TB treatment and were discharged, and 2 (7%) were lost to follow-up.

CONCLUSION

Our study highlights the problem of TB in children, the majority of whom are native to this country.

摘要

背景

移民对发达国家的结核病（TB）流行病学的影响越来越大。

目的

综述一家儿科传染病门诊接诊的与结核病相关的转诊患者模式。

方法

对 2003-2005 年间在 OLCHC 的 Rainbow 诊所就诊的儿童进行结核病相关转诊的回顾性图表审查。

结果

评估了 47 名儿童：18 名来自公共卫生诊所，5 名来自全科医生，24 名来自儿科医生。转诊的最常见原因是 TB 接触史（60%）。18 名（38%）为女性，29 名（62%）为男性。13 名（28%）有潜伏性 TB，17 名（36%）有活动性疾病。在患有结核病的儿童中，25 名（83%）为白种爱尔兰人，其余为非洲人。25 名儿童完成了结核病治疗并出院，2 名（7%）失访。