出版社：Indian Association of Preventive and Social Medicine, Gujarat
摘要：Background: Children are especiallyvulnerable to the effects of tuberculosis, whichis often difficult to diagnose in young childrenand therefore difficult to treat effectively.Objective: To study profile and trend ofpaediatric TB cases in AMC area during year2007 to 2009.Methodology: Study: Record based. Sample:2253 treatment cards of 0-14 years age group.Inclusion: All TB units (10 units) in AMC area.Analysis: SPSSResults: Incidence of Paediatric TB in AMCwas 0.48, 0.46 and 0.34/1000 in the year 2007,2008 & 2009 respectively. East zone showedhighest number of cases (701cases, 31.1%).Incidence increased in north and west zonesfrom 2007 to 2009. Below 8 years, malessuffered more than females. In 8-14 year agegroup, females suffered more. Amongst theExtra-pulmonary TB cases, (1279, 56.1%), mostcommon sites in both groups were Lymph nodes(F:50.63%, M:47.30% p=0.25) followed byAbdomen (F:18.19%, M:14.52% p=0.08).Brain¨Cmeninges (M:14.37%, F:10.76%, p=0.06)& Pleura(M:12.21%, F:10.60%, p=0.41). Thegender differences in different sites wereinsignificant. Category-3 showed decreasingtrends in all age groups. 8-10% of all cases haveprevious history of anti-TB treatment.Treatment success rate (cured + treatmentcompleted) showed an increasing trend everyyear during 2007-2009 (94.63%, 95.02%,95.55%). Deaths due to TB was apparently morein females than in males, but insignificant(F:1.38%, M:0.54% p=0.07). Conclusion:Functioning of RNTCP in AMC has shownencouraging results in last three years in theform of decreasing trend in incidence andincreasing trend in treatment success rate
