Epidemiological aspects of tuberculosis in HIV infected children

Author:

Vasilieva E. B.1,Lozovskaya M. E.1,Klochkova L. V.1,Yarovaya Yu. A.1,Noskova O. M.2

Affiliation:

1. St. Petersburg State Pediatric Medical University

2. Children Infectious Hospital no. 3

Abstract

The objective: to assess the methods and time of detection of tuberculosis and HIV infection in children with the co-infection, epidemiological risk factors to develop tuberculosis and effectiveness of preventive measures.Subjects and methods. 75 children in the age from 0 to 14 years old were enrolled in the study. The TB/HIV Group included 25 children with TB/HIV co-infection. The TB Group included 50 HIV negative children with tuberculosis, they made a comparison group.Results: out of 25 children with TB/HIV, only 18 (72%) were aware of perinatal exposure to HIV. HIV infection was confirmed in 11/25 (44%) children during the first months of life, in the remaining 14/25 (56%) it was confirmed later, the latest at 13 years old. In 4 children, HIV infection was detected during examination for tuberculosis. In the TB/HIV Group, in 14/25 (56%) children were exposed to tuberculosis in their families as well as 35/50 (70%) in the TB Group. The positive result of a sputum test of the index case was registered in 7/14 (50%) children of the TB/HIV Group and 19/35 (54.2%) children of the TB Group. Of 25 children of the TB/HIV Group, 17 children (68%) were vaccinated with BCG, and in 9 of them the vaccination was not done properly. 

Publisher

New Terra

Subject

General Medicine

Reference8 articles.

1. Vasilieva E.B., Lozovskaya M.E., Korol O.I. et al. A case of generalized tuberculosis in a school-age child with late diagnosed HIV infection. Tuberculosis and Lung Diseases, 2015, no. 1, pp. 56-60. (In Russ.)

2. Klevno N.I. Tuberkulez u detey, bolnykh VICH-infektsiey. Avtoref. diss. dokt. med. nauk. [Tuberculosis in HIV infected children. Synopsis of Doct. Diss.]. Moscow, 2015, 48 p.

3. Klevno N.I., Аksenova V.А. Problems of TB/HIV co-infection in children (epidemiology, vaccination, diagnostics and preventive treatment). Probl. Tub., 2008, no. 11, pp. 30-34. (In Russ.)

4. Klevno N.I., Аksenova V.А. Anti-tuberculosis vaccination with BCG: Immunological and clinical efficacy in children born by HIV infected mothers. Biopreparaty. Profilaktika, Diagnostika, Lechenie, 2018, vol. 18, no. 2 (66), pp. 114-120. (In Russ.)

5. Klevno N.I., Frolova O.P., Shakhmuratova L.V. et al. Prevention of tuberculosis in children born by HIVinfected mothers. Problemy Tuberkulyoza u Bolnykh VICH-Infektsiey: Metod. Rekomendatsii, 2010, no. 10, pp. 8. (In Russ.)

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