Authors
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Roberta Feijó Carvalho
Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil
https://orcid.org/0000-0002-5322-410X
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Anna Cristina Calçada Carvalho
Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro, Brazil
https://orcid.org/0000-0002-0128-942X
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Luis Guillermo Coca Velarde
Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil
https://orcid.org/0000-0003-3110-5270
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Andrea Maciel de Oliveira Rossoni
Universidade Federal do Paraná, Curitiba, Paraná, Brazil
https://orcid.org/0000-0003-2522-0547
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Rafaela Baroni Aurilio
Universidade Federal do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazi
https://orcid.org/0000-0003-2727-520X
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Selma Maria de Azevedo Sias
Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazi
https://orcid.org/0000-0003-1171-196X
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Christiane Mello Schmidt
Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil
https://orcid.org/0000-0001-5040-9742
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Adriana da Silva Rezende Moreira
Universidade Federal do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazi
https://orcid.org/0000-0001-7057-805X
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Pedro da Silva Martins
Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro, Brazil
https://orcid.org/0000-0001-6067-4195
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Lorrayne Isidoro Gonçalves
Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro, Brazil
https://orcid.org/0000-0001-9478-3146
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Terezinha Miceli Martire
Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil
https://orcid.org/0000-0002-7614-062X
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Ana Paula Ferreira Barbosa
Programa de Controle da Tuberculose, São Gonçalo, Rio de Janeiro, Brazil
https://orcid.org/0000-0002-9235-3625
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Ana Paula Quintanilha dos Santos
Programa de Controle da Tuberculose, Itaboraí, Rio de Janeiro, Brazil
https://orcid.org/0000-0001-9060-1608
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Roberta Maia de Castro Romanelli
Hospital Municipal Raphael de Paula Souza, Rio de Janeiro, Rio de Janeiro, Brazil
https://orcid.org/0000-0002-1660-0751
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Maria das Graças Rodrigues de Oliveira
Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazi
https://orcid.org/0000-0003-2070-6185
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Lilian Martins Oliveira Diniz
Fundação Hospitalar do Estado de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
https://orcid.org/0000-0001-7802-4377
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Andrea Lucchesi de Carvalho
Fundação Hospitalar do Estado de Minas Gerais, Belo Horizonte, Minas Gerais, Brazi
https://orcid.org/0000-0002-9533-784X
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Sheila Cunha Lucena
Hospital Municipal Raphael de Paula Souza, Rio de Janeiro, Rio de Janeiro, Brazil
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Maria Letícia Santos Cruz
Hospital Federal dos Servidores do Estado, Rio de Janeiro, Rio de Janeiro, Brazil
https://orcid.org/0000-0002-1559-7562
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Mariza Curto Saavedra
Hospital Federal dos Servidores do Estado, Rio de Janeiro, Rio de Janeiro, Brazi
https://orcid.org/0000-0002-9141-4182
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Tony Tannous Tahan
Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro, Brazil
https://orcid.org/0000-0003-2476-8519
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Cristina de Oliveira Rodrigues
Universidade Federal do Paraná, Curitiba, Paraná, Brazil
https://orcid.org/0000-0003-0845-0738
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Afrânio Lineu Kritski
Universidade Federal do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil
https://orcid.org/0000-0002-5900-6007
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Clemax Couto Sant’Anna
Universidade Federal do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazi
https://orcid.org/0000-0001-8732-8065
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Claudete Aparecida Araújo Cardoso
Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil
https://orcid.org/0000-0002-7638-6814
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Maria de Fátima Bazhuni Pombo Sant’Anna
Hospital Federal dos Servidores do Estado, Rio de Janeiro, Rio de Janeiro, Brazil
https://orcid.org/0000-0002-3633-6070
Keywords:
Pulmonary tuberculosis, Children, Diagnosis, Clinical protocols, Tuberculin skin test, Tuberculosis scoring system
Abstract
The 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.
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Section
Original Articles
How to Cite
Diagnosis of pulmonary tuberculosis in children and adolescents: comparison of two versions of the Brazilian Ministry of Health scoring system. (2020).
Revista Do Instituto De Medicina Tropical De São Paulo,
62, e81.
https://revistas.usp.br/rimtsp/article/view/179013