logo BDSP

Base documentaire


  1. Tuberculosis in children and adolescents : California, 1985 to 1995.

    Article - En anglais

    Objectives

    To describe the epidemiology and clinical characteristics of tuberculosis (TB) among children and adolescents and to define children at risk for TB.

    Setting

    4607 children 0 to 14 years of age and 1615 adolescents 15 to 19 years of age reported with TB in California.

    Methods

    We analyzed surveillance data reported to the California Department of Health Services TB Control Branch from 1985 through 1995.

    Results

    TB cases increased 22% among children 0 to 4 years of age and 66% among children 5 to 14 from 1985 through 1995.

    Case rates were highest among children 0 to 4 years of age (13/100 000 children), but declined from 1993 to 1995, except for black children 0 to 4 years of age.

    Minority children 0 to 14 years of age had case rates 6-to 34-fold higher than did white children.

    Pulmonary TB was the most common site of disease in all age groups (71 to 82%). TB meningitis was most common in children 0 to 4 years of age (5%). Most children (64%) did not have cultures done ; however, among culture-proved cases isoniazid-resistant Mycobacterium tuberculosis was isolated in 7%. Adolescents were more likely to have cavitary pulmonary disease (24%), to be foreign-born (78%) or homeless (4%) and to have an isoniazid-resistant strain isolated (13%) than were children 0 to 14 years of age (P<0.05).

    Conclusions

    TB in children and adolescents increased substantially in the mid-1980s and early 1990s. (...)

    Mots-clés Pascal : Tuberculose, Mycobactériose, Bactériose, Infection, Mycobacterium tuberculosis, Mycobacteriaceae, Mycobacteriales, Actinomycetes, Bactérie, Epidémiologie, Prévalence, Enfant, Homme, Adolescent, Californie, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Mycobacterium tuberculosis, Mycobacteriaceae, Mycobacteriales, Actinomycetes, Bacteria, Epidemiology, Prevalence, Child, Human, Adolescent, California, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0276286

    Code Inist : 002B05B02O. Création : 27/11/1998.