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Free Content Clinical scoring system for paediatric tuberculosis in HIV-infected and non-infected children in Rio de Janeiro [Short communication]

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The scoring system for diagnosing tuberculosis (TB) used in Brazil has already been validated in human immunodeficiency virus (HIV) negative tuberculous children. Here we studied HIV-positive children. The individuals were divided into four groups: 1) tuberculous infection; 2) other pulmonary diseases; 3a) pulmonary TB and 3b)pulmonary TB and HIV. Group 3a had a significantly higher score than Groups 1 and 2, and Group 1 had a higher score than Group 2. Scores for Group 3b were lower than for Group 3a, although they were still >30 points, which is enough to establish a TB diagnosis (P = 0.0005). The system was useful for the diagnosis of pulmonary TB in HIV-negative and -positive children.

Keywords: TB-HIV co-infection; child; diagnosis; tuberculosis

Document Type: Short Communication

Affiliations: 1: Department of Paediatrics, Fluminense Federal University, Niteroi, Rio de Janeiro, Brazil 2: Department of Paediatrics, Faculty of Medicine of Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Rio de Janeiro, Brazil 3: Department of Paediatrics, Hospital Raphael de Paula Souza, Rio de Janeiro, Rio de Janeiro, Brazil

Publication date: March 1, 2009

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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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