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Finding the most neglected:identifying and treating more children with TB

Finding the most neglected:identifying and treating more children with TB. TB is a leading killer of children , yet they remain utterly neglected . TB is a top 10 cause of death in children . Each year more than 500,000 children suffer from TB and 74,000 die.

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Finding the most neglected:identifying and treating more children with TB

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  1. Finding the most neglected:identifying and treating more children with TB TB is a leading killer ofchildren, yettheyremainutterlyneglected.TB is a top 10 cause ofdeath in children. Eachyear more than 500,000 childrensufferfrom TB and 74,000 die. Clemax Couto Sant´Anna, MD, PhD NTCP Brazil, AdvisoryCommitte

  2. Actions to improve TB careWHO and the Stop TB Partnership point to 3 key actions needed to improve TB care and prevent TB deaths in children

  3. PREVENTION: Tuberculin skin testing & IGRAS PNCT. MS- Brazil, 2014

  4. PREVENTION: Tuberculin skin testing & IGRAS Extent and Effects of Recurrent Shortages of Purified-Protein Derivative Tuberculin Skin Test Antigen Solutions — United States, 2013. Weekly. December 13, 2013 / 62(49);1014-1015 IGRAsshouldnotreplacethe TST in low-andmiddle-income countries for thediagnosisof LTBI in childrenor for thediagnosticwork-upofchildren (irrespectiveof HIV status) suspectedof TB disease in thesesettings RECOMMENDATION 5. Guidance for NTP onthe management of TB in children.WHO, 2014.

  5. DIAGNOSIS: Specimen collection methods

  6. Guidance on approach to diagnosis of TB in children (WHO. Guidance, 2nd ed,2014) • Careful history (including history of TB contact and symptoms consistent with TB) • Clinical examination (including growth assessment) • Tuberculin skin testing • Chest X-ray (if avaliable) • Bacteriological confirmation whenever possible • Investigations relevant for suspected PTB and suspected EPTB • HIV testing WHO. Guidance for NTP on the management of TB in children, 2014

  7. Pulmonary TB in children and adolescents Diferences

  8. Score system for diagnosis of pulmonary TB in children (and negative adolescents).MOH-Brazil

  9. Scores for Childhood TB dianosis. Sistematic review, 2012 Pearce EC et al. AidsResTreat 2012; 4018

  10. Gene XpertDiagnosis of paediatric TB in Community-based TB services Rio de Janeiro, Brazil. 2014 Period: Aug- Sept 2014 J. Pio - SMSDC . Rio de Janeiro, Brazil

  11. Finding the most neglected: identifying and treating more children with TB ROADMAP FOR CHILDHOOD TB, 2013 (adapt).

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