A review of tuberculosis-related referrals among children in Ireland

Ir J Med Sci. 2010 Jun;179(2):251-4. doi: 10.1007/s11845-009-0443-0. Epub 2009 Oct 23.

Abstract

Background: Immigration has been shown to have an increasingly important effect on the epidemiology of tuberculosis (TB) in developed countries.

Aim: To review patterns of TB-related referrals to a paediatric infectious diseases clinic.

Methods: Retrospective chart review of TB-related referrals of children attending the Rainbow Clinic at OLCHC between 2003-2005.

Results: Forty-seven children were assessed: 18 referred from public health clinics, 5 from general practitioners, and 24 from paediatricians. Most common reason for referral was history of TB exposure (60%). Eighteen (38%) were female, 29 (62%) were male. Thirteen (28%) had latent TB, and 17 (36%) had active disease. Of children with TB disease, 25 (83%) were Caucasian Irish, and the remainder was African. Twenty-five children completed TB treatment and were discharged, and 2 (7%) were lost to follow-up.

Conclusion: Our study highlights the problem of TB in children, the majority of whom are native to this country.

MeSH terms

  • Adolescent
  • Age Factors
  • Child
  • Child Welfare
  • Child, Preschool
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Ireland / epidemiology
  • Latent Tuberculosis / diagnosis
  • Latent Tuberculosis / epidemiology*
  • Latent Tuberculosis / prevention & control
  • Male
  • Mycobacterium tuberculosis / isolation & purification*
  • Pedigree
  • Predictive Value of Tests
  • Public Health
  • Reagent Kits, Diagnostic
  • Referral and Consultation / statistics & numerical data*
  • Retrospective Studies
  • Tuberculin Test
  • Tuberculosis, Pulmonary / diagnosis
  • Tuberculosis, Pulmonary / epidemiology*
  • Tuberculosis, Pulmonary / prevention & control

Substances

  • Reagent Kits, Diagnostic