Daniela Otoni Russo , Ana Luisa Lodi Jimenez , Lilian Martins Oliveira Diniz , Claudete Araújo Cardoso , Roberta Maia de Castro Romanelli
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引用次数: 0
摘要
方法根据 PRISMA 扩展标准进行范围界定审查。筛选时考虑的定义遵循缩写 PCC,其中人群(P)是指 18 岁以下患有结核病的儿童,概念(C)是指错过的预防和诊断机会,背景(C)是指结核病的诊断。作者在 VHL/Lilacs、Medline via PubMed、Cochrane、Scopus 和 Web of Science 等数据库中进行了系统检索,没有日期或语言限制。在疾病负担较轻的发达国家,主要缺陷是对与幼儿接触的患有巴氏杆菌的成人诊断不及时。这一问题主要集中在社会经济弱势人群中。在疾病负担较重的欠发达国家,最大的挑战是追踪与杆菌感染者接触的儿童。应利用 COVID-19 大流行留下的积极遗产,鼓励在传染病管理方面的科学发展。
Missed opportunities in the prevention and diagnosis of pediatric tuberculosis: a scoping review
Objectives
Identify potential barriers, delays, and missed opportunities in the prevention and diagnosis of childhood TB.
Methods
Scoping review according to the PRISMA extension. The definitions considered for the selection followed the acronym PCC where the population (P) is children under 18 years of age with TB disease, the concept (C) refers to missed opportunities for prevention and diagnosis, and context (C) is defined as a diagnosis of TB disease. The authors searched systematically in the databases; VHL/Lilacs, Medline via PubMed, Cochrane, Scopus, and Web of Science, without date or language limitation.
Results
Seven studies were included. In developed countries, with low disease burden, the main shortcoming is the delay in diagnosing bacilliferous adults in contact with young children. This problem is concentrated in the portion of the population with socioeconomic vulnerability. In underdeveloped countries, with a high burden of disease, the biggest challenge is tracking children who come into contact with bacilliferous patients.
Conclusions
There are still many missed opportunities in the prevention and diagnosis of childhood TB. The positive legacy of the COVID-19 pandemic should be taken advantage of and the encouragement of scientific development in the management of infectious diseases should be taken.
期刊介绍:
Jornal de Pediatria is a bimonthly publication of the Brazilian Society of Pediatrics (Sociedade Brasileira de Pediatria, SBP). It has been published without interruption since 1934. Jornal de Pediatria publishes original articles and review articles covering various areas in the field of pediatrics. By publishing relevant scientific contributions, Jornal de Pediatria aims at improving the standards of pediatrics and of the healthcare provided for children and adolescents in general, as well to foster debate about health.