Clinical Symptoms Based on Indonesian Scoring Tuberculosis in Children with Positive Tuberculin Test

Clinical Symptoms Based on Indonesian Scoring Tuberculosis in Children

with Positive Tuberculin Test

Dimas Tri Anantyo, MS Anam, Dwi Wastoro Dadiyanto

Pediatric Department, Faculty of Medicine Diponegoro University/

Dr. Kariadi Hospital Semarang

Background:

The Respirology Working Group of Indonesian Pediatrics Society has developed a scoring system to make a diagnosis of TB. Tuberculin Skin Test (TST) even is not a goal standard but it has a high score in the scoring system.

Objective:

To determine the relationship between the clinical symptoms in the Scoring TB system and TST.

Methods:

Design of study was retrospective. Data was taken from medical records. Subjects were children with positive TST who attended BKPM (Balai Kesehatan Paru Masyarakat=Community Pulmonary Health Clinic) in Semarang and fulfilled the inclusion criteria, during period of July-December 2012. Clinical symptoms observed were: lymph nodes enlargement, close contact of TB person, cough ≥3 weeks, x ray result, fever ≥2 weeks, severe malnutrition, and joint swelling. Statistical analysis used were X².

Result:

Subjects were 145 consist of 72(49,7%) male and 73(50,3%) female.Clinical symptoms found were: lymph nodes enlargement 56(38,6%), contact of TB person 35(24,1%), cough 123(84,8%), x-ray result 52(35,9%), severe malnutrition 47(32,4%), joint swelling 0(0%). Relationship between clinical symptoms and TST: lymph nodes enlargement (p=0,38 95%CI 0,98-1.05), contact of TB person (P=1.00 95%CI 0,97-1,00), cough (P=1.00 95%CI 0,99-1,02),  x-ray result (P=0.36 95%CI 0,98-1,06), fever ≥2 weeks (P=0,46 95%CI 0,96-1,01), severe malnutrition (P=0.32 95% CI 0,94-1,02), and joint swelling (P=1.00 95%CI 0,98-1,00).

Conclusion:

There were no relationship between clinical symptoms in the Scoring TB system and TST

Keywords: Tuberculin test, Clinical symptoms, Tuberculosis Scoring system