Analysis of clinical characteristics in 177 children with osteoarticular tuberculosis

doi:10.3969/j.issn.1000-6621.2019.10.006

Abstract

Abstract:

Objective To understand the clinical characteristics of osteoarticular tuberculosis (TB) in pediatric patients and to provide reference for developing prevention and treatment strategy.Methods The clinical information and data of 177 children with osteoarticular tuberculosis admitted to the West China Hospital of Sichuan University from 2013 to 2017 were collected, including the number of cases admitted each year, sex and age distribution, lesion location of tuberculosis, source and area of the patients. Their clinical characteristics were analyzed.Results From 2013 to 2017, a total of 177 children with osteoarticular tuberculosis were admitted to the West China Hospital of Sichuan University and 143 cases out of them were from Sichuan Province. The average number of hospitalized patients each year was 35.4 cases; 111 patients were male while 66 patients were female, and the ratio of male to female was 1.68∶1; the age of the patients ranged from 1 year to 14 years with an average of 6.4±3.6 years, and the age-group distribution of the patients was as follows: the proportion of infant and before school age (1-6 years old) was 56.5% (100/177), school age (7-12 years old) was 37.3% (66/177) and aged 12 years old and above was 6.2% (11/177). The hip joint was the most commonly affected (59 cases), then followed by spine (54 cases), knee joint (42 cases) and ankle joint (10 cases). The number of the patients who were from Liangshan Yi Autonomous Prefecture, Ganzi Tibetan Autonomous Prefecture, Aba Tibetan Autonomous Prefecture and other areas in Sichuan Province accounted for 50.3% (72/143), 13.3% (19/143), 11.2% (16/143) and 25.2% (36/143), respectively.Conclusion The pediatric patients with osteoarticular tuberculosis admitted to the West China Hospital of Sichuan University are mainly from Liangshan Yi Autonomous Prefecture, Ganzi Tibetan Autonomous Prefecture and Aba Tibetan Autonomous Prefecture in Sichuan Province, so those areas are priority on early prevention and treatment of bone and joint TB. Furthermore, most of the pediatric patients with osteoarticular TB are young children, which is the key group population for TB prevention and screening.

Key words: Tuberculosis, osteoarticular, Child, Disease attributes, Data interpretation, statistical

Lei YANG,Li ZOU,Pan-yi YANG,Xiao-dong YANG,Jun JIANG,Xue-yang TANG. Analysis of clinical characteristics in 177 children with osteoarticular tuberculosis[J]. Chinese Journal of Antituberculosis, 2019, 41(10): 1096-1100. doi: 10.3969/j.issn.1000-6621.2019.10.006

Figures/Tables 1

References 12

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年龄组(岁)	例数	构成比(%)
1~	8	4.5
2~	17	9.6
3~	15	8.5
4~	26	14.7
5~	20	11.3
6~	14	7.9
7~	10	5.6
8~	13	7.3
9~	13	7.3
10~	11	6.2
11~	11	6.2
12~	8	4.5
13~	6	3.4
14~	5	2.8
合计	177	100.0

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