Abstract

Subjects and Methods. Incidence and prevalence of tuberculosis among children and adolescents in Saratov Region were retrospectively analyzed for 2015-2019.Results. The incidence of tuberculosis in children reflects general trends in the epidemic situation over the years in Saratov Region. In this region during 10 years of monitoring, tuberculosis incidence among children decreased 4 times by 2019 and it made 2.3 per 100,000 population, and among adolescents, it decreased 1.6 times (16.3 per 100,000 population). The number of children with post-tuberculosis changes detected for the first time increased 3 times in 2019 versus 2015, and the number of adolescents increased 4.5 times not only due to transition to tuberculosis screening in children aged 8-17 years old by skin test with tuberculosis recombinant allergen but also to the examination of children by computed tomography. The incidence in children followed up as Group IVA in 2019 was 15 times higher than this rate in the overall pediatric population. Analysis of the number of children and adolescents who developed tuberculosis and followed up as Groups IV and VI in 2015-2019 showed that the number of children ill with tuberculosis in Group IV was 3 times higher than the number of children in Group VI.

Highlights

  • Достоверность показателя заболеваемости детей туберкулезом всегда вызывает сомнения, когда проводится анализ данных IIIА группы диспансерного наблюдения – дети с впервые выявленными посттуберкулезными изменениями (с 2020 г. – VIБ группа учета) [4]

  • Мониторинг показателя заболеваемости туберкулезом не только на территории, но и в группах диспансерного наблюдения (IV и VI группы), а также анализ данных IIIА группы

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Summary

Introduction

Среди подростков за 10 лет наблюдения заболеваемость стала ниже в 1,6 раза, при этом подъемы показателя регистрировались в 2014 г. Показатель заболеваемости туберкулезом подростков всегда был выше данного параметра среди детей: 2015 г. Заболеваемость коренного населения среди взрослых, детей и подростков по годам наблюдения

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Conclusion
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