Pediatric Tuberculosis
Pediatric Tuberculosis
EPIDEMIOLOGY-TBTuberculosis is an infectious disease caused byMycobacterium tuberculosis. TBhas affected human for a long time. It has been present inthe human population since antiquity -fragments of thespinal column from Egyptian mummies from 240o B.C. showdefinite pathological signs of tubercular decay.Since streptomycin was used to treat TB in 1943. several口anti-tubercular drug had been discovered. Its mortality andmorbidity decreased greatly. However,the global incidenceofTBincreases from theearlyof1990 Now, TB remains a leading public health problem
E P I D E M I O L O G Y - T B □ Tuberculosis is an infectious disease cause d by Mycobacterium tuberculosis. □ TB has affected human for a long time. It has been present in the human population since antiquity - fragments of the spinal column from Egyptian mummies from 2400 B.C. show definite pathological signs of tubercular decay. □ Since streptomycin was us e d to treat TB in 1943, several anti-tubercular drug had been discovered. Its mortality and morbidity decre ase d greatly. However, the global incidence of TB increases from the early of 1990. □ Now, TB remains a leading public health problem
EPIDEMIOLOGY-TBInternationally2billion infected10%develop clinical disease8million newcasesannually3million deaths eachyearthe toplo list for all-cause, all-age worldwide mortality95%in developing countriesMortality in developing countries: 200/10,000 peryear;Mortality in China: 532/10,000Children40%ofTBisinchildrenyoungerthan15yr1.3million new casesannually400,000 deaths are childrenMore likely to develop TBMChildren with TB are always neglected
E P I D E M I O L O G Y - T B Internationally 2 billion infected 10% develop clinical dise as e 8 million ne w c a s e s annually 3 million deaths each year the top10 list for all-cause, all-age worldwide mortality 95% in developing countries Mortality in developing countries: 200/10,000 per year; Mortality in China: 532/10,000 Children 40% of TB is in children younger than 15yr 1.3 million new cas e s annually 400,000 deaths are children More likely to develop TBM Children with TB are always neglected
In China330 million infected1 million new cases annually250 000 deaths each yearThe infection rate is 9.6% in <14year ddchildrem
□ In China 330 million infected 1 million new c a s e s annually 250 000 deaths each year T h e infection rate is 9.6% in <14year old childrem
300250200Tuberculosis150Tuberculous100Meningitishhhi'0096980204*06089294The case number oftuberculosis and tuberculous meningitisinCHCMUfr0m1992~2009
100 150 300 250 200 T u b e r c u l o s i s Tu b e r c u lo u s Me ni ngi ti s 50 0 92 94 96 98 ' 0 0 ' 0 2 ' 0 4 ' 0 6 ' 0 8 The case number of tuberculosis and tuberculous meningitisin CHCMU from 1992~2009