Author/Editor		Borinc-Beden, Andreja; Maček, Vasilija
Title		Obravnava otroka ob stiku s tuberkuloznim bolnikom
Translated title		Management of children exposed to a patient with tuberculosis
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 75, št. 4
Publication year		2006
Volume		str. 235-40
Language		slo
Abstract		Background The article presents diagnostic and therapeutic recommendations for children, who have been exposed to a person with contagious tuberculosis. We stress the importance of recognition and treatment of latent tuberculosis infection which substantially reduces the risk of progression to tuberculosis disease.Children exhibit few clinical signs and symptoms which are rarely specific enough to indicate the tuberculous patient. Most of the radiographic manifestations reflect the compression of major airways by enlarged lymph nodes. Conclusions Because the incubation period of disseminated tuberculosis in young children can be very short, children exposed to adults with pulmonary tuberculosis should be investigated without delay. Any delay in diagnosis and therefore treatment, may lead to severe and even life-threating complications.
Summary		Izhodišča Prispevek pregledno prikazuje diagnostični in terapevtski pristop k obravnavi otroka, ki je bil v stiku z bolnikom s kužno obliko tuberkuloze. Poudarjen je pomen doslednega prepoznavanja in zdravljenja otrok z latentno tuberkulozno okužbo, ki v visokem odstotku prepreči razvoj aktivne tuberkuloze. Pri otrocih je tuberkuloza pogosto klinično nema, prisotnih je malo znakov in simptomov, dovolj specifičnih za prepoznavo bolezni. V primerjavi z odraslimi bolniki bolezen redko potrdimo z mikrobiološkimi preiskavami. Diagnozo postavimo na osnovi sprememb na rentgenogramu prsnih organov, tuberkulinskega testa in stika s tuberkuloznim bolnikom. Večina sprememb na rentgenogramu prsnih organov pri otroku s tuberkulozo je posledica pritiska povečanih bezgavk in dihalne poti. Zaključki Ker je inkubacija za desiminirano obliko tuberkuloze pri mlajših otrocih zelo kratka, zakasnitev v prepoznavi in prepozno zdravljenje pa lahko vodita v zelo resne, življenje ogrožujoče posledice, morajo biti otroci, ki so bili v stiku s tuberkuloznim bolnikom, pregledani takoj.
Descriptors		TUBERCULOSIS CHEMOPREVENTION THORACIC RADIOGRAPHY CHILD