THE INCIDENCE OF TUBERCULOSIS IN CHILDREN OF AN EARLY AGE IN THE CITY OF MOSCOW AND THE FACTORS INFLUENCING IT

Abstract

The sharp rise in the incidence of tuberculosis (TB) in children of an early age in Moscow, which occurred after 2010 on the background of TB epidemiological situation improving in general, served as the basis for the analysis of this phenomenon causes. The study conducted was based on data from the Moscow electronic registry system for TB monitoring and additional information collected in a specially designed form. For analysis, we used the information collected as part of the registration form № 089/ у-туб and additional information about 106 children with TB, detected in Moscow since 2011 to 2013, at the age of no more than 2 years 11 months 29 days by the time of registration in the anti-tuberculosis institutions. It has been established that the incidence increase is not related to the deterioration of the epidemiological situation, as during the study period in Moscow even a slight decrease in the number of sputum positive patients took place. Socio-hygienic characteristics of the majority of affected children were also stable (and generally fairly good). So, the main reason for the recent incidence increase in children of an early age was the change of technology to identify local TB forms - the introduction of the test with tuberculosis recombinant allergen, followed by examination of children with respiratory computer tomography. Thus, there is the need to develop and implement measures to prevent over-diagnosis of local TB forms in children.