Amir Rashid, Afia Arif, Waqas Anwar, Agha Shabbir Ali.
A Retrospective Review of Tuberculosis among Children Admitted at Tertiary Care Center of Lahore, Pakistan.
Pak J Med Health Sci Jan ;12(2):775-7.

Aim: To determine frequency, types and treatment outcome among children of tuberculosis admitted at a tertiary care center of Lahore, Pakistan. Methods: A retrospective case study was conducted of 175 children aged between 0 – 16 years admitted to Lahore General Hospital, Pakistan from January 2015 to December 2016. Modified Keith Jones score was applied on each patient, those with MKJSC (modified Kenneth Jones Criteria system) less than 7 and those who were already taking ATT were excluded from the study. The patients scoring more than 7 on MKJSC with or without positive AFB or culture were put on 4 drugs during intensification phase than on 2 drugs as continuation therapy. Data was retrieved from medical records on demographics, clinical, laboratory and outcome status. Results: A total number of 175 patients treated for different types of tuberculosis. Out of 175, 69 were male (39.4%) and 106 were female (60.57%) . 44 were under five years (35%) and 131 aged between six to sixteen years (74.85%). Pulmonary tuberculosis was present in 85 (48.57%) cases, Tuberculous meningitis in 23 (13.14%) cases, Abdominal tuberculosis in 33(18.7%) cases and tuberculous lymphadenitis was seen in 12 (6.84%) patients while patients with Carries spine were 5(2.85%), with Dissiminated tuberculosis were 9 (5,14%), T.B Arthritis 4(2.27%) whereas patients with tuberculosis of skin were 2 (1.14%) . Overall morbidity was 21% in the year 2015 and 15.44% in 2016. Mortality was 9.61% in the year 2015 and 5.69% in 2016. Conclusion: Tuberculosis among children is an important clinical problem in Pakistan and is frequently under reported.

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