Choosing Wisely: Computed Tomography in the Diagnosis of Adolescents With Intrathoracic Tuberculosis

被引:4
作者
Kakalia, Spenta [1 ]
Chakravarty, Aparna [2 ]
Manson, David [3 ,4 ]
Lam, Ray [5 ,6 ]
Waters, Valerie [6 ,7 ]
Kitai, Ian [6 ,7 ]
机构
[1] CMH Lahore Med Coll, Dept Paediat, Lahore, Pakistan
[2] Jamia Hamdard, Dept Paediat, Hamdard Inst Med Sci & Res, Delhi, India
[3] Hosp Sick Children, Dept Diagnost Imaging, Toronto, ON, Canada
[4] Univ Toronto, Dept Med Imaging, Div Pediat Imaging, Toronto, ON, Canada
[5] Univ Toronto, Bloomberg Fac Nursing, Toronto, ON, Canada
[6] Hosp Sick Children, Div Infect Dis, 555 Univ Ave, Toronto, ON M5G 1X8, Canada
[7] Univ Toronto, Dept Pediat, Toronto, ON, Canada
关键词
computed tomography; diagnostic imaging; pediatric; radiation exposure; tuberculosis; utility; CHILDREN;
D O I
10.1093/jpids/piaa134
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
In a retrospective study of adolescents with intrathoracic tuberculosis (TB), 26 out of the 81 (32%) patients had undergone chest computed tomography (CT). Chest CT was considered unnecessary in 7 (27%), necessary in 7 (27%), and possibly/probably helpful in 12 (46%). Promptly obtaining specimens for sputum smear microscopy, molecular testing, as well as culture for Mycobacterium tuberculosis could avoid several unnecessary CTs.
引用
收藏
页码:521 / 524
页数:4
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