Table 1 Brazilian National Ministry of Health Scoring System for the diagnosis of pulmonary tuberculosis in smear-negative children and adolescents
From: Tuberculosis among children and adolescents with rheumatic diseases - case series
Clinical manifestations | Points |
Fever or symptoms such as cough, adynamia, expectoration, weight loss and sweating for more than 2 weeks | + 15 |
No symptoms or symptoms for less than 2weeks | 0 |
Respiratory infection that improved with antibiotics for common pathogens or without antibiotics | -10 |
Chest radiography findings | Points |
Hilar lymphadenopathy or milliary pattern AND/OR | + 15 |
Condensation or infiltration (with or without cavitation) for more than 2 weeks, remaining unchanged AND/OR Condensation or infiltration (with or without cavitation) for more than 2 weeks, worsening or not improving with antibiotics for common pathogens | |
Condensation or infiltration of any kind for less than 2 weeks | + 5 |
Normal | -5 |
History of contact with adult tuberculosis | Points |
Close contact in the last 2 years | + 10 |
Occasional or no contact | 0 |
Tuberculin skin test results | Points |
Induration > or = 10 mm | + 10 |
Induration between 5 and 9 mm | + 5 |
Induration < 5 mm | 0 |
Nutritional status | Points |
Severe malnutrition | + 5 |
Normal nutrition status or no severe malnutrition | 0 |