Forum Diagnosticum No.01/2013
Infectious Disease Examination for Children
The examination for the more specific and sensitive diagnosis is necessary in reducing the levels of morbidity and mortality of the infectious diseases. The TST and IGRA examinations should be applied as the diagnostic tools for the M. tuberculosis diagnosis and applicable for surveillance purposes or identifying individuals considered as gaining benefits for the medication, including those with or are about to have the increasing risk of TB or the progression towards the active TB when infected.
Helicobacter pylori stool antigen (HpSA) examination is non-invasive and can be the right choice to help conduct the diagnosis, monitor the therapy and confirm the eradication, particularly in children.
Salmonella typhi isolation is a gold standard method to accurately diagnose the typhoid fever yet it takes a long-term duration and is dependent on many factors. The Anti-Salmonella typhi IgM examination detects the O9 LPS IgM antibody to diagnose accute infections or the state of being instantly and susceptibly reinfected. Besides, this examination has much better sensitivity and specificity rather than Widal, that is currently common in Indonesia.
Thorax X-ray is the most common radiographic examination for children, specifically in supporting the diagnosis of the infectious diseases in children.
Authors: Tatat Novianti, Elva Nasution, Lia Meliani, Intan Wibawanti (PT. Prodia Widyahusada)