The occurrence and is factors of tuberculosis inchildren with close contact to adult lung tuberculosisLadylove R. Walakandou, Adrian Umboh, Audrey WahaniLatar BelakangTuberkulosis(Tb)padaanak-anakberbedadengan Tbpadaorangdewasadalammembuat diagnosisyangcepat, yangtentusajalebihprogresifpenyakit danberisikotinggi untukterjadinya disebarluaskan Tb. Penularan Tb pada anak-anak yang sebagian besar berasal dari orangdewasa, yang risiko terbesar adalah kasus indeks dengan BT positif.Tu!uan!ntuk mengetahui kejadian TB pada anak-anak yang memiliki kontak dekat dengan pasienTB dewasa dan untuk menentukan beberapa faktor risiko untuk perkembangan masa kanak-kanak TB."ethod" penelitian cross sectional ni dilakukan pada bulan maret sampai juli #$$%. &ami mempelajarianak-anak berusia kurang dari ' tahun dengan kontak dekat, tinggal di rumah yang sama dengan pasienTb dewasa. (iagnosis TB dibuat berdasarkan sistemskoring )ational Tb untuk anak-anak.#asil" (ari '$ anak, kami memperoleh *+ (,-.) anak-anak yang positif dengan TB setelah melaluisistemskoringTBnasional untukanak-anak. dahubunganyangsignifikanantarasputumBTpositif, perokok pasif dan kepadatan hunian (kepadatan), tetapi ada hubungan yang signifikan antarausia, status gi/i, jenis kelamin, sumber kontak, dan pendapatan keluarga per bulan.$esim%ulan hanya BT positif memiliki korelasi yang signifikan terkait dengan terjadinya TB padaanak yang berhubungan dekat dengan penderita Tb dewasa&aediatrica 'ndonesiana0olume '$ 1uly 2 #$*$ )umber -(riginal ArticleThe occurrence and is factors of tuberculosis inchildren with close contact to adult lung tuberculosisLadylove R. Walakandou, Adrian Umboh, Audrey WahaniAbstractBackgroundTuberculosis (Tb) in is children different from Tbinadultsintermsofthedifficultyinmakingpromptdiagnosis,the more progressi3e course of disease and the high-risk for theoccurrence of disseminated Tb. Transmission of Tb in childrenmostly originates from adults, which the biggest risk is the inde4case with positi3e sputum smear.Objective To find out the incidence of Tb in children who ha3eclose contact with adult TB patients and to determine some riskfactors for the de3elopment of childhood Tb.Method This cross-sectional study was conducted betweenmarchto1uly#$$%.5estudiedchildrenagedlessthan'yearsoldwithclosecontact,li3inginthesamehousewithadultTbpatients.ThediagnosisofTbwasmadebasedon)ationalTbscoring system for children.Results6fthe'$children,weobtained*+(,-.)positi3echildrenwithTbaftergoingthroughwithnationalTbscoringsystemforchildren.Therewasasignificantrelationshipbetween7Bpositi3esputum,passi3esmokersandresidentialdensity(o3ercrowding), but there was no significant relationship betweenage, nutritional status, gender of the contact source, and familyincome per month.Conclusiononlythepositi3esputumsmearhasasignificantcorrelationassociatedwiththeoccurrenceofTb inchildrenwhoha3eclosecontactwithadultTbpatients.)&aediatr'ndones. *+,+-.+*/*012.Keywords: tuberculosis, close contact, transmissionuberculosis (Tb) is one of the re-emergingdiseases.Tbgermwasfiguredoutafterrobert &och successfullyidentified inthe*%th century, and (aniel in #$$8 assumedthatthisbacteriahaskilledmorepeoplecomparedtoanyothermicrobialpathogens.*,.# (iagnosisofchildhoodtuberculosis,definedbythe5orld9ealth 6rgani/ation (596) and :enter of (isease:ontrol(:(:)asTBinchildrenlessthan*'years,aredifficultbecausethesymptomsarenottypical, often associatedwithprimarycomple4andthedifficultyinfindingTbbacteriainthesputum.Themoreprogressi3ecourseofdiseaseandthehighriskforoccurrenceofdisseminateddiseasemakechildhoodTbbemoreproblematic.,Transmission of Tbbacteriain children generally deri3ed fromadults with positi3esmear. most adults who suffering from acti3e Tb areinfectedmanyyearsbeforewhenbodyimmunitycanstillprotectthemagainsttheoccurrenceofTbillness.#,,5henachildisdiagnosedwithacti3eTb,itmeans that the people close to this child, and almostalways are adults, suffering from acti3e Tband will7rom the (epartment of :hild 9ealth, ;edical