Abstract：
OBJECTIVE: Identify potential barriers, delays, and missed opportunities in the prevention and diagnosis of childhood TB.
METHODS: Scoping review according to the PRISMA extension. The definitions considered for the selection followed the acronym PCC where the population (P) is children under 18 years of age with TB disease, the concept (C) refers to missed opportunities for prevention and diagnosis, and context (C) is defined as a diagnosis of TB disease. The authors searched systematically in the databases; VHL/Lilacs, Medline via PubMed, Cochrane, Scopus, and Web of Science, without date or language limitation.
RESULTS: Seven studies were included. In developed countries, with low disease burden, the main shortcoming is the delay in diagnosing bacilliferous adults in contact with young children. This problem is concentrated in the portion of the population with socioeconomic vulnerability. In underdeveloped countries, with a high burden of disease, the biggest challenge is tracking children who come into contact with bacilliferous patients.
CONCLUSIONS: There are still many missed opportunities in the prevention and diagnosis of childhood TB. The positive legacy of the COVID-19 pandemic should be taken advantage of and the encouragement of scientific development in the management of infectious diseases should be taken.
METHODS: Scoping review according to the PRISMA extension. The definitions considered for the selection followed the acronym PCC where the population (P) is children under 18 years of age with TB disease, the concept (C) refers to missed opportunities for prevention and diagnosis, and context (C) is defined as a diagnosis of TB disease. The authors searched systematically in the databases; VHL/Lilacs, Medline via PubMed, Cochrane, Scopus, and Web of Science, without date or language limitation.
RESULTS: Seven studies were included. In developed countries, with low disease burden, the main shortcoming is the delay in diagnosing bacilliferous adults in contact with young children. This problem is concentrated in the portion of the population with socioeconomic vulnerability. In underdeveloped countries, with a high burden of disease, the biggest challenge is tracking children who come into contact with bacilliferous patients.
CONCLUSIONS: There are still many missed opportunities in the prevention and diagnosis of childhood TB. The positive legacy of the COVID-19 pandemic should be taken advantage of and the encouragement of scientific development in the management of infectious diseases should be taken.
摘要：
目标：确定潜在的障碍，延迟,以及错过了预防和诊断儿童结核病的机会。
方法：根据PRISMA扩展进行范围审查。选择考虑的定义遵循缩写PCC，其中人口（P）是18岁以下患有结核病的儿童，概念(C)是指错过预防和诊断的机会，和上下文(C)被定义为结核病的诊断。作者在数据库中进行了系统的搜索；VHL/丁香花，Medline通过PubMed，科克伦,Scopus,和WebofScience,没有日期或语言限制。
结果：纳入7项研究。在发达国家,低疾病负担,主要的缺点是诊断与幼儿接触的杆菌性成人的延迟。这个问题集中在具有社会经济脆弱性的那部分人口中。在不发达国家,疾病负担很高，最大的挑战是追踪接触到有细菌感染患者的儿童。
结论：儿童结核病的预防和诊断仍有许多错失的机会。应利用COVID-19大流行的积极遗产，并鼓励传染病管理方面的科学发展。
方法：根据PRISMA扩展进行范围审查。选择考虑的定义遵循缩写PCC，其中人口（P）是18岁以下患有结核病的儿童，概念(C)是指错过预防和诊断的机会，和上下文(C)被定义为结核病的诊断。作者在数据库中进行了系统的搜索；VHL/丁香花，Medline通过PubMed，科克伦,Scopus,和WebofScience,没有日期或语言限制。
结果：纳入7项研究。在发达国家,低疾病负担,主要的缺点是诊断与幼儿接触的杆菌性成人的延迟。这个问题集中在具有社会经济脆弱性的那部分人口中。在不发达国家,疾病负担很高，最大的挑战是追踪接触到有细菌感染患者的儿童。
结论：儿童结核病的预防和诊断仍有许多错失的机会。应利用COVID-19大流行的积极遗产，并鼓励传染病管理方面的科学发展。
