Artigo Original/Original Article
Tuberculose doença – Casuística de um serviço de pediatria no século XXI
Tuberculosis disease – Statistics of a paediatric department in the 21st century
Ana Luísa Leite1,
, Isabel Carvalho2, Elvira Tavares3, António Vilarinho3
Corresponding author
ana.luisa20@gmail.com
Correspondência/Correspondence to: Ana Luísa Leite, Serviço de Pediatria, Centro Hospitalar de Vila Nova de Gaia – Unidade 2, Rua Dr. Francisco Sá Carneiro, 4400 – Vila Nova de Gaia
Correspondência/Correspondence to: Ana Luísa Leite, Serviço de Pediatria, Centro Hospitalar de Vila Nova de Gaia – Unidade 2, Rua Dr. Francisco Sá Carneiro, 4400 – Vila Nova de Gaia
1 Interna Complementar de Pediatria/Resident, Paediatrics, Serviço de Pediatria, Centro Hospitalar de Vila Nova de Gaia / Espinho, EPE
2 Assistente Hospitalar de Pediatria/Consultant, Paediatrics, Serviço de Pediatria, Centro Hospitalar de Vila Nova de Gaia / Espinho, EPE
3 Chefe de Serviço/Department Head, Serviço de Pediatria, Centro Hospitalar de Vila Nova de Gaia / Espinho, EPE
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"autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ana Luísa Leite, Isabel Carvalho, Elvira Tavares, António Vilarinho" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Ana Luísa" "apellidos" => "Leite" "email" => array:1 [ 0 => "ana.luisa20@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cr0005" ] ] ] 1 => array:3 [ "nombre" => "Isabel" "apellidos" => "Carvalho" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] ] ] 2 => array:3 [ "nombre" => "Elvira" "apellidos" => "Tavares" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "af0015" ] ] ] 3 => array:3 [ "nombre" => "António" "apellidos" => "Vilarinho" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "af0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Interna Complementar de Pediatria/<span class="elsevierStyleItalic">Resident, Paediatrics</span>, Serviço de Pediatria, Centro Hospitalar de Vila Nova de Gaia / Espinho, EPE" "etiqueta" => "1" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Assistente Hospitalar de Pediatria/<span class="elsevierStyleItalic">Consultant, Paediatrics</span>, Serviço de Pediatria, Centro Hospitalar de Vila Nova de Gaia / Espinho, EPE" "etiqueta" => "2" "identificador" => "af0010" ] 2 => array:3 [ "entidad" => "Chefe de Serviço/<span class="elsevierStyleItalic">Department Head</span>, Serviço de Pediatria, Centro Hospitalar de Vila Nova de Gaia / Espinho, EPE" "etiqueta" => "3" "identificador" => "af0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cr0005" "etiqueta" => "*" "correspondencia" => "<span class="elsevierStyleBold">Correspondência/<span class="elsevierStyleItalic">Correspondence to:</span></span> Ana Luísa Leite, Serviço de Pediatria, Centro Hospitalar de Vila Nova de Gaia – Unidade 2, Rua Dr. Francisco Sá Carneiro, 4400 – Vila Nova de Gaia" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Tuberculosis disease – Statistics of a paediatric department in the 21<span class="elsevierStyleSup">st</span> century" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-12-29" "fechaAceptado" => "2009-03-05" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570183" "palabras" => array:4 [ 0 => "Tuberculose doença" 1 => "criança" 2 => "casuística" 3 => "<span class="elsevierStyleItalic">Mycobacterium tuberculosis</span>" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570182" "palabras" => array:4 [ 0 => "Tuberculosis disease" 1 => "children" 2 => "casuistic" 3 => "<span class="elsevierStyleItalic">Mycobacterium tuberculosis</span>" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introdução:</span> A tuberculose (TB) é uma importante causa de mortalidade e morbilidade mundial. Em Portugal, na última década do século xx, assistiu-se a uma diminuição da incidência de TB no grupo etário com menos de 15 anos.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material e métodos:</span> Análise retrospectiva dos casos de TB doença em crianças internadas no Centro Hospitalar de Vila Nova de Gaia entre 1 de Janeiro de 2000 e 31 de Dezembro de 2007. Analisaram-se os respectivos dados epidemiológicos, clínicos, radioló-gicos, microbiológicos e terapêuticos.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados:</span> No período estudado registaram-se 23 casos de tuberculose doença (78% TB pulmonar e 22% TB extrapulmonar). A faixa etária variou dos 6 meses aos 16 anos, predominando o sexo masculino. Todos os doentes tinham sido previamente vacinados com BCG e existia história de contacto prévio com TB em 57%. O ano de 2007 foi aquele em que ocor-reu um maior número de casos. A prova de Mantoux foi positiva em 91% dos casos e o isolamento de <span class="elsevierStyleItalic">M. tuberculosis</span> foi possível em 61%. A colheita de suco gástrico permitiu o isolamento em 1/3 dos casos e a broncoscopia contribuiu para o isolamento do <span class="elsevierStyleItalic">M. tuberculosis</span> em 43% dos casos com suco gástrico negativo. Todos os doentes efectuaram, no mínimo, 6 meses de tratamento com antibacilares, não sendo documen-tadas resistências. Após internamento, identificaram-se 43% (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>10) casos intrafamiliares de TB.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusão:</span> A tuberculose mantém-se um problema actual, sendo o diagnóstico, o rastreio dos contactos e o cumprimento terapêutico (inclusive profiláctico) um desafio fulcral na sua contenção.</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (5): 771-782</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introduction:</span> Tuberculosis is a leading cause of world-wide mortality and morbidity. A reduced rate of tuberculosis in people aged less than 15 years has been seen in Portugal over the last decade of the twentieth century.</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material and methods:</span> Retrospective analysis of tuberculosis cases in children admitted to the Centro Hospitalar de Vila Nova de Gaia January 1 2000 to December 31 2007. The individual epidemiological, clinical, radiological, microbiological and treatment information was analysed.</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Results:</span> We found 23 cases of tuberculosis disease (78% pulmonary tuberculosis and 22% extra-pulmonary tuberculosis). Children’s ages varied from 6 months to 16 years, with the male gender predo-minant. All patients had previously been vaccinated with BCG and there was a prior contact with TB in 57%. 2007 was the year with the highest number of cases. The Mantoux test was positive in 91% cases and <span class="elsevierStyleItalic">M. tuberculosis</span> isolation was possible in 61%. Gastric fluid analysis allowed isolation in 1/3 of cases and bronchoscopy contributed to <span class="elsevierStyleItalic">M. tuberculosis</span> isolation in 43% cases with negative gastric fluid analysis. Every patient underwent at least 6 months of tuberculostatic treatment, without any documented resistances.</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusion:</span> Tuberculosis remains a real problem, with the diagnosis, the search for contacts and adequate treatment (including prophylaxis) the main challenge.</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (5): 771-782</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia/Bibliography</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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"referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tratamento da tuberculose latente: Revisão das normas, 2006" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R. Duarte" 1 => "J. Amado" 2 => "H. Lucas" 3 => "J. Sapage" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Port Pneumol" "fecha" => "2007" "volumen" => "XII" "numero" => "3" "paginaInicial" => "397" "paginaFinal" => "418" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bb0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tratamento da tuberculose" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "F. Antunes" 1 => "M. André" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Linhas orientadoras para programas nacionais" "paginaInicial" => "62" "paginaFinal" => "67" "serieFecha" => "2006" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bb0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tuberculose infantil– casuística de 6 anos (1991-96)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "R. Pinto" 1 => "C. Quintas" 2 => "G. Ferreira" 3 => "M.J. Milheiro" 4 => "F.C. Rodrigues" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Acta Pediatr Port" "fecha" => "1998" "volumen" => "23" "paginaInicial" => "243" "paginaFinal" => "248" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bb0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tuberculosis: diagnosis, management and prevention" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "D. Shingadia" 1 => "J. Baumer" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arch Dis Educ Pract Ed" "fecha" => "2007" "volumen" => "97" "paginaInicial" => "27" "paginaFinal" => "29" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bb0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "Classification of Occupations" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "titulo" => "Office of population Censuses and surveys" "fecha" => "1980" "editorial" => "Majesty´s stationery office" "editorialLocalizacion" => "London" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bb0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tuberculose Infantil em Portugal" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. Carapau" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Acta Pediatr Port" "fecha" => "1996" "volumen" => "27" "paginaInicial" => "585" "paginaFinal" => "587" ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bb0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Doença tuberculosa: Experiência dos últimos 8 anos no Hospital Pediátrico de Coimbra" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A. Fernandes" 1 => "L. Macieira" 2 => "A. Coelho" 3 => "A. Barroso" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Saúde Infantil" "fecha" => "1997" "volumen" => "19" "numero" => "1" "paginaInicial" => "5" "paginaFinal" => "13" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bb0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tuberculose infantil e vacinação com o BCG" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. Carapau" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Acta Pediatr Port" "fecha" => "1996" "volumen" => "27" "paginaInicial" => "773" "paginaFinal" => "775" ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bb0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tuberculose infantil. Revisão casuística" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "F. Santos" 1 => "P. Guimarães" 2 => "M. Guedes" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Saúde Infantil" "fecha" => "2000" "volumen" => "22" "numero" => "1" "paginaInicial" => "69" "paginaFinal" => "76" ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bb0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Enfermedades infecciosas: Tuberculosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A. Martinez-Roig" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "An Pediatr Contin" "fecha" => "2005" "volumen" => "3" "numero" => "3" "paginaInicial" => "152" "paginaFinal" => "163" ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bb0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. Rodríguez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:3 [ "titulo" => "El laboratorio de microbiología en el diagnóstico de latuberculosis infantil" "conferencia" => "56.º Congreso de la AEPED" "serieFecha" => "2007" ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bb0070" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tuberculose infantil" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "A. Vale" 1 => "F. Silva" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Saúde infantil" "fecha" => "2002" "volumen" => "24" "numero" => "3" "paginaInicial" => "5" "paginaFinal" => "15" "itemHostRev" => array:3 [ "pii" => "S0210569114001387" "estado" => "S300" "issn" => "02105691" ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bb0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Bernardo J. Diagnosis of pulmonary tuberculosis. UpTodate 15.1" ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "pt" "url" => "/08732159/0000001500000005/v1_201509151448/S0873215915301781/v1_201509151448/pt/main.assets" "Apartado" => array:4 [ "identificador" => "9575" "tipo" => "SECCION" "pt" => array:2 [ "titulo" => "Artigos originais" "idiomaDefecto" => true ] "idiomaDefecto" => "pt" ] "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001500000005/v1_201509151448/S0873215915301781/v1_201509151448/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915301781?idApp=UINPBA00004E" ]
Article information
ISSN: 08732159Original language: Portuguese
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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 1 | 0 | 1 |
| 2024 October | 6 | 11 | 17 |
| 2024 September | 24 | 33 | 57 |
| 2024 August | 49 | 34 | 83 |
| 2024 July | 37 | 37 | 74 |
| 2024 June | 32 | 28 | 60 |
| 2024 May | 58 | 45 | 103 |
| 2024 April | 44 | 25 | 69 |
| 2024 March | 40 | 28 | 68 |
| 2024 February | 35 | 31 | 66 |
| 2024 January | 22 | 31 | 53 |
| 2023 December | 25 | 23 | 48 |
| 2023 November | 21 | 22 | 43 |
| 2023 October | 11 | 26 | 37 |
| 2023 September | 19 | 42 | 61 |
| 2023 August | 18 | 16 | 34 |
| 2023 July | 25 | 35 | 60 |
| 2023 June | 17 | 16 | 33 |
| 2023 May | 20 | 26 | 46 |
| 2023 April | 22 | 20 | 42 |
| 2023 March | 18 | 28 | 46 |
| 2023 February | 20 | 26 | 46 |
| 2023 January | 24 | 22 | 46 |
| 2022 December | 17 | 30 | 47 |
| 2022 November | 36 | 45 | 81 |
| 2022 October | 27 | 46 | 73 |
| 2022 September | 22 | 45 | 67 |
| 2022 August | 32 | 52 | 84 |
| 2022 July | 23 | 47 | 70 |
| 2022 June | 22 | 42 | 64 |
| 2022 May | 36 | 74 | 110 |
| 2022 April | 21 | 44 | 65 |
| 2022 March | 19 | 38 | 57 |
| 2022 February | 28 | 35 | 63 |
| 2022 January | 31 | 43 | 74 |
| 2021 December | 27 | 44 | 71 |
| 2021 November | 20 | 38 | 58 |
| 2021 October | 21 | 47 | 68 |
| 2021 September | 29 | 39 | 68 |
| 2021 August | 25 | 34 | 59 |
| 2021 July | 37 | 23 | 60 |
| 2021 June | 23 | 32 | 55 |
| 2021 May | 36 | 38 | 74 |
| 2021 April | 122 | 127 | 249 |
| 2021 March | 56 | 19 | 75 |
| 2021 February | 47 | 21 | 68 |
| 2021 January | 35 | 18 | 53 |
| 2020 December | 22 | 11 | 33 |
| 2020 November | 42 | 18 | 60 |
| 2020 October | 34 | 20 | 54 |
| 2020 September | 50 | 22 | 72 |
| 2020 August | 52 | 31 | 83 |
| 2020 July | 63 | 24 | 87 |
| 2020 June | 56 | 19 | 75 |
| 2020 May | 65 | 21 | 86 |
| 2020 April | 62 | 15 | 77 |
| 2020 March | 56 | 8 | 64 |
| 2020 February | 46 | 30 | 76 |
| 2020 January | 62 | 17 | 79 |
| 2019 December | 68 | 37 | 105 |
| 2019 November | 60 | 11 | 71 |
| 2019 October | 70 | 12 | 82 |
| 2019 September | 63 | 21 | 84 |
| 2019 August | 75 | 26 | 101 |
| 2019 July | 71 | 17 | 88 |
| 2019 June | 77 | 12 | 89 |
| 2019 May | 51 | 33 | 84 |
| 2019 April | 73 | 19 | 92 |
| 2019 March | 80 | 13 | 93 |
| 2019 February | 77 | 18 | 95 |
| 2019 January | 82 | 13 | 95 |
| 2018 December | 45 | 15 | 60 |
| 2018 November | 15 | 0 | 15 |
| 2018 October | 26 | 7 | 33 |
| 2018 September | 13 | 5 | 18 |
| 2018 August | 35 | 21 | 56 |
| 2018 July | 25 | 26 | 51 |
| 2018 June | 54 | 17 | 71 |
| 2018 May | 48 | 17 | 65 |
| 2018 April | 49 | 26 | 75 |
| 2018 March | 54 | 32 | 86 |
| 2018 February | 34 | 13 | 47 |
| 2018 January | 38 | 15 | 53 |
| 2017 December | 27 | 14 | 41 |
| 2017 November | 27 | 15 | 42 |
| 2017 October | 27 | 13 | 40 |
| 2017 September | 26 | 14 | 40 |
| 2017 August | 27 | 12 | 39 |
| 2017 July | 16 | 8 | 24 |
| 2017 June | 21 | 31 | 52 |
| 2017 May | 38 | 17 | 55 |
| 2017 April | 11 | 8 | 19 |
| 2017 March | 18 | 33 | 51 |
| 2017 February | 13 | 4 | 17 |
| 2017 January | 14 | 3 | 17 |
| 2016 December | 14 | 5 | 19 |
| 2016 November | 13 | 5 | 18 |
| 2016 October | 15 | 15 | 30 |
| 2016 September | 5 | 4 | 9 |
| 2016 August | 3 | 1 | 4 |
| 2016 July | 7 | 1 | 8 |
| 2016 May | 7 | 1 | 8 |
| 2016 April | 6 | 5 | 11 |
| 2016 March | 3 | 14 | 17 |
| 2016 February | 5 | 14 | 19 |
| 2016 January | 7 | 12 | 19 |
| 2015 December | 8 | 3 | 11 |
| 2015 November | 5 | 2 | 7 |
| 2015 October | 3 | 3 | 6 |
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