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Published on: September 5, 2017
Tuberculosis in children, Northwest Ethiopia
Solomon Amsalu1, Zewdu Hurrisa, Shamil Nuri
1Department of Pediatrics, Gondar University, P.O. Box 196, Gondar.
Insights
Tuberculosis remains a significant cause of childhood hospitalizations and deaths globally. Early identification of transmission sources and prompt treatment are crucial for controlling this infectious disease in children.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Tuberculosis (TB) is a chronic infectious disease caused by Mycobacterium tuberculosis, a leading global cause of infectious death.
- Annually, an estimated 1.3 million childhood TB cases and 450,000 deaths occur worldwide.
- This study focuses on pediatric tuberculosis cases in Ethiopia.
Purpose of the Study:
- To analyze the clinical characteristics, affected organs, and outcomes of pediatric tuberculosis patients.
- To identify risk factors and provide insights for improved tuberculosis prevention and control strategies in children.
Main Methods:
- A retrospective study was conducted on 212 children diagnosed with tuberculosis.
- Data were collected from admissions at Gondar University Hospital over a five-year period.
Main Results:
- The median age of affected children was 5 years, with most from rural areas.
- Common symptoms included fever (93%), weight loss (91%), anorexia (90%), and cough (89%).
- Pulmonary TB was most common (91%), followed by lymph node (43%) and liver (26%) involvement. Infants showed a high case fatality rate (OR = 8.48).
Conclusions:
- Tuberculosis continues to be a major cause of pediatric hospital admission and mortality.
- Recommendations include prompt identification of transmission sources, family screening, and early treatment initiation.
- Effective interventions are vital for tuberculosis prevention and control in pediatric populations.
Background:
Tuberculosis is a chronic infectious disease caused in most cases by Mycobacterium tuberculosis, an acid-fast rod-shaped bacillus. Tuberculosis constitutes the main infectious cause of death worldwide. An estimated 1.3 million cases of tuberculosis and 450, 000 associated deaths occur annually in children.
Methods:
This is a retrospective study of 212 children with tuberculosis admitted to Gondar University Hospital over a period of five years.
Results:
Two hundred twelve children having tuberculosis were studied Their ages ranged from 2 months to 15 years. The median age was 5 years. Majority of the patients were from rural areas. The main presenting symptoms were fever (93%), weight loss (91%), anorexia (90%) and cough (89%). Contact history with tuberculous patient was elicited in 89% of all the admissions. The main organs affected by tuberculosis are the lungs (91%), Iymph nodes (43%), liver (26%), spleen (23%), vertebrae (15%) and the pleura (14%). Most of the patients (90%) were discharged improved. Five per cent died during their stay in hospital and the rest five per cent were discharged against medical advice. High case fatality rate was seen among infants (OR = 8.48, P < 0.001).
Conclusion:
Tuberculosis is still a major cause of hospital admission and death. Prompt and efficient identification of source of transmission, family screening and early initiation of treatment is recommended in the prevention and control of tuberculosis.
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