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Published on: October 31, 2010
[The impact of HIV infection on childhood tuberculosis in Yaounde, Cameroon]
E W Pefura Yone1, A Evouna Mbarga, C Kuaban
1Service de pneumologie, hôpital Jamot de Yaoundé, BP 4021 Yaoundé, Cameroun. pefura2002@yahoo.fr
Insights
HIV infection impacts childhood tuberculosis presentation and outcomes. HIV-positive children had more widespread disease and lower treatment success rates, necessitating closer monitoring and targeted education.
Area of Science:
- Pediatric Infectious Diseases
- Global Health Epidemiology
- Clinical Tuberculosis Research
Background:
- Childhood tuberculosis (TB) remains a significant global health challenge.
- The co-occurrence of Human Immunodeficiency Virus (HIV) infection complicates TB management in children.
- Understanding the interplay between HIV and TB in pediatric populations is crucial for effective treatment strategies.
Purpose of the Study:
- To determine the prevalence of HIV infection among children with tuberculosis in Yaounde.
- To analyze how HIV infection influences the clinical and radiographic presentation of childhood TB.
- To assess the impact of HIV on treatment outcomes for pediatric TB patients.
Main Methods:
- Retrospective review of medical records for 101 children under 15 years old diagnosed with TB.
- Data collected from Yaounde Jamot Hospital between January 2005 and June 2010.
- Analysis of clinical presentation, radiographic findings, and treatment success rates in relation to HIV status.
Main Results:
- A prevalence of 24.8% HIV positivity was found among children with TB.
- HIV-infected children were more likely to present with both intrathoracic and extrathoracic TB (P=0.021).
- HIV-positive children showed bilateral lung lesions (90.9%) and lower treatment success rates (56%) compared to HIV-negative children (78.9%, P=0.024).
Conclusions:
- HIV infection significantly alters the clinical and radiographic manifestations of TB in children.
- Pediatric TB patients with HIV experience poorer treatment outcomes.
- Enhanced medical supervision and parental education are vital for improving care for HIV-positive children with TB.
Objectives:
To define the prevalence of HIV infection in childhood tuberculosis and investigate its impact on the clinical presentation, radiographic findings and outcomes among children suffering from tuberculosis in Yaounde.
Methods:
The medical records of 101 children aged less than 15years, hospitalized with tuberculosis in the chest clinic of the Yaounde Jamot Hospital between January 2005 and June 2010, were retrospectively reviewed.
Results:
Twenty-five (24.8%) of the 101 patients were HIV positive. The occurrence of concomitant intrathoracic and extrathoracic tuberculosis was more frequently observed in HIV infected children (P=0.021). Parenchymal pulmonary lesions were bilateral in 20 (90.9%) of the HIV infected children against 31 (56.1%) in the non-infected children (P=0.003). Cavitating lesions were present in 49.1% of the cases in HIV negative group versus 13.6% in HIV positive group (P=0.004), but sub-group analysis restricted to those with confirmed tuberculosis no longer showed a significant difference. The success rate of treatment was 78.9% among HIV negative patients and 56% among HIV positive patients (P=0.024).
Conclusion:
HIV infection modifies the clinical presentation and radiographic features of tuberculosis in children. The treatment success rate is lower in HIV positive children, indicating a stricter medical supervision of these children and more targeted education of their parents.
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