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Published on: April 30, 2020
Adherence to Childhood Tuberculosis Treatment in Mozambique
Elisa Lopez-Varela1,2, Victor Guillermo Sequera1,3, Alberto L García-Basteiro1,2,4
1ISGlobal, Barcelona Ctr. Int. Health Res. (CRESIB), Hospital Clínic - Universitat De Barcelona, Barcelona, Spain c/ Rosselló, 132, 5° 2 (08036).
Insights
Adherence to tuberculosis (TB) treatment in children in Mozambique was assessed. Incomplete adherence was observed in 31.3% of cases, linked to malnutrition or having a migrant mother.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Limited literature exists on pediatric tuberculosis (TB) treatment adherence.
- Tuberculosis remains a significant global health challenge, particularly in resource-limited settings.
Purpose of the Study:
- To describe TB treatment outcomes in Mozambican children.
- To evaluate factors associated with poor adherence to TB treatment in this population.
Main Methods:
- A sub-study of a community TB incidence study involving children under 3 years old.
- Incomplete adherence was defined as lost-to-follow-up or treatment delays exceeding 3 weeks.
Main Results:
- Of 50 TB treatments assessed, 88% completed treatment successfully.
- Incomplete adherence was found in 31.3% of cases (15/48).
- Factors associated with incomplete adherence included malnutrition and a history of a migrant mother.
Conclusions:
- Despite generally good treatment outcomes, a substantial proportion of children exhibited incomplete adherence.
- Further research with larger pediatric TB cohorts and qualitative methods is necessary to confirm factors influencing non-adherence.
Background:
There is limited literature regarding adherence rates for the treatment of tuberculosis (TB) in children. We aimed to describe TB treatment outcomes and adherence as well as to evaluate associated factors to poor adherence in Mozambican children.
Methods:
This is a sub-study of a community TB incidence study among children <3 years of age. Incomplete adherence included the sum of lost-to-follow-up cases plus those with a delay of > 3 weeks to treatment completion.
Results:
Fifty TB treatments were assessed. Forty-four (88.0%) patients completed treatment, two (4.0%) died during treatment and four (8.0%) were lost to follow-up. Incomplete adherence was observed in 31.3% (15 of 48) of cases and was associated with malnutrition or history of a migrant mother.
Conclusion:
Although treatment outcome is overall good, there is still a significant proportion of incomplete adherence. Further larger paediatric TB cohorts and qualitative approaches are needed to assess and confirm potential factors for non-adherence.
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