Childhood TB in China: notification, characteristics and risk factors for outcomes, 2010-2017

T Li1, Y Ma2, K Liu3

  • 1National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing.

Insights

Childhood tuberculosis (TB) in China remains under-detected, particularly in younger children. Key risk factors for poor outcomes and death include extrapulmonary TB, migrant family status, and prior treatment, necessitating targeted interventions.

Area of Science:

  • Epidemiology
  • Public Health
  • Pediatrics

Background:

  • Childhood tuberculosis (TB) presents unique epidemiological challenges globally.
  • Understanding treatment outcomes and risk factors is crucial for effective control strategies.

Purpose of the Study:

  • To analyze the epidemiology of childhood TB in China from 2010-2017.
  • To identify risk factors associated with unfavorable treatment outcomes and mortality in children.

Main Methods:

  • Cross-sectional and cohort study designs were employed.
  • Log binomial regression was used to assess risk factors for unfavorable outcomes.
  • Data from the China National Tuberculosis Programme (2010-2017) were analyzed.

Main Results:

  • Of 40,561 children, 19.6% had bacteriologically confirmed TB; 14% were from migrant families.
  • Annual TB notification rates were low (<1%), with a halving of bacteriologically confirmed TB notifications.
  • Unfavorable outcomes occurred in 6% and deaths in 0.4%; predictors included active case finding, extrapulmonary TB, younger age (<5 years), and previous treatment.

Conclusions:

  • Childhood TB in China is significantly under-detected, especially in young children.
  • Migrant status, younger age, extrapulmonary disease, and prior treatment are critical risk factors for adverse outcomes and death.
  • Addressing under-detection and identified risk factors is essential to achieve zero childhood TB deaths.

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