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"Tuberculosis (TB) Status in Under-Five Children with Stunting in Bandung"

Heda Melinda Nataprawira1, Citra Cesilia1, Muhammad Akbar Tirtosudiro1

  • 1Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung, West Java, Indonesia.

Global Pediatric Health
|March 19, 2025
PubMed

Insights

Pulmonary tuberculosis (PTB) affects over half of stunted children under five in Bandung. Absence of BCG scars is protective, while poor weight-for-age indicates higher PTB risk in this vulnerable group.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Public Health

Background:

  • Stunting and severe stunting in children under five are associated with increased susceptibility to infections.
  • Pulmonary tuberculosis (PTB) remains a significant global health challenge, particularly in low-resource settings.
  • Understanding risk factors for PTB in vulnerable pediatric populations is crucial for effective prevention and control.

Purpose of the Study:

  • To identify determinants of pulmonary tuberculosis (PTB) in children under five experiencing stunting and severe stunting.
  • To analyze the association between nutritional status, BCG vaccination status, and PTB incidence in this cohort.

Main Methods:

  • A cross-sectional study was conducted in 64 community health centers in Bandung.
  • Data collection involved medical history, anthropometric measurements, tuberculin skin tests (TST), and chest X-rays (CXR).
  • Multiple logistic regression analysis was employed to determine significant risk factors for PTB (P < .05).

Main Results:

  • 169 children with stunting or severe stunting were included in the analysis.
  • A high prevalence of PTB was observed, with 59.76% of children diagnosed with the disease.
  • Absence of BCG scars and low weight-for-age were identified as significant determinants of PTB (P < .05).

Conclusions:

  • Pulmonary tuberculosis is highly prevalent among stunted and severely stunted children under five in the study area.
  • BCG vaccination scars appear to be a protective factor against PTB in this population.
  • Weight-for-age is a critical indicator of PTB risk in stunted and severely stunted children, highlighting the importance of nutritional status.

Keywords:
Indonesiastuntingtuberculosisunder-five children

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