Article: Clinical spectrum of childhood tuberculosis and outcome at Mohammed Alamin Hamid Pediatric Hospital, Omdurman, Sudan.
Sudanese journal of paediatrics
2022 Volume 21, Issue 2, Page(s) 144–151
Abstract: The World Health Organization report in 2018 estimated 234,000 deaths due to tuberculosis (TB) in children less than 15 years; 40,000 of them occurring in human immunodeficiency virus (HIV) infected children. These deaths represent 15% of all TB deaths. ... ...
| Abstract | The World Health Organization report in 2018 estimated 234,000 deaths due to tuberculosis (TB) in children less than 15 years; 40,000 of them occurring in human immunodeficiency virus (HIV) infected children. These deaths represent 15% of all TB deaths. This study aimed to determine the clinical spectrum and outcome of childhood TB at Mohamed Alamin Hamid Pediatric Hospital TB management unit. Retrospective observational hospital-based study was conducted during January 2017-December 2018, in children aged 0-18 years who were diagnosed with TB. A total of 174 patients were enrolled in this study. The majority of patients' ages ranged from 5 to 17 years (111, 63.8%). Most of the patients were males (92, 52.9%) and (142, 81.6%) resided in Khartoum State. Lung opacity and hailer parenchymal shadows were the common presenting features (83, 47.7%) in chest X-ray. Sputum for acid fast bacilli was positive in only 20 (11.5%) patients. Testing for HIV was negative in 41 (23.6%) patients and was not done in 133 (76.4%). A total of 107 (61.5%) children were diagnosed as having pulmonary TB; extra pulmonary tuberculosis (EPTB) was 67 (38.5%). Tuberculous lymphadenitis was the commonest type of EPTB and was diagnosed in 38 (56.7%) patients. The majority 94 (87.9%) completed their treatment and 13 (12.1%) with smear positive results were cured. Defaulters were 20 (11.5%), and 6 patients (3.4%) were retreated after default, 11 (6.3%) were transferred out, and 14 (8%) are still on treatment. Thirteen patients (7.5%) died, and the outcome of three patients was not documented. |
|---|---|
| Language | English |
| Publishing date | 2022-01-03 |
| Publishing country | Sudan |
| Document type | Journal Article |
| ZDB-ID | 3035197-2 |
| ISSN | 1858-8360 ; 0256-4408 |
| ISSN (online) | 1858-8360 |
| ISSN | 0256-4408 |
| DOI | 10.24911/SJP.106-1597063699 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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