Childhood tuberculosis in Mauritania, 2010-2015: diagnosis and outcomes in Nouakchott and the rest of the country

Hdl Handle:
http://hdl.handle.net/10144/619133
Title:
Childhood tuberculosis in Mauritania, 2010-2015: diagnosis and outcomes in Nouakchott and the rest of the country
Authors:
Aw, B; Ade, S; Hinderaker, SG; Dlamini, N; Takarinda, KC; Chiaa, K; Feil, A; Traoré, A; Reid, T
Journal:
Public Health Action
Abstract:
Setting: The National Tuberculosis Programme, Mauritania. Objective: To compare the diagnosis and treatment outcomes of childhood tuberculosis (TB) cases (aged <15 years) registered between 2010 and 2015 inside and outside Nouakchott, the capital city. Design: This was a retrospective comparative cohort study. Results: A total of 948 children with TB were registered. The registration rate was 10 times higher in Nouakchott. The proportion of children among all TB cases was higher inside than outside Nouakchott (7.5% vs. 4.6%, P < 0.01). Under-fives represented 225 (24%) of all childhood TB cases, of whom 204 (91%) were registered in Nouakchott. Extra-pulmonary TB was more common in Nouakchott, while smear-negative TB was less common. Treatment success was similar inside and outside Nouakchott (national rate 61%). The principal unsuccessful outcomes were loss to follow-up outside Nouakchott (21% vs. 11%, P < 0.01) while transfers out were more common in the city (25% vs. 14%, P = 0.01). Being aged <5 years (OR 1.2, 95%CI 1.1-1.5) was associated with an unsuccessful outcome. Conclusion: This study indicates problems in the diagnosis and treatment of childhood TB in Mauritania, especially outside the city of Nouakchott. We suggest strengthening clinical diagnosis and management, improving communications between TB treatment centres and health services and pressing the TB world to develop more accurate and easy-to-use diagnostic tools for children.
Publisher:
International Union Against Tuberculosis and Lung Disease
Issue Date:
21-Sep-2017
URI:
http://hdl.handle.net/10144/619133
DOI:
10.5588/pha.16.0123
PubMed ID:
29201655
Submitted date:
2018-05-16
Language:
en
ISSN:
2220-8372
Appears in Collections:
Operational Research Courses

Full metadata record

DC FieldValue Language
dc.contributor.authorAw, Ben
dc.contributor.authorAde, Sen
dc.contributor.authorHinderaker, SGen
dc.contributor.authorDlamini, Nen
dc.contributor.authorTakarinda, KCen
dc.contributor.authorChiaa, Ken
dc.contributor.authorFeil, Aen
dc.contributor.authorTraoré, Aen
dc.contributor.authorReid, Ten
dc.date.accessioned2018-05-17T14:13:38Z-
dc.date.available2018-05-17T14:13:38Z-
dc.date.issued2017-09-21-
dc.date.submitted2018-05-16-
dc.identifier.citationChildhood tuberculosis in Mauritania, 2010-2015: diagnosis and outcomes in Nouakchott and the rest of the country. 2017, 7 (3):199-205 Public Health Actionen
dc.identifier.issn2220-8372-
dc.identifier.pmid29201655-
dc.identifier.doi10.5588/pha.16.0123-
dc.identifier.urihttp://hdl.handle.net/10144/619133-
dc.description.abstractSetting: The National Tuberculosis Programme, Mauritania. Objective: To compare the diagnosis and treatment outcomes of childhood tuberculosis (TB) cases (aged <15 years) registered between 2010 and 2015 inside and outside Nouakchott, the capital city. Design: This was a retrospective comparative cohort study. Results: A total of 948 children with TB were registered. The registration rate was 10 times higher in Nouakchott. The proportion of children among all TB cases was higher inside than outside Nouakchott (7.5% vs. 4.6%, P < 0.01). Under-fives represented 225 (24%) of all childhood TB cases, of whom 204 (91%) were registered in Nouakchott. Extra-pulmonary TB was more common in Nouakchott, while smear-negative TB was less common. Treatment success was similar inside and outside Nouakchott (national rate 61%). The principal unsuccessful outcomes were loss to follow-up outside Nouakchott (21% vs. 11%, P < 0.01) while transfers out were more common in the city (25% vs. 14%, P = 0.01). Being aged <5 years (OR 1.2, 95%CI 1.1-1.5) was associated with an unsuccessful outcome. Conclusion: This study indicates problems in the diagnosis and treatment of childhood TB in Mauritania, especially outside the city of Nouakchott. We suggest strengthening clinical diagnosis and management, improving communications between TB treatment centres and health services and pressing the TB world to develop more accurate and easy-to-use diagnostic tools for children.en
dc.language.isoenen
dc.publisherInternational Union Against Tuberculosis and Lung Diseaseen
dc.rightsArchived with thanks to Public Health Actionen
dc.titleChildhood tuberculosis in Mauritania, 2010-2015: diagnosis and outcomes in Nouakchott and the rest of the countryen
dc.identifier.journalPublic Health Actionen

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