E-ISSN 1858-8360 | ISSN 0256-4408
 

Original Article 


Clinical Spectrum and outcome of Childhood Tuberculosis in Mohammed Al-Amin Hamid Hospital for Children 2017-2018, Sudan

Walyeldin Elnour Mohamed Elfakey, Sara Altayeb AbdAlgader, Karimeldin Mohamed Ali Salih, Omaima Abdel Majeed Mohamed Salih.

Abstract
Abstract:
Background:
The WHO report in 2018 estimated 234.000 deaths due to tuberculosis in children less than 15 years, 40.000 of them occurring in HIV infected children, these deaths represent 15% of all tuberculosis deaths.
Objectives: This study aimed to determine the clinical spectrum and outcome of child hood tuberculosis in Mohamed Al-Amin Hamid Pediatric Hospital TB management unit (TBMU).
Methods: This retrospective observational hospital based study was conducted in Mohammed Al-Amin Hamid hospital during a period of 24 months from (January2017 to December2018) .The study was conducted among children aged (0-18) years and diagnosed with Tuberculosis .Data was collected and analyzed using statistical package for social science (SPSS-24).
Result: A total of 174 patients were enrolled in this study. The majority 111(63.8%) of patientsí ages ranged from 5-17 years. Most of the patients were male 92(52.9%) and There were 142(81.6%) resided in Khartoum. Lung opacity and hailer parenchymal shadows were the most presenting features 83 (47.7%) in chest x-ray. Sputum for Acid Fast Bacilli (AFB) was positive only in 20 (11.5%) patients. HIV was negative in 41 (23.6%) patients and was not done in 133 (76.4%).
A hundred and seven (61.5%) children were diagnosed as having pulmonary Tuberculosis, extra pulmonary Tuberculosis were 67 (38.5%). Tuberculous lymphadenitis was the commonest type of extra pulmonary tuberculosis where it was diagnosed in 38(56.7%) patients.
There were 94(87.9%) complete their treatment and 13(12.1%) with smear positive were cured. Defaulter were20 (11.5%), and 6 patients (3.4%) were retreated after default, and 11(6.3%) were transferred out, and 14(8%) still on treatment, there were 13 patients (7.5%) dead, and 3 patients their outcome not documented.
Conclusion: The most affected children were male patients aged above 5years.with extrapulmonary Tuberculosis being the most common presenting type specially Tuberculuos adenitis with favorable outcome among the study group as patients who completed their treatment successfully were approaching 90%

Key words: Tuberculosis (TB), Tuberculosis Management Unit (TBMU), pulmonary /Extra-pulmonary, Treatment outcome


 
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How to Cite this Article
Pubmed Style

Elfakey WEM, AbdAlgader SA, Salih KMA, Salih OAMM, . Clinical Spectrum and outcome of Childhood Tuberculosis in Mohammed Al-Amin Hamid Hospital for Children 2017-2018, Sudan. doi:10.24911/SJP.106-1597063699


Web Style

Elfakey WEM, AbdAlgader SA, Salih KMA, Salih OAMM, . Clinical Spectrum and outcome of Childhood Tuberculosis in Mohammed Al-Amin Hamid Hospital for Children 2017-2018, Sudan. http://www.sudanjp.com/?mno=123799 [Access: December 01, 2021]. doi:10.24911/SJP.106-1597063699


AMA (American Medical Association) Style

Elfakey WEM, AbdAlgader SA, Salih KMA, Salih OAMM, . Clinical Spectrum and outcome of Childhood Tuberculosis in Mohammed Al-Amin Hamid Hospital for Children 2017-2018, Sudan. doi:10.24911/SJP.106-1597063699



Vancouver/ICMJE Style

Elfakey WEM, AbdAlgader SA, Salih KMA, Salih OAMM, . Clinical Spectrum and outcome of Childhood Tuberculosis in Mohammed Al-Amin Hamid Hospital for Children 2017-2018, Sudan. doi:10.24911/SJP.106-1597063699



Harvard Style

Elfakey, W. E. M., AbdAlgader, S. A., Salih, K. M. A., Salih, O. A. M. M. & (0) Clinical Spectrum and outcome of Childhood Tuberculosis in Mohammed Al-Amin Hamid Hospital for Children 2017-2018, Sudan. doi:10.24911/SJP.106-1597063699



Turabian Style

Elfakey, Walyeldin Elnour Mohamed, Sara Altayeb AbdAlgader, Karimeldin Mohamed Ali Salih, Omaima Abdel Majeed Mohamed Salih, and . 0. Clinical Spectrum and outcome of Childhood Tuberculosis in Mohammed Al-Amin Hamid Hospital for Children 2017-2018, Sudan. doi:10.24911/SJP.106-1597063699



Chicago Style

Elfakey, Walyeldin Elnour Mohamed, Sara Altayeb AbdAlgader, Karimeldin Mohamed Ali Salih, Omaima Abdel Majeed Mohamed Salih, and . "Clinical Spectrum and outcome of Childhood Tuberculosis in Mohammed Al-Amin Hamid Hospital for Children 2017-2018, Sudan." doi:10.24911/SJP.106-1597063699



MLA (The Modern Language Association) Style

Elfakey, Walyeldin Elnour Mohamed, Sara Altayeb AbdAlgader, Karimeldin Mohamed Ali Salih, Omaima Abdel Majeed Mohamed Salih, and . "Clinical Spectrum and outcome of Childhood Tuberculosis in Mohammed Al-Amin Hamid Hospital for Children 2017-2018, Sudan." doi:10.24911/SJP.106-1597063699



APA (American Psychological Association) Style

Elfakey, W. E. M., AbdAlgader, S. A., Salih, K. M. A., Salih, O. A. M. M. & (0) Clinical Spectrum and outcome of Childhood Tuberculosis in Mohammed Al-Amin Hamid Hospital for Children 2017-2018, Sudan. doi:10.24911/SJP.106-1597063699





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