E-ISSN 1858-8360 | ISSN 0256-4408
 

Original Article 


Clinical spectrum of childhood tuberculosis and outcome at Mohammed Alamin Hamid Pediatric Hospital, Omdurman, Sudan

Walyeldin Elnour Mohamed Elfakey; Sara Altayeb Abd Algader Altayeb; Karimeldin Mohamed Ali Salih; Omaima Abdel Majeed Mohamed Salih.

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 patientsÂ’ 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; extrapulmonary 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%) 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.

Key words: Tuberculosis; tuberculosis management unit; pulmonary; extra-pulmonary tuberculosis; treatment outcome; children; Sudan.


 
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How to Cite this Article
Pubmed Style

Elfakey WEM, Altayeb SAAA, Salih KMA, Salih OAMM. Clinical spectrum of childhood tuberculosis and outcome at Mohammed Alamin Hamid Pediatric Hospital, Omdurman, Sudan. Sudan J Paed. 2021; 21(2): 144-151. doi:10.24911/SJP.106-1597063699


Web Style

Elfakey WEM, Altayeb SAAA, Salih KMA, Salih OAMM. Clinical spectrum of childhood tuberculosis and outcome at Mohammed Alamin Hamid Pediatric Hospital, Omdurman, Sudan. https://www.sudanjp.com/?mno=123799 [Access: August 01, 2022]. doi:10.24911/SJP.106-1597063699


AMA (American Medical Association) Style

Elfakey WEM, Altayeb SAAA, Salih KMA, Salih OAMM. Clinical spectrum of childhood tuberculosis and outcome at Mohammed Alamin Hamid Pediatric Hospital, Omdurman, Sudan. Sudan J Paed. 2021; 21(2): 144-151. doi:10.24911/SJP.106-1597063699



Vancouver/ICMJE Style

Elfakey WEM, Altayeb SAAA, Salih KMA, Salih OAMM. Clinical spectrum of childhood tuberculosis and outcome at Mohammed Alamin Hamid Pediatric Hospital, Omdurman, Sudan. Sudan J Paed. (2021), [cited August 01, 2022]; 21(2): 144-151. doi:10.24911/SJP.106-1597063699



Harvard Style

Elfakey, W. E. M., Altayeb, . S. A. A. A., Salih, . K. M. A. & Salih, . O. A. M. M. (2021) Clinical spectrum of childhood tuberculosis and outcome at Mohammed Alamin Hamid Pediatric Hospital, Omdurman, Sudan. Sudan J Paed, 21 (2), 144-151. doi:10.24911/SJP.106-1597063699



Turabian Style

Elfakey, Walyeldin Elnour Mohamed, Sara Altayeb Abd Algader Altayeb, Karimeldin Mohamed Ali Salih, and Omaima Abdel Majeed Mohamed Salih. 2021. Clinical spectrum of childhood tuberculosis and outcome at Mohammed Alamin Hamid Pediatric Hospital, Omdurman, Sudan. Sudanese Journal of Paediatrics, 21 (2), 144-151. doi:10.24911/SJP.106-1597063699



Chicago Style

Elfakey, Walyeldin Elnour Mohamed, Sara Altayeb Abd Algader Altayeb, Karimeldin Mohamed Ali Salih, and Omaima Abdel Majeed Mohamed Salih. "Clinical spectrum of childhood tuberculosis and outcome at Mohammed Alamin Hamid Pediatric Hospital, Omdurman, Sudan." Sudanese Journal of Paediatrics 21 (2021), 144-151. doi:10.24911/SJP.106-1597063699



MLA (The Modern Language Association) Style

Elfakey, Walyeldin Elnour Mohamed, Sara Altayeb Abd Algader Altayeb, Karimeldin Mohamed Ali Salih, and Omaima Abdel Majeed Mohamed Salih. "Clinical spectrum of childhood tuberculosis and outcome at Mohammed Alamin Hamid Pediatric Hospital, Omdurman, Sudan." Sudanese Journal of Paediatrics 21.2 (2021), 144-151. Print. doi:10.24911/SJP.106-1597063699



APA (American Psychological Association) Style

Elfakey, W. E. M., Altayeb, . S. A. A. A., Salih, . K. M. A. & Salih, . O. A. M. M. (2021) Clinical spectrum of childhood tuberculosis and outcome at Mohammed Alamin Hamid Pediatric Hospital, Omdurman, Sudan. Sudanese Journal of Paediatrics, 21 (2), 144-151. doi:10.24911/SJP.106-1597063699





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