Pediatric tuberculosis in a northeast state of peninsular Malaysia: diagnostic classifications and determinants
Joint Authors
Awang, Hafiz al-Din
Husayn, Nik Rosmawati Nik
Abd Allah, Hasniza
Source
Issue
Vol. 34, Issue 2 (31 Mar. 2019), pp.110-117, 8 p.
Publisher
Publication Date
2019-03-31
Country of Publication
Oman
No. of Pages
8
Main Subjects
Topics
Abstract EN
Objectives: We sought to determine the total proportion of pediatric tuberculosis cases, characterize tuberculosis by its anatomical location and pretreatment sputum smear status, and to determine the association of the sociodemographic and clinical factors with tuberculosis disease among pediatric patients in Kelantan from 2012 until 2015.
Methods: We conducted a comparative cross-sectional study between tuberculosis cases and tuberculosis contacts among pediatric patients using the Tuberculosis Information System as a source population.
All notified cases that fulfilled the inclusion and exclusion criteria were included in the study.
Descriptive statistics, simple and multiple logistic regressions were used for data analysis.
Results: Of 5412 tuberculosis cases, 456 (8.4%) were pediatric patients with a mean age of 15.9 years.
The majority had the pulmonary form of tuberculosis (78.1%) followed by the extrapulmonary (14.9%) and pulmonary form with concomitant extrapulmonary (7.0%) forms.
Of all pulmonary tuberculosis cases, 64.9% were sputum smear-positive, and 35.1% were sputum smear-negative.
Among 322 pediatric patients with tuberculosis, the majority were Malay (90.7%), 8.4% were illiterate, and 79.5% resided in non-urban areas.
Of all cases, 2.8% were HIV-positive, and 14.6% were cigarette smokers.
Older age, Malay ethnicity, female gender, non-urban residence, good education level, and cigarette smoking were the significant associated factors for tuberculosis disease among pediatric patients with an adjusted odds ratio (aOR) of 1.41 (95% confidence interval (CI): 1.29–1.54; p < 0.001), 0.17 (95% CI: 0.07–0.44; p < 0.001), 1.88 (95% CI: 1.33–2.65; p < 0.001), 1.92 (95% CI: 1.33–2.79; p = 0.001), 0.20 (95% CI: 0.12–0.33; p < 0.001), and 3.35 (95% CI: 1.86–6.01; p < 0.001), respectively.
Conclusions: The study will assist practices of tuberculosis detection and control management in the local setting and may help other national tuberculosis programs to review their detection criteria with similar statistics
American Psychological Association (APA)
Awang, Hafiz al-Din& Husayn, Nik Rosmawati Nik& Abd Allah, Hasniza. 2019. Pediatric tuberculosis in a northeast state of peninsular Malaysia: diagnostic classifications and determinants. Oman Medical Journal،Vol. 34, no. 2, pp.110-117.
https://search.emarefa.net/detail/BIM-880716
Modern Language Association (MLA)
Abd Allah, Hasniza…[et al.]. Pediatric tuberculosis in a northeast state of peninsular Malaysia: diagnostic classifications and determinants. Oman Medical Journal Vol. 34, no. 2 (Mar. 2019), pp.110-117.
https://search.emarefa.net/detail/BIM-880716
American Medical Association (AMA)
Awang, Hafiz al-Din& Husayn, Nik Rosmawati Nik& Abd Allah, Hasniza. Pediatric tuberculosis in a northeast state of peninsular Malaysia: diagnostic classifications and determinants. Oman Medical Journal. 2019. Vol. 34, no. 2, pp.110-117.
https://search.emarefa.net/detail/BIM-880716
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 116-117
Record ID
BIM-880716