Olusola Adedeji Adejumo1, Olusoji James Daniel2, Bisola Ibironke Adebayo3, Esther Ngozi Adejumo4, Ebunoluwa Olasumbo Jaiyesimi5, Gabriel Akang6, Ayodele Awe7. 1. Department of Community Health and Primary Health Care, Lagos State University Teaching Hospital Lagos, Nigeria drolus_adejumo@yahoo.com. 2. Department of Community Medicine and Primary Care Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria. 3. Department of Community Health and Primary Health Care, Lagos State University Teaching Hospital Lagos, Nigeria. 4. Department of Medical Laboratory Science, Babcock University, Ilisan -Remo, Ogun State, Nigeria. 5. Centre for Research in Reproductive Health, Sagamu, Nigeria. 6. National TBL Control Programme, Abuja, FCT, Nigeria. 7. World Health Organization, Abuja, FCT, Nigeria.
Abstract
BACKGROUND: : Treatment outcomes of tuberculosis (TB) in children are rarely evaluated by most national TB programmes in sub-Saharan Africa. This study evaluated the treatment outcomes of children treated for TB in Lagos State, Nigeria. METHODS: A retrospective review of programme data of the Lagos state TB and the Leprosy control programme in Nigeria from 1 January 2012 to 31 December 2012. Treatment outcomes were categorized according to the national TB guidelines. RESULTS: A total of 535 cases of childhood TB were notified in 2012, representing 6.3% of the total TB cases notified in Lagos state in 2012. The prevalence of TB/HIV co-infection was 29%. The treatment success rate was 79.2% in TB/HIV-negative children compared with 73.4% in TB/HIV-positive children (p = 0.1268). Children <1 year had the worst treatment outcomes (p < 0.001). CONCLUSION: There is a need to intensify effort at improving notification and treatment outcomes in children.
BACKGROUND: : Treatment outcomes of tuberculosis (TB) in children are rarely evaluated by most national TB programmes in sub-Saharan Africa. This study evaluated the treatment outcomes of children treated for TB in Lagos State, Nigeria. METHODS: A retrospective review of programme data of the Lagos state TB and the Leprosy control programme in Nigeria from 1 January 2012 to 31 December 2012. Treatment outcomes were categorized according to the national TB guidelines. RESULTS: A total of 535 cases of childhood TB were notified in 2012, representing 6.3% of the total TB cases notified in Lagos state in 2012. The prevalence of TB/HIV co-infection was 29%. The treatment success rate was 79.2% in TB/HIV-negative children compared with 73.4% in TB/HIV-positive children (p = 0.1268). Children <1 year had the worst treatment outcomes (p < 0.001). CONCLUSION: There is a need to intensify effort at improving notification and treatment outcomes in children.
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