Trend of pulmonary tuberculosis and rifampicin-resistance among tuberculosis presumptive patients in Central Tigray, Ethiopia; 2018 -2023: a six-year retrospective study.

IF 2.4 Q3 INFECTIOUS DISEASES Tropical Diseases, Travel Medicine and Vaccines Pub Date : 2024-07-01 DOI:10.1186/s40794-024-00224-1
Guesh Gebremariam, Mulugeta Kiros, Selemun Hagos, Haftom Hadush, Amaha Gebremichael, Gebretsadkan Gebrekirstos, Aregawi Tesfay, Teumelsan Gebrewahid, Tesfay Berihu, Brhane Gebremariam
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Abstract

Background: Tuberculosis (TB) is a major public health concern in the developing countries. Moreover, the emergence of multidrug-resistant tuberculosis is challenging. However, there are no organized data on the trends of pulmonary tuberculosis and rifampicin-resistant Mycobacterium tuberculosis in the study area.

Methods: A retrospective cross-sectional study was conducted to fill the information gap in Central Tigray at St. Mary General Hospital between 2018 and 2023. Data were collected from the GeneXpert™ tuberculosis registration logbooks using standard checklists and analyzed using Statistical Package for Social Science version 22. After performing logistic regression, a p-value < 0.05 with a corresponding 95% confidence interval was considered statistically significant. Moreover, chi square test for trend was performed to assess the percentage of annual detection of pulmonary tuberculosis and rifampicin-resistant Mycobacterium tuberculosis during the study years.

Result: Presumptive pulmonary tuberculosis patients with complete data (n = 3696) were included in the study. The overall prevalence of pulmonary tuberculosis was 11.7%, of which 8.1% were resistant to rifampicin. The study revealed that the incidence of pulmonary tuberculosis has been increasing, mainly in the recent four years. Likewise, an increase in rifampicin-resistant Mycobacterium tuberculosis was observed with considerable fluctuations. Age, human immunodeficiency virus infection, and presumptive rifampicin-resistant Mycobacterium tuberculosis infection were significantly associated with the presence of pulmonary tuberculosis. Moreover, pulmonary tuberculosis was more prevalent among participants in the productive-age group.

Conclusion: Although there have been fluctuations, an increasing of pulmonary tuberculosis and rifampicin-resistant Mycobacterium tuberculosis has been observed in recent years. Hence, prevention and treatment strategies for tuberculosis should be strengthened to alleviate the burden of pulmonary tuberculosis and rifampicin-resistant Mycobacterium tuberculosis in the study area.

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2018-2023年埃塞俄比亚提格雷中部肺结核推定患者的肺结核和利福平耐药性趋势:一项为期六年的回顾性研究。
背景:结核病(TB)是发展中国家主要的公共卫生问题。此外,耐多药结核病的出现也具有挑战性。然而,目前还没有关于研究地区肺结核和耐利福平结核分枝杆菌趋势的有组织数据:为了填补蒂格雷中部地区在 2018 年至 2023 年期间的信息空白,圣玛丽综合医院开展了一项回顾性横断面研究。使用标准核对表从 GeneXpert™ 结核病登记日志中收集数据,并使用社会科学统计软件包 22 版进行分析。在进行逻辑回归后,结果显示:P值为0:研究纳入了数据完整的推定肺结核患者(n = 3696)。肺结核的总发病率为 11.7%,其中 8.1%对利福平产生耐药性。研究显示,肺结核发病率一直在上升,主要是在最近四年。同样,耐利福平结核分枝杆菌的发病率也在上升,且波动较大。年龄、人体免疫缺陷病毒感染和推定的耐利福平结核分枝杆菌感染与肺结核的存在有显著相关性。此外,肺结核在生产年龄组的参与者中发病率更高:结论:近年来,肺结核和耐利福平结核分枝杆菌感染率虽有波动,但仍呈上升趋势。因此,应加强结核病的预防和治疗策略,以减轻研究地区肺结核和耐利福平结核分枝杆菌的负担。
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来源期刊
CiteScore
5.20
自引率
0.00%
发文量
25
审稿时长
17 weeks
期刊介绍: Tropical Diseases, Travel Medicine and Vaccines is an open access journal that considers basic, translational and applied research, as well as reviews and commentary, related to the prevention and management of healthcare and diseases in international travelers. Given the changes in demographic trends of travelers globally, as well as the epidemiological transitions which many countries are experiencing, the journal considers non-infectious problems including chronic disease among target populations of interest as well as infectious diseases.
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