■这项研究的目的是评估严重急性营养不良的5岁以下儿童中结核病(TB)的患病率及其相关因素。
■多中心,基于机构,回顾性横断面研究是在DireDawa城市管理局的公立医院进行的,埃塞俄比亚东部从2018年1月1日至2020年12月30日。拟合二元逻辑回归模型以确定与结核病患病率相关的因素。
DireDawa市公立医院收治的患有严重急性营养不良的5岁以下儿童中结核病的总体患病率,埃塞俄比亚东部为10.39%(95%置信区间(CI)7.61-13.73%)。重复入院(调整后赔率比(AOR)2.5,95%CI1.08-6.07),结核病接触史(AOR3.58,95%CI1.21-10.6),肺炎(AOR2.8,95%CI1.29-6.23),IV期HIV/AIDS(AOR4.41,95%CI1.29-15.13),和接受免疫(AOR0.19,95%CI0.08-0.43)是与TB患病率显著相关的变量。
■这项研究的结果表明,患有严重急性营养不良的五岁以下儿童中结核病的患病率很高。结核病的患病率与艾滋病毒/艾滋病有关,得了肺炎,有结核病接触史,录取状态,免疫状况。应实施具有营养康复护理的综合结核病预防和筛查策略。
UNASSIGNED: The aim of this
study was to assess the prevalence of tuberculosis (TB) and its associated factors among children under 5 years of age with severe acute malnutrition.
UNASSIGNED: A multi-center, institution-based, retrospective cross-sectional
study was conducted at public hospitals in Dire Dawa City Administration, Eastern Ethiopia from January 1, 2018 to December 30, 2020. A binary logistic regression model was fitted to identify factors associated with the prevalence of TB.
UNASSIGNED: The overall prevalence of TB among children under 5 years of age admitted with severe acute malnutrition to public hospitals in the city of Dire Dawa, Eastern Ethiopia was 10.39% (95% confidence interval (CI) 7.61-13.73%). Repeated admission (adjusted odds ratio (AOR) 2.5, 95% CI 1.08-6.07), a TB contact history (AOR 3.58, 95% CI 1.21-10.6), pneumonia (AOR 2.8, 95% CI 1.29-6.23), stage IV HIV/AIDS (AOR 4.41, 95% CI 1.29-15.13), and being immunized (AOR 0.19, 95% CI 0.08-0.43) were variables significantly associated with the prevalence of TB.
UNASSIGNED: The results of this
study showed that the prevalence of TB among under-five children with severe acute malnutrition was high. The prevalence of TB was associated with having HIV/AIDS, having pneumonia, having a TB contact history, admission status, and immunization status. Integrated TB prevention and screening strategies with nutritional rehabilitation care should be implemented.