Skip to main content
padlock icon - secure page this page is secure

Open Access Childhood tuberculosis in Mauritania, 2010–2015: diagnosis and outcomes in Nouakchott and the rest of the country

Download Article:
 Download
(PDF 180.9 kb)
 
Setting: The National Tuberculosis Programme, Mauritania.

Objective: To compare the diagnosis and treatment outcomes of childhood tuberculosis (TB) cases (aged <15 years) registered between 2010 and 2015 inside and outside Nouakchott, the capital city.

Design: This was a retrospective comparative cohort study.

Results: A total of 948 children with TB were registered. The registration rate was 10 times higher in Nouakchott. The proportion of children among all TB cases was higher inside than outside Nouakchott (7.5% vs. 4.6%, P < 0.01). Under-fives represented 225 (24%) of all childhood TB cases, of whom 204 (91%) were registered in Nouakchott. Extra-pulmonary TB was more common in Nouakchott, while smear-negative TB was less common. Treatment success was similar inside and outside Nouakchott (national rate 61%). The principal unsuccessful outcomes were loss to follow-up outside Nouakchott (21% vs. 11%, P < 0.01) while transfers out were more common in the city (25% vs. 14%, P = 0.01). Being aged <5 years (OR 1.2, 95%CI 1.1–1.5) was associated with an unsuccessful outcome.

Conclusion: This study indicates problems in the diagnosis and treatment of childhood TB in Mauritania, especially outside the city of Nouakchott. We suggest strengthening clinical diagnosis and management, improving communications between TB treatment centres and health services and pressing the TB world to develop more accurate and easy-to-use diagnostic tools for children.
No References
No Citations
No Supplementary Data
No Article Media
No Metrics

Keywords: SORT IT; operational research; outcomes; under-fives

Document Type: Research Article

Affiliations: 1: Programme National de Lutte contre la, Tuberculose et la Lèpre, Nouakchott, Mauritanie 2: Université de Parakou, Parakou, Bénin, Programme National contre la Tuberculose, Cotonou, Bénin, International Union Against Tuberculosis and Lung Disease, Paris, France 3: University of Bergen, Bergen, Norway 4: National Malaria Control Programme, Ministry of Health, Mbabane, Swaziland 5: International Union Against Tuberculosis and Lung Disease, Paris, France, AIDS & TB Department, Ministry of Health and Child Care, Harare, Zimbabwe 6: Centre Hospitalier National de Nouakchott, Mauritanie, Faculté de Médecine, Université de Nouakchott, Nouakchott, Mauritanie 7: Operational Research Unit (LuxOR), Medical Department, Operational Centre Brussels, Médecins Sans Frontières Luxembourg

Publication date: September 21, 2017

This article was made available online on August 16, 2017 as a Fast Track article with title: "Childhood tuberculosis in Mauritania, 2010–2015: diagnosis and outcomes in Nouakchott and the rest of the country".

More about this publication?
  • Public Health Action (PHA), The Union's quarterly open access on-line journal, provides a platform for its mission 'Health solutions for the poor'. PHA addresses the need for show-casing operational research that addresses issues in health systems and services. It publishes high-quality scientific research that provides new knowledge to improve access, equity, quality and efficiency of health systems and services.

  • Editorial Board
  • Information for Authors
  • International Journal of Tuberculosis and Lung Disease
  • Public Health Action
  • Ingenta Connect is not responsible for the content or availability of external websites
  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
X
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more