Pulmonary tuberculosis among women with cough attending clinics for family planning and maternal and child health in Dar Es Salaam, Tanzania
<p>Abstract</p> <p>Background</p> <p>Tuberculosis (TB) case detection in women has remained low in developing world. This study was conducted to determine the proportion of smear positive TB among women with cough regardless of the duration attending family Planning (FP...
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| Format: | Article |
| Language: | English |
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BMC
2009-08-01
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| Series: | BMC Public Health |
| Online Access: | http://www.biomedcentral.com/1471-2458/9/278 |
| _version_ | 1819117019327365120 |
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| author | Wandwalo Eliud R Mfinanga Godfrey S Ngadaya Esther S Morkve Odd |
| author_facet | Wandwalo Eliud R Mfinanga Godfrey S Ngadaya Esther S Morkve Odd |
| author_sort | Wandwalo Eliud R |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Tuberculosis (TB) case detection in women has remained low in developing world. This study was conducted to determine the proportion of smear positive TB among women with cough regardless of the duration attending family Planning (FP) and Maternal and child health (MCH) clinics in Dar es Salaam.</p> <p>Methods</p> <p>We conducted a cross sectional study in all three municipal hospitals of Dar es Salaam, between October 2007 and June 2008. All women with cough attending FP and MCH clinics were screened for TB by smear microscopy. Pearson chi-square was used to compare group difference for categorical variables. Risk factors for smear positive were estimated by logistics regression with 95% confidence intervals (CI) given for odds ratios indicating statistically significant relationship if the CI did not include one.</p> <p>Results</p> <p>We enrolled a total of 749 TB suspects. Five hundred and twenty nine patients (70.6%) were from MCH clinics. Mean (SD) age was 27.6 (5.2) years. A total of 616 (82.2%) patients were coughing for less than two weeks as compared to 133 (17.8%), who coughed for two or more weeks. Among 616 TB suspects, 14 (2.3%) were smear positive TB patients, and of the 133 who had coughed for two or more weeks, 13 (9.8%) were smear positive TB patients. Risk factors associated with smear positive results were having attended more than one visit to any facility prior to diagnosis (OR = 6.8; 95%CI 2.57–18.0) and having HIV/AIDS (OR = 4.4; 95%CI 1.65–11.96). Long duration of cough was not a risk factor for being smear positive (OR = 1.6; 95%CI 0.59–4.49).</p> <p>Conclusion</p> <p>The proportion of smear positive TB patients among women with cough attending MCH and FP was 3.8%. Visits to any health facility prior to Diagnosis and HIV infection were risk for having a smear positive TB.</p> |
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| format | Article |
| id | doaj.art-7d4a037766d94f2da79ec418bc6ef1da |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-22T05:26:19Z |
| publishDate | 2009-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-7d4a037766d94f2da79ec418bc6ef1da2022-12-21T18:37:34ZengBMCBMC Public Health1471-24582009-08-019127810.1186/1471-2458-9-278Pulmonary tuberculosis among women with cough attending clinics for family planning and maternal and child health in Dar Es Salaam, TanzaniaWandwalo Eliud RMfinanga Godfrey SNgadaya Esther SMorkve Odd<p>Abstract</p> <p>Background</p> <p>Tuberculosis (TB) case detection in women has remained low in developing world. This study was conducted to determine the proportion of smear positive TB among women with cough regardless of the duration attending family Planning (FP) and Maternal and child health (MCH) clinics in Dar es Salaam.</p> <p>Methods</p> <p>We conducted a cross sectional study in all three municipal hospitals of Dar es Salaam, between October 2007 and June 2008. All women with cough attending FP and MCH clinics were screened for TB by smear microscopy. Pearson chi-square was used to compare group difference for categorical variables. Risk factors for smear positive were estimated by logistics regression with 95% confidence intervals (CI) given for odds ratios indicating statistically significant relationship if the CI did not include one.</p> <p>Results</p> <p>We enrolled a total of 749 TB suspects. Five hundred and twenty nine patients (70.6%) were from MCH clinics. Mean (SD) age was 27.6 (5.2) years. A total of 616 (82.2%) patients were coughing for less than two weeks as compared to 133 (17.8%), who coughed for two or more weeks. Among 616 TB suspects, 14 (2.3%) were smear positive TB patients, and of the 133 who had coughed for two or more weeks, 13 (9.8%) were smear positive TB patients. Risk factors associated with smear positive results were having attended more than one visit to any facility prior to diagnosis (OR = 6.8; 95%CI 2.57–18.0) and having HIV/AIDS (OR = 4.4; 95%CI 1.65–11.96). Long duration of cough was not a risk factor for being smear positive (OR = 1.6; 95%CI 0.59–4.49).</p> <p>Conclusion</p> <p>The proportion of smear positive TB patients among women with cough attending MCH and FP was 3.8%. Visits to any health facility prior to Diagnosis and HIV infection were risk for having a smear positive TB.</p>http://www.biomedcentral.com/1471-2458/9/278 |
| spellingShingle | Wandwalo Eliud R Mfinanga Godfrey S Ngadaya Esther S Morkve Odd Pulmonary tuberculosis among women with cough attending clinics for family planning and maternal and child health in Dar Es Salaam, Tanzania BMC Public Health |
| title | Pulmonary tuberculosis among women with cough attending clinics for family planning and maternal and child health in Dar Es Salaam, Tanzania |
| title_full | Pulmonary tuberculosis among women with cough attending clinics for family planning and maternal and child health in Dar Es Salaam, Tanzania |
| title_fullStr | Pulmonary tuberculosis among women with cough attending clinics for family planning and maternal and child health in Dar Es Salaam, Tanzania |
| title_full_unstemmed | Pulmonary tuberculosis among women with cough attending clinics for family planning and maternal and child health in Dar Es Salaam, Tanzania |
| title_short | Pulmonary tuberculosis among women with cough attending clinics for family planning and maternal and child health in Dar Es Salaam, Tanzania |
| title_sort | pulmonary tuberculosis among women with cough attending clinics for family planning and maternal and child health in dar es salaam tanzania |
| url | http://www.biomedcentral.com/1471-2458/9/278 |
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