"Tuberculosis (TB) Status in Under-Five Children with Stunting in Bandung".

IF 1.4 Q3 PEDIATRICS

Global Pediatric Health Pub Date : 2024-12-23 eCollection Date: 2024-01-01 DOI:10.1177/2333794X241304375

Heda Melinda Nataprawira, Citra Cesilia, Muhammad Akbar Tirtosudiro, Fedri Ruluwedrata Rinawan, Diah Asri Wulandari, Sri Sudarwati, Irma Hasan Hikmat, Harry Galuh Nugraha, Rusfita Auguswina, Rini Mulya Sari, Susi Susanah, Cissy B Kartasasmita

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Abstract

Objective. Analyzing possible determinants for pulmonary tuberculosis (PTB) in under-five children with stunting and severely stunting in Bandung. Methods. Data was collected from 64 community health centers in Bandung using multiple stratified random sampling. Medical history, body measurements, tuberculin skin tests (TST), and chest X-rays (CXR) were collected. Possible determinants to PTB were analyzed using multiple logistic regression (P value of <.05 was significant). Results. 169 under-five children with stunting and severely stunting were included. 59.76% of children were diagnosed with PTB. The absence of BCG scars and weight-for-age were significant determinants of PTB (P value <.05). Conclusions. PTB was observed in more than half of stunted and severely stunted under 5 children. BCG scars are a protective factor, while weight-for-age is a risk factor for stunting and severe stunting.

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“万隆五岁以下发育迟缓儿童的结核病状况”。

目标。分析万隆五岁以下发育迟缓和严重发育迟缓儿童肺结核（PTB）的可能决定因素。方法。采用多层随机抽样方法，从万隆市64个社区卫生中心收集数据。收集病史、身体测量、结核菌素皮肤试验（TST）和胸部x光片（CXR）。对169名5岁以下发育迟缓和严重发育迟缓儿童进行分析。59.76%的儿童被诊断患有肺结核。无卡介苗疤痕和体重年龄比是PTB的重要决定因素（P值）。在发育迟缓和严重发育迟缓的5岁以下儿童中，半数以上观察到PTB。卡介苗疤痕是一种保护因素，而年龄体重比是发育迟缓和严重发育迟缓的危险因素。

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