The Proportion of Student Tuberculosis Cases and Treatment Outcome at Jimma University Medical Center: 5-Year Retrospective Study (11 Sep. 2010-10 Sep. 2015).

Tuberculosis Research and Treatment Pub Date : 2019-03-03 eCollection Date: 2019-01-01 DOI:10.1155/2019/4597154
Hiwot Tibebu, Habtemu J Hebo
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引用次数: 6

Abstract

Background: University students are highly congregated at classroom and residence (dormitory) which offer a special risk to exposure and transmission of tuberculosis. In Ethiopia, the number of students joining universities is increasing from time to time though infrastructure of the universities has not kept pace with this increment. However, compiled reports on the magnitude and trend of tuberculosis in the higher education institutions of Ethiopia are limited.

Objective: This study was designed to determine the five years (Sep. 2010 to Sep. 2015) trend of the proportion of student tuberculosis cases and treatment outcome at Jimma University Medical Center.

Methods: A cross-sectional study was conducted at Jimma University Medical Center. A total of 347 students from Jimma University who were registered and treated at Tuberculosis Clinic of Jimma University Medical Center were included in this study. Data were collected by record review using checklist prepared in English. Data were entered into EpiData and cleaned and analyzed by SPSS 20.

Results: The mean proportion of student tuberculosis cases among total adult tuberculosis cases was 29.71% (347/1168). The mean proportion of student tuberculosis cases among the total students enrolled was nearly 0.38% (347/92,004). More than three-fourths (76.37% (265/347)) were male. Pulmonary tuberculosis accounted for 72.62% (252/347) and 54.40% (137/252) of these were smear-positive. Eight cases were positive for Human Immunodeficiency Virus. More than four-fifths (281/347) were new cases. The highest proportion (37.62%) was observed in 2010/11 while the lowest (12.03%) was observed in 2012/13. The proportion of tuberculosis dramatically decreased in the third year and significantly increased again in the last two years. Regarding treatment outcome, 98.75% (316/347) had successful treatment outcome (61.71% treatment completed; 38.29% cured). Four cases were defaults and there was not any death.

Conclusion: The five years' mean proportion of student tuberculosis cases among the total students enrolled was high in this study. However, the treatment success rate was better than the report of previous studies. Therefore, governmental and nongovernmental organizations concerned with tuberculosis must consider universities as focal points for the prevention and control of tuberculosis in Ethiopia.

Abstract Image

吉马大学医学中心5年回顾性研究(2010年9月11日- 2015年9月10日)
背景:大学生高度聚集在教室和宿舍,这为接触和传播结核病提供了特殊的风险。在埃塞俄比亚,进入大学的学生人数不时增加,但大学的基础设施没有跟上这一增长的步伐。然而,关于埃塞俄比亚高等教育机构中结核病的规模和趋势的汇编报告有限。目的:了解吉马岛大学医学中心2010年9月至2015年9月学生肺结核病例比例及治疗效果的变化趋势。方法:在吉马大学医学中心进行横断面研究。本研究以在吉马大学医学中心肺结核门诊登记治疗的吉马大学学生347人为研究对象。资料收集采用英文核对表进行记录回顾。数据录入EpiData,用SPSS 20进行清理分析。结果:学生结核占成人结核总病例的平均比例为29.71%(347/1168)。学生结核病例占在校生总数的平均比例接近0.38%(347/ 92004)。超过四分之三(76.37%,265/347)为男性。涂片阳性肺结核占72.62%(252/347)和54.40%(137/252)。8例人类免疫缺陷病毒阳性。超过五分之四(281/347)是新病例。2010/11年占比最高(37.62%),2012/13年最低(12.03%)。结核病的比例在第三年急剧下降,并在最后两年再次显著上升。治疗结果方面,98.75%(316/347)的患者治疗成功(61.71%的患者治疗完成;38.29%治愈)。有4例是违约,没有人死亡。结论:本研究5年在校学生肺结核病例的平均比例较高。但治疗成功率优于以往研究报道。因此,与结核病有关的政府和非政府组织必须将大学视为埃塞俄比亚预防和控制结核病的协调中心。
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