The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2018
Prevalence of pulmonary tuberculosis among students in three eastern Ethiopian universities.
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Mekonnen A, Collins J M, Aseffa A, Ameni G, Petros B
Аннотация
SETTINGS: Three universities located in eastern Ethiopia: Haramaya University, Haramaya; Dire-Dawa University, Dire-Dawa; and Jigjiga University, Jigjiga.
OBJECTIVE: To determine the burden of pulmonary tuberculosis (PTB) among university students and to identify risk factors for the development of TB disease.
DESIGN: All full-time university students were screened for symptoms of PTB and sputum was collected for acid-fast bacilli (AFB) examination and culture for Mycobacterium tuberculosis.
RESULTS: Of 35 344 students screened, we identified 153 PTB cases that occurred over the 1-year study period, or 433/100 000 students. Of these, 117 (76%) PTB cases were found through passive case finding at student health centres, while 36 (24%) previously undiagnosed patients were identified through active case finding. Sixteen cases detected using active case finding (44%) were smear-positive. Living in a dormitory with 5 students and attending university for 2 years were both significantly associated with PTB (adjusted OR 2.49 and 3.79, respectively, P < 0.001). In persons who underwent drug susceptibility testing, 11 (30.5%) had resistance to at least one first-line anti-tuberculosis drug.
CONCLUSION: We found a high burden of TB among university students in eastern Ethiopia. Screening for PTB upon university admission and at regular intervals should be considered to minimise TB transmission on university campuses.
OBJECTIVE: To determine the burden of pulmonary tuberculosis (PTB) among university students and to identify risk factors for the development of TB disease.
DESIGN: All full-time university students were screened for symptoms of PTB and sputum was collected for acid-fast bacilli (AFB) examination and culture for Mycobacterium tuberculosis.
RESULTS: Of 35 344 students screened, we identified 153 PTB cases that occurred over the 1-year study period, or 433/100 000 students. Of these, 117 (76%) PTB cases were found through passive case finding at student health centres, while 36 (24%) previously undiagnosed patients were identified through active case finding. Sixteen cases detected using active case finding (44%) were smear-positive. Living in a dormitory with 5 students and attending university for 2 years were both significantly associated with PTB (adjusted OR 2.49 and 3.79, respectively, P < 0.001). In persons who underwent drug susceptibility testing, 11 (30.5%) had resistance to at least one first-line anti-tuberculosis drug.
CONCLUSION: We found a high burden of TB among university students in eastern Ethiopia. Screening for PTB upon university admission and at regular intervals should be considered to minimise TB transmission on university campuses.
Предметные рубрики MeSH
AdolescentAdultAntitubercular AgentsCost of IllnessCross-Sectional StudiesDrug Resistance, BacterialEthiopiaFemaleHIV InfectionsHumansLogistic ModelsMaleMass ScreeningMicrobial Sensitivity TestsMultivariate AnalysisMycobacterium tuberculosisPrevalenceRisk FactorsSputumStudentsTuberculosis, PulmonaryUniversitiesYoung Adult