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Nutritional Status of Tuberculous Children Diagnosed and Treated in an Urban Area in DR Congo

DOI: 10.4236/oalib.1103557, PP. 1-9

Subject Areas: Pediatrics

Keywords: Tuberculosis, Child, Nutritional Status, DR Congo

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Abstract

Introduction: Tuberculosis and malnutrition are major health problems in DR Congo, and children are particularly vulnerable. The objective of this study is to determine the incidence of malnutrition in tuberculous children in DR Congo and to identify the associated factors. Methodology: A cross sectional study was conducted, and concerned 22 Tuberculosis Diagnosis and Treatment Centers (TDTCs). It was carried out over a period from 2013 to 2015 and involved 717 tuberculosis children less than 15 years of age. Nutritional status was assessed on the basis of the values of the Z-score Weight for age (global malnutrition) according to the NCHS curves. Results: Tuberculosis incidence was 8.2%. The prevalence of underweight (<﹣2 z-score) is 20.8%, of which 8.4% is severely malnourished (<﹣3 z-score). An age of less than 60 months is significantly associated with poor nutritional status (OR = 0.3, CI 0.2 - 0.5). TB-HIV co-infection is significantly associated with poor nutritional status (OR = 0.4, CI 0.2 - 0.6). It was noticed that the outcome is favorable (recovery) in patients with good nutritional status (OR = 12, CI 8.0 - 18.9). Conclusion: Underweight is present in Congolese tuberculosis children. An adequate nutritional policy is needed to improve the prognosis of the disease.

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Dieu, B. N. D. , Gray, K. A. W. , Augustin, M. M. , Robert, L. M. , Erick, T. , Stanislas, W. O. and Oscar, L. N. (2017). Nutritional Status of Tuberculous Children Diagnosed and Treated in an Urban Area in DR Congo. Open Access Library Journal, 4, e3557. doi: http://dx.doi.org/10.4236/oalib.1103557.

References

[1]  National Tuberculosis Program (2013) National Guide for the Management of Tuberculosis and Tuberculosis-HIV in Children in DR Congo, Democratic Republic of Congo.
[2]  World Health Organization (WHO) (2012) Global Tuberculosis Report, 1-28. World Health Organization, Geneva.
[3]  Berti, E., Galli, L., Venturini, E., Martini, M. and Chiappini, E. (2014) Tuberculosis in Childhood: A Systematic Review of National and International Guidelines. BMC Infectious Diseases, 14, 53.
https://doi.org/10.1186/1471-2334-14-S1-S3
[4]  Janagath, D. and Mupere, E. (2012) Childhood Tuberculosis and Malnutrition. JID, 206, 1809-1815.
https://doi.org/10.1093/infdis/jis608
[5]  UNICEF (2014) The Situation of Children in the World. Janvier, 1-110.
[6]  World Health Organization (WHO) (2006) Guidance for National Tuberculosis Programs on the Management of Tuberculosis in Children. World Health Organization, Geneva.
[7]  National Tuberculosis Program (2015) National Guide for the Management of Tuberculosis PATI-5, Democratic Republic of Congo.
[8]  USAID (2006) Assessment of the Nutritional Situation in Emergencies.
www.fantaproject.org
[9]  Harries, A.D., Graham, S.M., Mwansambo, C., Kazembe, P., Broadhead, R.L., Maher, D. and Salaniponi, F.M. (2002) Childhood Tuberculosis in Malawi Nationwide Case-Finding and Treatment Outcomes. The International Journal of Tuberculosis and Lung Disease, 6, 424-431.
[10]  van Rie, A., Beyers, N., Gie, R.P., Kunneke, M., Donald, L. and Zietsman, P.R. (1999) Childhood Tuberculosis in an Urban Population in South Africa: Burden and Risk Factors. Archives of Disease in Childhood, 80, 433-437.
https://doi.org/10.1136/adc.80.5.433
[11]  Murray, C.J.L., Stylbo, K. and Rouillon, A. (1990) Tuberculosis in Developing Countries: Burden, Response and Cost. Bulletin of International Union Against Tuberculosis and Lung Disease, 65, 6-24.
[12]  Olusoji, J.D., Olusola, A.A., Husseine, A.A.R. and Jaiyesime, O.E. (2015) Trend of Childhood TB Case Notification in Lagos, Nigeria. International Journal of Mycobacteriology, 4, 239-244.
https://doi.org/10.1016/j.ijmyco.2015.05.010
[13]  Tsai, K.S., Chang, H.L., Dog, S.T., Chen, K.L., Chen, K.H., May, M.H. and Chen, K.T. (2013) Childhood Tuberculosis: Epidemiology, Diagnosis, Treatment and Vaccination. Pediatrics and Neonatology, 54, 295-302.
https://doi.org/10.1016/j.pedneo.2013.01.019
[14]  Ministry of Planning (2014) Demographic and Health Survey 2013-2014, Democratic Republic of Congo.
[15]  Islam, Q.S., Ahmed, S.M., Islam, M.A., Kamruzzaman, M. and Rifat, M. (2013) Beyond Drugs: Tuberculosis Patients in Bangladesh Need Nutritional Carrier during Convalescence. PHA, 3, 136-140.
https://doi.org/10.5588/pha.13.0005
[16]  Pawlowski, A., Jansson, M., Skold, M., Rottenberg, M.E. and Kallenius, G. (2012) Tuberculosis and HIV Co-Infection. PLoS Pathogens, 8, e1002464.
https://doi.org/10.1371/journal.ppat.1002464
[17]  Venturini, E., Turkova, A., Chiappini, E., Galli, L., Martino, M. and Thorne, C. (2014) Tuberculosis and HIV Co-Infection in Children. BMC Infectious Diseases, 14, S5.
https://doi.org/10.1186/1471-2334-14-S1-S5
[18]  Hoa, N.B., Lauritsen, J.M. and Rieder, H.L. (2013) Changes in Body Weight and Tuberculosis Treatment Outcome in Vietnam. International Journal of Tuberculosis and Lung Disease, 17, 61-66.
https://doi.org/10.5588/ijtld.12.0369
[19]  Cegielski, J.P. and McMurray, D.N. (2004) The Relationship Entre Malnutrition and Tuberculosis: Evidence from Studies in Humans and Experimental Animals. International Journal of Tuberculosis and Lung Disease, 8, 286-298.

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