EVALUATION OF SOCIODEMOGRAPHIC, LABORATORY, AND PROGNOSIS OF EXTRAPULMONARY AND PULMONARY TUBERCULOSIS AMONG CHILDREN IN SULAIMANI CITY FROM 2014 TO 2019

Khalid Hama Salih a


Department of Pediatrics, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.  

Submitted: 5/1/2020; Accepted: 27/7/2020; Published: 21/9/2020

ABSTRACT


Background 

Tuberculosis (TB) is a major public health problem in both developing and developed countries. Children with Tuberculosis is also achieve epidemiological indicators in terms of forming the future Tuberculosis pool. The diagnosis of Tuberculosis is difficult in children because there is no standard clinical and radiological description. 


Objectives 

We aimed to evaluate and compare the sociodemographic, medical history, laboratory, and radiologic findings of childhood pulmonary and extrapulmonary TB.


Patients and Methods

The medical records of childhood TB patients aged from 1st month of life to 15 years old for six years between the  1st January 2014 and the 31st December 2019 were reviewed. All patients with pulmonary and extrapulmonary TB were included. A predesigned questionnaire was used to document information of patient’s record which included; demographic data, medical history, radiological, laboratory finding, and prognosis.


Results

Sixty medical records files of children with tuberculosis were recorded in this study. 47 (78.3%) of them had extrapulmonary tuberculosis (EPTB) and 13 (21.7%) had pulmonary tuberculosis (PTB). female patients were more in both; PTB 8 (61.5%) and EPTB 25 (53.2%0, totally 33(55.0%) compared to the male with PTB which were 5 (38.5%) ,and 22 (46.8%) EPTB with no significant difference statistically (p=0.59), TB was more common in children less than 5 which account 31 (51.7%) especially EPTB were 29 (61.7%) then 2nd most common age were 11-15 year and were 21 (35.0). Least involved were between 5-10 and they were 8 (13.3). There was a significant difference statistically between the incidence of PTB and the incidence of EPTB in deferent groups, regarding the age (P value 0.01).


Conclusion

Age, living in a rural area, and contact history were significant variables in our study and all three parameters were more common in EPTB. laboratory finding. (TB skin test, GeneXpert test, ESR and chest x-ray)are an important tool for diagnosis and differentiation of PTTB from EPTB .



KEYWORDS

Tuberculosis; Pulmonary; Eextrapulmonary; Children, Sulaimani.