Assessment of tuberculosis situation in Cairo governorate from 2006 to 2012 after application of directly observed therapy short-course strategy

Eissa, Sherif A.; Okab, Ali A.; Essawy, Tarek S.; Ghany, Eman A El

doi:10.4103/1687-8426.176787

Cited by 6 publications

(5 citation statements)

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“…In accordance to our results, many previous studies [10,11,16,18,19] reported a higher percentage of PTB compared to EPTB. On the other hand, other studies [15,20] reported a nearly equal percentage of PTB cases and EPTB cases.…”

Section: Discussionsupporting

confidence: 93%

Trends in pattern of tuberculosis in Sharkia Governorate at Ministry of Health and Population Chest Hospitals from 2016 to 2019

et al. 2021

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Background Tuberculosis is a communicable disease that is one of the leading cause of death from a single infectious agent (ranking above human immunodeficiency virus/acquired immunodeficiency syndrome). The aim of this work was to study the trend of applying the tuberculosis control program at the ministry of health and population chest hospitals, Sharkia, Egypt. Results This retrospective cross-sectional study was carried out using medical records from the tuberculosis registry at Ministry of Health and Population chest hospitals, Sharkia Governorate. The investigated variables included demographic characteristics, type of tuberculosis infection, and affected organs. All data were coded and statistically analyzed. A total 1404 cases of tuberculosis were notified between 2016 and 2019 with male predominance, where 67.1% were males and 32.9% were females. The highest number of tuberculosis patients was from the reproductive age groups. During the 4-year study period, the highest percentage of cases was new cases and the highest frequency of cases was during 2017 and the lowest frequency was during 2016. There was a decline in the total number of cases in 2018 and 2019 after sharp increase of total cases in 2017: pulmonary tuberculosis cases showed a sharp decline in 2017; however, there was an increase in extrapulmonary tuberculosis cases during 2017 then a slight decrease in 2018 and 2019. Of the pulmonary tuberculosis cases, 83.8% were smear-positive tuberculosis. Conclusions Pulmonary smear-positive and new cases were the most common among the recorded cases of tuberculosis. Productive age groups represented large percentage of the studied cases of tuberculosis. Lymph node and bones were the most common sites of extrapulmonary tuberculosis among reported cases in this study.

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Section: Discussionsupporting

confidence: 93%

Trends in pattern of tuberculosis in Sharkia Governorate at Ministry of Health and Population Chest Hospitals from 2016 to 2019

et al. 2021

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“…Age distribution of patients was similar between Lower and Upper Egypt as the highest percentage of cases was between 15 and less than 30 years, and the lowest percentage was for extremes of age less than 15 years and after 60 years. These results are in agreement with many individual Egyptian governorate studies that showed same results [9][10][11][12][13][14][15][16][17][18][19][20][21]. However, in Alexandria, the highest percentage of cases was in the age range 30-45 years [22].…”

Section: Discussionsupporting

confidence: 90%

“…The highest percentage was in males (66.1 and 62.7%, respectively), with statistically significant difference between males and females (Table 2), which was in concordance with most individual governorate studies [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23]. This difference may be owing to low notification rates in females as many female patients do not seek medical advice because of factors such as illiteracy and the traditions predominant in the society, which may prohibit them from going out and seeking medical advice.…”

Section: Discussionsupporting

confidence: 83%

Tuberculosis in Upper and Lower Egypt before and after directly observed treatment short-course strategy: a multi-governorate study

et al. 2019

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Background Tuberculosis (TB) is a major problem in developing countries. TB in Egypt is considered an important public health problem. Egypt is ranked among the mid-level incidence countries. Objective To evaluate TB status in 19 governorates and to compare the TB situation in Upper and Lower Egypt over 20 years from 1992 to 2012 before and after the application of directly observed treatment short-course strategy (DOTS). Patients and methods This is a retrospective study involving record review. The registered data were collected from TB registration units in the 19 governorates. Results The highest percentage of TB cases was in the age group 15-30 years. Infection was higher in males than females and in rural areas more than urban areas. Pulmonary TB and smear positivity at diagnosis, second, third, and fifth month were higher in Lower Egypt. Treatment after failure or relapse was significantly higher in Upper Egypt, whereas default rate, failure rate, and death rate were significantly higher in Lower Egypt. Regarding treatment outcome, cure, complete treatment, and transfer out were significantly increased after DOTS than before. Failure, default, and death were significantly reduced after DOTS than before DOTS. Upper Egypt included higher incidence rates of TB, new adult smear-positive cases, new extrapulmonary TB cases, and sputum conversion rate at the end of the initial phase of treatment. Cure rate and treatment success rate were significantly higher among patients of Upper Egypt, whereas transfer out rate and retreatment failure rate were significantly higher among Lower Egypt patients. Conclusion TB is still a health problem in Egypt, with pulmonary TB more in Lower Egypt, whereas extrapulmonary more in Upper Egypt, but after the introduction of DOTS, there is a significant increase in cure and success rate, with markers of success being more in Upper Egypt.

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“…The highest percentage of PTB was in 2014 (66.2%), while the highest percentage of EPTB was in 2017 (51.6%), Table 2. Similarly, Essawy et al (2016) [17] found that 72.8% were PTB and 27.2% were EPTB with a significant difference in the years 2009, 2007, and 2006. This study reported that the higher percentage was in new cases than other patient classification groups with a peak in 2018 (92.9%); however, the lowest percentage is in resistant cases which can be explained by increasing awareness of cases by treatment protocol (Table 3). Also, this study reported that smear-positive diagnosed cases were the highest used method of diagnosis during the studied 5 years than other methods (Table 4) which are in concordance with Allam et al 2019 [18] who found that Upper Egypt has higher incidence rates of new adult smear-positive cases and new extrapulmonary TB cases.…”

Section: Discussionmentioning

confidence: 92%

Retrospective study of pulmonary and extrapulmonary tuberculosis cases in Giza Governorate during the period of 2014–2018

Malik¹,

Wahab

Eltrawy

2021

Egypt J Bronchol

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Background Tuberculosis in Egypt is a main public health problem. Egypt is categorized among the mid-level incidence countries. The objective of this work is to study the epidemiology of TB in Giza Governorate during the period from 2014 to 2018. Results This study revealed that the total number of TB cases in Giza Governorate during the period from 2014 to 2018 was 3357 (2035 males and 1322 females including 199 children) with the highest number of cases in 2017 (n=770 cases). The highest incidence occurred in the age group 18–65 years (86.3%%, 78.8%, 83.8%, 84.2%, and 87.1%) and male gender (56.8%, 62.8%, 59.9%, 61.3%, and 61.5%) during the study period, respectively, and in urban residence, the higher percentage occurred in PTB than EPTB in 2014, 2015, 2016, and 2018 (66.2%, 58.9%, 57.3%, and 55.5%), respectively, while the incidence of the extra PTB was higher than PTB in 2017 (51.6% versus 48.4%). The increased incidence of new cases (92.9%, 89.6%, 92.7%, 91.8%, and 92.9%) during the 5 studied years are smear-positive and cure outcome (86.3%, 87.7%, 88.7%, 83.4%, and 83.4%, respectively) Conclusion Young, middle-aged male, and new smear-positive cases were highest in percentage. The highest percentage of PTB (66.2%) was registered in 2014, and the highest percentage of EPTB (51.6%) was registered in 2017. The increased percentage of cure outcome was during the period from 2014 to 2018 in Giza Governorate.

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Assessment of tuberculosis situation in Cairo governorate from 2006 to 2012 after application of directly observed therapy short-course strategy

Cited by 6 publications

References 1 publication

Trends in pattern of tuberculosis in Sharkia Governorate at Ministry of Health and Population Chest Hospitals from 2016 to 2019

Trends in pattern of tuberculosis in Sharkia Governorate at Ministry of Health and Population Chest Hospitals from 2016 to 2019

Tuberculosis in Upper and Lower Egypt before and after directly observed treatment short-course strategy: a multi-governorate study

Retrospective study of pulmonary and extrapulmonary tuberculosis cases in Giza Governorate during the period of 2014–2018

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