Risk factors associated with childhood tuberculosis: a case control study in endemic tuberculosis area

Abstract

Childhood TB is under-reported due to challenges in diagnostic, since usually it is smear-negative. The majority of TB cases in children less than 12 years of age are smear-negative, and smears are seldom carried out in endemic countries. 6 In 2016, it is estimated about 1 million children affected with TB and 250 000 children ABSTRACT Background: Tuberculosis (TB) in childreen is still considered as important public health problems in various countries, including Indonesia. Risk factors related to childhood tuberculosis is crucial to identify in order to conduct prevention effort effectively. The purpose of this research is to determine the effect of environmental health in house, contact history and nutritional status toward childhood tuberculosis. Methods: This research is an analytical observational study using case-control design, with 35 samples of the case and 35 samples of the control. Several variables such as house environment, contact history and nutritional status were obtained by questionnaire and observation in house of respondents. Data analysis was conducted using Logistic Regression test to determine correlation between independent and dependent variables. Results: This research highlighted that contact history and nutritional status were correlated with childhood tuberculosis. While house environment variables such as lighting level, floor type, house occupancy density were not related to the incidence of tuberculosis in children. Conclusions: Contact history and nutritional status were the factors which determined childhood tuberculosis in Banyumas. It is important for parents to maintain good nutritional status of their children and to avoid them from contact with tuberculosis patients.

Risk Factors for the Incidence of Tuberculosis in Children at Sumedang District, West Java, Indonesia.

“…11 The results of this research in line with the research result of Zia Faizaty (2018) which mentions the floor type is not related to the incidence of TB children with p value = 1.000. 7 Than cooking fuel is categorized as a proper cooking fuel if it is from electricity and LPG. Meanwhile a non proper cooking fuel if it is from fuel wood / charcoal / briquettes / coconut shells.…”

“…The national Tuberculosis program seems to focus more on adult patients as a result of Tuberculosis in children that has not received adequate attention. 6,7 Even though it is no less important considering that children are the generation of the nation that needs healthy and optimal growth and development. Based on the above phenomenon, Tuberculosis in children is an increasingly important and an urgent public health challenge for attention.…”

Distribusi Terduga Dan Kasus Baru di Sekitar Tempat Tinggal Penderita Tuberculosis Paru BTA Positif

“…Status gizi merupakan faktor yang menentukan tuberculosis di Banyumas terutama pada anak-anak karena kerentanan sistem kekebalan tubuh mereka terhadap infeksi TBC paru. Peran orang tua sangat dibutuhkan untuk mempertahankan status gizi anakanak [20]. terdapat 4 orang terduga TBC paru yang memiliki status gizi normal dan 1 orang terduga TBC paru memiliki status gizi kurus.…”