Research Article

Epidemiology of Pediatric Tuberculosis and Factors Associated with Unsuccessful Treatment Outcomes in the Centre Region of Cameroon: A Three-Year Retrospective Cohort Study

Table 2

Demographic and clinical characteristics by treatment outcome.

Demographic and clinical characteristicsTotal sample N (%)Unsuccessful outcome N (%)Successful outcome N (%)-value1

Sample size610 (100)122 (20)488 (80)

Gender
 Female307 (50.3)64 (52.5)243 (49.8)0.599
 Male303 (49.7)58 (47.5)245 (50.2)

Age group (years)
 0–4254 (41.6)53 (43.4)201 (41.2)0.721
 5–9142 (23.3)30 (24.6)112 (23.0)
 10–14214 (35.1)39 (32.0)175 (35.9)

Residence
 Rural147 (24.1)22 (18.0)125 (25.6)0.080
 Urban463 (75.9)100 (82.0)363 (74.4)

Form of TB
 Extrapulmonary TB177 (29.0)39 (32.0)138 (28.3)<0.001
 PTB−188 (30.8)53 (43.4)135 (27.7)
 PTB+245 (40.2)29 (24.6)216 (44.1)

Method of diagnosis
 Bacteriological diagnosis245 (40.2)31 (25.4)214 (43.9)<0.001
 Clinical diagnosis365 (59.8)91 (74.6)274 (56.1)

Weight of child at TB initiation
 0–7 kg84 (13.8)21 (17.2)63 (12.9)0.757
 8–14 kg132 (21.6)28 (23.0)104 (21.3)
 15–21 kg124 (20.3)22 (18.0)102 (20.9)
 22–28 kg73 (12.0)16 (13.1)57 (11.7)
 29–35 kg88 (14.4)16 (13.1)72 (14.8)
 >35 kg109 (17.9)19 (15.6)90 (18.4)

HIV status
 HIV-negative310 (50.8)59 (41.4)251 (51.4)<0.001
 HIV-positive153 (25.1)53 (43.4)100 (20.5)
 Unknown147 (24.1)10 (8.2)137 (28.1)

Treatment protocol
 Pediatric regimen (2RHEZ +4RH)422 (69.2)74 (60.7)348 (71.3)0.023
 Adult regimen (2RHEZ +4RH)188 (30.8)48 (39.3)140 (28.7)

Year of TB initiation
 2018153 (25.1)38 (31.1)115 (23.6)0.130
 2019146 (23.9)31 (25.4)115 (23.6)
 2020311 (51.0)53 (43.4)258 (52.9)

Type of health facility
 Faith-based49 (8.0)6 (4.9)43 (8.8)0.302
 Private19 (3.1)5 (4.1)14 (2.9)
 Public542 (88.9)111 (91.0)431 (88.3)

1-value from X2 test. PTB+: bacteriologically confirmed pulmonary TB. PTB−: clinically diagnosed pulmonary TB.