Background
Rifampicin resistant pulmonary tuberculosis (RR-PTB) remains a global health burden especially in low income countries and among HIV positive individuals.
Objective
This study seeks to measure the prevalence of RR-PTB among confirmed PTB cases in Delta State South-Southern, Nigeria and to determine the correlation between various factors affecting the prevalence of RRTB among notified pulmonary TB cases.
Material and methods
The study is cross-sectional and retrospective in design and was carried out in Delta State, South-Southern Nigeria among participants with notified pulmonary TB cases. Gene Xpert registers for the selected facilities (Central Hospital Warri, Central Hospital Sapele and Federal Medical Center Asaba) for the year 2017 were retrieved, data extracted and analyzed.
Result
Prevalence of RR-PTB was 7.3% (47/643). Majority (11.3% and 11.4%) of RR-PTB cases were among ages 0–20 and 61–80 years respectively. The male group and HIV negative participants gave rates of 9.1% and 7.8% respectively. Rates reported for location of residence revealed that Delta Central had a rate that doubled Delta South and tripled Delta North.
Conclusion
Although our study figures are lower when compared to other reports for the study region, age grades 0–20 and 61–80 years, the male gender and residence in Delta Central were highlighted as independent variables that influence the distribution of RR-PTB. While a call for the sustenance and if possible augmentation of control and eradication efforts is of high essence, further studies aimed at identifying and understanding co-variables to the ones highlighted are recommended.
Mother to child transmission (MTCT) of the AIDS virus remains a persistent means for HIV acquisition and accounts for most cases of paediatric HIV infection. Maternal viral load, antiretroviral therapy for mother and infants, infant feeding pattern and mode of delivery have been implicated as factors that affects MTCT rates. The study evaluated the efficacy of the various PMTCT interventions in relation to HIV status of the babies. Early Infant Diagnosis (EID) register of exposed infants seeking care from January 2015-December 2016 was retrieved and reviewed. Data on mother's antiretroviral therapy (ART) status, infants ART status, sex, feeding pattern and HIV status were extracted, recorded an analyzed using SPSS 23 and results expressed in simple frequency and percentage. Statistical association was assayed for using Chi-square and Fisher's exact test. A total of 249 mother and infant pairs took part in the study. Approximately (50.2%) of the infants were females and virtually all (95.6%) of the participating mothers were on ART. Likewise, almost all (94.0%) of the infants were placed on ART while majority of them (71%) were exclusively breastfed. An incidence rate of 4.4% (11/249) for MTCT of the AIDS virus was recorded while variables such as maternal ART status, infant ART status and infant feeding pattern showed strong association with MTCT. Findings from this study revealed a reduced prevalence for the study region when compared to other regions and a hope for the complete eradication of MTCT of HIV when PMTCT interventions and strategies are properly implemented and utilized.
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