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Tuberculosis lymphadenitis in Southwest Ethiopia: a community based cross-sectional study

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dc.contributor.author Abebe, G.
dc.contributor.author Deribew, A.
dc.contributor.author Apers, L.
dc.contributor.author Abdissa, A.
dc.contributor.author Deribie, F.
dc.contributor.author Woldemichael, K.
dc.contributor.author Shiffa, J.
dc.contributor.author Tesfaye, M.
dc.contributor.author Jira, C.
dc.contributor.author Bezabih, M.
dc.contributor.author Aseffa, A.
dc.contributor.author Bekele, A.
dc.contributor.author Colebunders, R.
dc.date.accessioned 2012-12-05T12:22:41Z
dc.date.available 2012-12-05T12:22:41Z
dc.date.issued 2012
dc.identifier.issn 1471-2458
dc.identifier.doi http://dx.doi.org/10.1186/1471-2458-12-504
dc.identifier.other ITG-C3A
dc.identifier.other ITG-CLA
dc.identifier.other DCS
dc.identifier.other U-STDCLI
dc.identifier.other U-HIVCLI
dc.identifier.other JIF
dc.identifier.other DOI
dc.identifier.other FTA
dc.identifier.other E-only
dc.identifier.other URL
dc.identifier.other Abstract
dc.identifier.other UPD53
dc.identifier.uri http://hdl.handle.net/10390/7206
dc.description.abstract N2 - BACKGROUND: In Ethiopia where there is no strong surveillance system and diagnostic facilities are limited, the real burden of tuberculosis (TB) lymphadenitis is not well known. Therefore, we conducted a study to estimate the prevalence of TB lymphadenitis in Southwest Ethiopia. METHODS: A community based cross-sectional study was conducted from February to March 2009 in the Gilgel Gibe field research area. A total of 30,040 individuals 15 years or older in 10,882 households were screened for TB lymphadenitis. Any individual 15 years or older with lumps in the neck, armpits or groin up on interview were considered TB lymphadenitis suspect. The diagnosis of TB lymphadenitis was established when acid fast bacilli (AFB) smear microscopy of fine needle aspiration (FNA) sample, culture or cytology suggested TB. HIV counseling and testing was offered to all TB lymphadenitis suspects. Descriptive and bivariate analysis was done using SPSS version 15. RESULTS: Complete data were available for 27,597 individuals. A total of 87 TB lymphadenitis suspects were identified. Most of the TB lymphadenitis suspects were females (72.4%). Sixteen cases of TB lymphadenitis were confirmed. The prevalence of TB lymphadenitis was thus 58.0 per 100,000 people (16/27,597) (95% CI 35.7-94.2). Individuals who had a contact history with chronic coughers (OR 5.58, 95% CI 1.23-25.43) were more likely to have TB lymphadenitis. Lymph nodes with caseous FNA were more likely to be positive for TB lymphadenitis (OR 5.46, 95% CI 1.69-17.61). CONCLUSION: The prevalence of TB lymphadenitis in Gilgel Gibe is similar with the WHO estimates for Ethiopia. Screening of TB lymphadenitis particularly for family members who have contact with chronic coughers is recommended. Health extension workers could be trained to screen and refer TB lymphadenitis suspects using simple methods. en
dc.language English en
dc.subject Bacterial diseases en
dc.subject Tuberculosis en
dc.subject Mycobacterium tuberculosis en
dc.subject Lymphadenitis en
dc.subject Prevalence en
dc.subject Estimation en
dc.subject Mass campaigns en
dc.subject Screening en
dc.subject Clinical manifestations en
dc.subject Diagnosis en
dc.subject Acid-fast bacilli en
dc.subject Smear microscopy en
dc.subject Voluntary counseling and testing (VCT) en
dc.subject VCT en
dc.subject Case detection en
dc.subject Ethiopia en
dc.subject Africa, East en
dc.title Tuberculosis lymphadenitis in Southwest Ethiopia: a community based cross-sectional study en
dc.type Article-E en
dc.citation.issue 504 en
dc.citation.jtitle BMC Public Health en
dc.citation.volume 12 en
dc.citation.pages 1-7 en
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/22770435
dc.identifier.url http://www.biomedcentral.com/1471-2458/12/504
dc.citation.jabbreviation BMC Public Health en


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