Research Article | | Peer-Reviewed

Pediatric Tuberculosis Characteristic in West Nusa Tenggara Regional General Hospital During COVID-19 Pandemic 2019-2021

Received: 16 November 2024     Accepted: 29 November 2024     Published: 16 December 2024
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Abstract

Tuberculosis (TB) infection is still an important health problem worldwide, especially in children. The Coronavirus Disease (COVID-19) pandemic has affected the priority of healthcare including TB services. Many health services reported a significant decrease in TB detection, notification, treatment and prevention due to COVID-19 policies. Therefore, we conducted a study to determine the characteristics of pediatric TB patients in West Nusa Tenggara Province General Hospital during COVID-19 pandemic. This study was a retrospective study using registry data from the Pediatric Respirology Division, Department of Child Health, West Nusa Tenggara Province General Hospital from March 2019 to December 2021. Of 225 children with TB disease, there were 66.2% outpatient and 33.8% inpatient. Thirty point seven percents (69/225) were in ages group 5 to 11 years old and mostly were males (69.8%). West Lombok Regency was the district with highest number of subjects (37.3%). Majority of subjects were visited in March-December 2019, nearly before pandemic. Polymerase Chain Reaction (PCR) test for TB were performed in 172 (76.5%) subjects and showed positive result in 22/172 (9.8%). Most of them were pulmonary TB (72.9%) and 9.8% bacteriologically confirmed. Only 4 (1.8%) of children were died. Pulmonary TB is the most common TB disease among pediatric TB patients in this study. During study period, the number of hospital visit was decreased due to COVID-19 policies. This findings can guided healthcare providers to improve detection, treatment and prevention of TB disease post COVID-19 pandemic.

Published in American Journal of Pediatrics (Volume 10, Issue 4)
DOI 10.11648/j.ajp.20241004.19
Page(s) 215-219
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Pediatric Tuberculosis, Characteristics, COVID-19 Pandemic

References
[1] Kementerian Kesehatan RI. INFODATIN Pusat Data dan Informasi Kemeterian Kesehatan RI. Tuberculosis. [Tuberkulosis]. Jakarta: Kemenkes RI; 2018.
[2] Kemenkes RI. Technical instructions for the management and management of pediatric tuberculosis. [Petunjuk teknis manajemen dan tatalaksana TB anak]. Jakarta: Kementerian Kesehatan RI; 2016.
[3] Dinas Kesehatan Provinsi NTB. Number of suspected tuberculosis, tuberculosis cases, and pediatric tuberculosis cases in NTB in 2020. [Jumlah terduga tuberkulosis, kasus tuberkulosis, kasus tuberkulosis anak di NTB thn 2020]. NTB: Dinkes; 2021.
[4] Centers for Disease Control and Prevention [Internet]. 2019 Novel Coronavirus, Wuhan, China; [Updated 2020 Jan 26; cited 2021 Dec1]. CDC. Available at
[5] Khetrapal, Bhatia. Impact of COVID-19 pandemic on health system & Sustainable Development Goal 3. Indian J Med Res 151. 2020; 395-99.
[6] Stosic MB, Sagic L, Simic D, Jovanovic V, Rakic V, Adzic VT. Tuberculosis and associated risk factors among children and adolescent Population in Serbia: 12 year’s retrospective study. J Infect Dev Ctries. 2021; 15(6): 818-825.
[7] Aygün D, Yıldırım T, Başoğlu Öner Ö, Şiraneci R. Evaluation of clinical and laboratory characteristics of childhood tuberculosis. Turk Pediatri Ars 2020; 55(3): 236–43.
[8] Barat DKPNT [Internet]. Number of tuberculosis patients. [Jumlah penderita tuberkulosis]; [updated 2021; cited 2021 December 1]. Available from:
[9] Hajarsyah N, Daulay RM, Ramayani OR, Dalimunthe W, Daulay RS, and Meirina F. Tuberculosis risk factors in children with smear-positive adults in the household. Paediatr Indones. 2018; 58(2): 66-70.
[10] Siddalingaiah N, Chawla K, Nagaraja SB, and Hazra D. Risk factors for the development of tuberculosis among the pediatric population: a systematic review and meta‑analysis. European Journal of Pediatrics. 2023; 182: 3007-19.
[11] Putra IA, Amelia. Tuberculosis profile in children in the outpatient installation of Raden Mattaher Regional Hospital, Jambi. [Profil tuberculosis pada anak di instalasi rawat jalan RSUD Raden Mattaher Jambi]. JMJ, 2013; 1(1): 51 – 60.
[12] Noviarisa N, Yani FF, Basir D. Trends in childhood tuberculosis cases at Dr. M. Djamil Padang 2014-2016. [Tren kasus tuberkulosis anak di RSUP Dr. M. Djamil Padang tahun 2014-2016]. J Kesehat Andalas. 2019; 8(1): 36–41.
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  • APA Style

    Indrasuari, L. M., Indriyani, S. A. K. (2024). Pediatric Tuberculosis Characteristic in West Nusa Tenggara Regional General Hospital During COVID-19 Pandemic 2019-2021. American Journal of Pediatrics, 10(4), 215-219. https://doi.org/10.11648/j.ajp.20241004.19

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    ACS Style

    Indrasuari, L. M.; Indriyani, S. A. K. Pediatric Tuberculosis Characteristic in West Nusa Tenggara Regional General Hospital During COVID-19 Pandemic 2019-2021. Am. J. Pediatr. 2024, 10(4), 215-219. doi: 10.11648/j.ajp.20241004.19

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    AMA Style

    Indrasuari LM, Indriyani SAK. Pediatric Tuberculosis Characteristic in West Nusa Tenggara Regional General Hospital During COVID-19 Pandemic 2019-2021. Am J Pediatr. 2024;10(4):215-219. doi: 10.11648/j.ajp.20241004.19

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  • @article{10.11648/j.ajp.20241004.19,
      author = {Luh Made Indrasuari and Sang Ayu Kompiyang Indriyani},
      title = {Pediatric Tuberculosis Characteristic in West Nusa Tenggara Regional General Hospital During COVID-19 Pandemic 2019-2021
    },
      journal = {American Journal of Pediatrics},
      volume = {10},
      number = {4},
      pages = {215-219},
      doi = {10.11648/j.ajp.20241004.19},
      url = {https://doi.org/10.11648/j.ajp.20241004.19},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20241004.19},
      abstract = {Tuberculosis (TB) infection is still an important health problem worldwide, especially in children. The Coronavirus Disease (COVID-19) pandemic has affected the priority of healthcare including TB services. Many health services reported a significant decrease in TB detection, notification, treatment and prevention due to COVID-19 policies. Therefore, we conducted a study to determine the characteristics of pediatric TB patients in West Nusa Tenggara Province General Hospital during COVID-19 pandemic. This study was a retrospective study using registry data from the Pediatric Respirology Division, Department of Child Health, West Nusa Tenggara Province General Hospital from March 2019 to December 2021. Of 225 children with TB disease, there were 66.2% outpatient and 33.8% inpatient. Thirty point seven percents (69/225) were in ages group 5 to 11 years old and mostly were males (69.8%). West Lombok Regency was the district with highest number of subjects (37.3%). Majority of subjects were visited in March-December 2019, nearly before pandemic. Polymerase Chain Reaction (PCR) test for TB were performed in 172 (76.5%) subjects and showed positive result in 22/172 (9.8%). Most of them were pulmonary TB (72.9%) and 9.8% bacteriologically confirmed. Only 4 (1.8%) of children were died. Pulmonary TB is the most common TB disease among pediatric TB patients in this study. During study period, the number of hospital visit was decreased due to COVID-19 policies. This findings can guided healthcare providers to improve detection, treatment and prevention of TB disease post COVID-19 pandemic.
    },
     year = {2024}
    }
    

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    AU  - Luh Made Indrasuari
    AU  - Sang Ayu Kompiyang Indriyani
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    AB  - Tuberculosis (TB) infection is still an important health problem worldwide, especially in children. The Coronavirus Disease (COVID-19) pandemic has affected the priority of healthcare including TB services. Many health services reported a significant decrease in TB detection, notification, treatment and prevention due to COVID-19 policies. Therefore, we conducted a study to determine the characteristics of pediatric TB patients in West Nusa Tenggara Province General Hospital during COVID-19 pandemic. This study was a retrospective study using registry data from the Pediatric Respirology Division, Department of Child Health, West Nusa Tenggara Province General Hospital from March 2019 to December 2021. Of 225 children with TB disease, there were 66.2% outpatient and 33.8% inpatient. Thirty point seven percents (69/225) were in ages group 5 to 11 years old and mostly were males (69.8%). West Lombok Regency was the district with highest number of subjects (37.3%). Majority of subjects were visited in March-December 2019, nearly before pandemic. Polymerase Chain Reaction (PCR) test for TB were performed in 172 (76.5%) subjects and showed positive result in 22/172 (9.8%). Most of them were pulmonary TB (72.9%) and 9.8% bacteriologically confirmed. Only 4 (1.8%) of children were died. Pulmonary TB is the most common TB disease among pediatric TB patients in this study. During study period, the number of hospital visit was decreased due to COVID-19 policies. This findings can guided healthcare providers to improve detection, treatment and prevention of TB disease post COVID-19 pandemic.
    
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Author Information
  • Department of Child Health, West Nusa Tenggara Province General Hospital, Medical Faculty of Mataram University, Mataram, Indonesia

  • Department of Child Health, West Nusa Tenggara Province General Hospital, Medical Faculty of Mataram University, Mataram, Indonesia

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