Nutritional Status of Tuberculous Children Diagnosed and Treated in an Urban Area in DR Congo - Open Access Library Journal

OALibJ > Vol.4 No.5, May 2017

Nutritional Status of Tuberculous Children Diagnosed and Treated in an Urban Area in DR Congo ()

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DOI: 10.4236/oalib.1103557 1,335 Downloads 2,774 Views

Author(s)

Bafwafwa Ntumba Don Dieu^1,2, Kanteng A. Wakamb Gray¹, Mutombo Mulangu Augustin¹, Lukamba Mbuli Robert¹, Tshikamba Erick³, Wembonyama Okitotsho Stanislas¹, Luboya Numbi Oscar¹

Affiliation(s)

¹Department of Pediatrics, University Clinics of Lubumbashi, University of Lubumbashi, Lubumbashi, DR Congo.
²Office Health Information, Communication and Research, Provincial Division of the Health, Kasai Oriental, Mbuji-Mayi, DR Congo.
³Measure Evaluation, Mbuji-Mayi, DR Congo.

ABSTRACT

Introduction: Tuberculosis and malnutrition are major health problems in DR Congo, and children are particularly vulnerable. The objective of this study is to determine the incidence of malnutrition in tuberculous children in DR Congo and to identify the associated factors. Methodology: A cross sectional study was conducted, and concerned 22 Tuberculosis Diagnosis and Treatment Centers (TDTCs). It was carried out over a period from 2013 to 2015 and involved 717 tuberculosis children less than 15 years of age. Nutritional status was assessed on the basis of the values of the Z-score Weight for age (global malnutrition) according to the NCHS curves. Results: Tuberculosis incidence was 8.2%. The prevalence of underweight (<﹣2 z-score) is 20.8%, of which 8.4% is severely malnourished (<﹣3 z-score). An age of less than 60 months is significantly associated with poor nutritional status (OR = 0.3, CI 0.2 - 0.5). TB-HIV co-infection is significantly associated with poor nutritional status (OR = 0.4, CI 0.2 - 0.6). It was noticed that the outcome is favorable (recovery) in patients with good nutritional status (OR = 12, CI 8.0 - 18.9). Conclusion: Underweight is present in Congolese tuberculosis children. An adequate nutritional policy is needed to improve the prognosis of the disease.

KEYWORDS

Tuberculosis, Child, Nutritional Status, DR Congo

Share and Cite:

Dieu, B. , Gray, K. , Augustin, M. , Robert, L. , Erick, T. , Stanislas, W. and Oscar, L. (2017) Nutritional Status of Tuberculous Children Diagnosed and Treated in an Urban Area in DR Congo. Open Access Library Journal, 4, 1-9. doi: 10.4236/oalib.1103557.

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