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Prevalence and presentation of tuberculosis among hemodialysis patients in Khartoum, Sudan

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Show simple item record Banaga, Amin S.I. Siddiq, Nihad K Alsayed, Randa T. Babiker, Rasha Elmusharaf, Khalifa 2016-09-26T10:11:52Z 2016-09-26T10:11:52Z 2016
dc.description peer-reviewed en_US
dc.description.abstract Tuberculosis (TB) is a major health problem in the developing countries. There are limited data about the prevalence of TB patients on maintenance hemodialysis (HD) in Sudan. The aim of this study is to identify the prevalence and presentation of TB among Sudanese maintenance HD patients. This is a hospital-based descriptive study. The participants of the study are all HD patients distributed in 13 HD centers in Khartoum and Khartoum North Provinces in Sudan. All patients attended the HD centers from November 1, 2014 to February 1, 2015, were interviewed by a questionnaire focused on personal and clinical data. Those who were diagnosed as having active TB were studied regarding their clinical presentation, presence of comorbidities, site of TB, and methods used on diagnosis. The total number of HD patients during the study period was 1328 patients. We found 19 patients who already diagnosed and treated for TB infection. The prevalence rate of TB among HD patients is 1.4%. The mean age of patient was 44.53 ±8.69 years, 89.5% of them were males. The majority of them have comorbidities: 31.6%% have hypertension and 21.1% have diabetes. Extrapulmonary TB was the major presentation (57.9%) mainly tuberculous lymphadenitis (26.3%). The pulmonary presentation was found to be 42.1%. The diagnosis of TB was supported by microbiological evidence of alcohol acid-fast Bacilli present in sputum smear (21%), histological diagnosis (31.6%), polymerase chain reaction (21%), and imaging in (26.3%). Patients on maintenance HD are at an increased risk of TB and diagnosis of TB among HD patients need a high index of suspicion. There is a great need for establishing a screening scheme for TB among HD patients and further epidemiological studies are needed to fully evaluate this problem. en_US
dc.language.iso eng en_US
dc.publisher Medknow Publications en_US
dc.subject tuberculosis en_US
dc.subject TB en_US
dc.subject developing countries en_US
dc.title Prevalence and presentation of tuberculosis among hemodialysis patients in Khartoum, Sudan en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.4103/1319-2442.190873
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US

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