The Epidemiology of Tuberculosis in Western Sudan during the Sudan War 2023-2024  

作　　者：Amal Khalil Yousif Mohammed Maysa Khowgali Abd Alla Babker Esraa Daffalla Mohamed Ahmed Hasabsidu Adam Dafea Tumadir Mohammed Adam Tasneem Alfaki Mohamedelnour Monwer Mirghani Kamal Eldin Mirghani Ahmed Eldisugi Hassan Mohammed Humida Mustafa Elnour Hussein Bahar Hikmat Siddig Elzain Elnour Tomadir Elfaki Mohamedelnour Monawer Gesmelseid Abdelgader Gesmelseid Saror Ahmed Amin Mohammed Ahmed Najla Adam Elsharef Salem Hussain Gadelkarim Ahmed Amal Khalil Yousif Mohammed;Maysa Khowgali Abd Alla Babker;Esraa Daffalla Mohamed Ahmed;Hasabsidu Adam Dafea;Tumadir Mohammed Adam;Tasneem Alfaki Mohamedelnour Monwer;Mirghani Kamal Eldin Mirghani Ahmed;Eldisugi Hassan Mohammed Humida;Mustafa Elnour Hussein Bahar;Hikmat Siddig Elzain Elnour;Tomadir Elfaki Mohamedelnour Monawer;Gesmelseid Abdelgader Gesmelseid Saror;Ahmed Amin Mohammed Ahmed;Najla Adam Elsharef Salem;Hussain Gadelkarim Ahmed(Department of Medicine, Faculty of Medicine, University of Kordofan, El-Obeid, Sudan;Aldaman International Hospital, El-Obeid, Sudan;Department of Microbiology, Faculty of Medical Laboratory Sciences, University of Kordofan, El-Obeid, Sudan;Department of Surgery, Faculty of Medicine, University of Kordofan, El-Obeid, Sudan;Department of General Surgery, General, El-Obeid Teaching Hospital, El-Obeid, Sudan;Department of Histopathology and Cytology, Faculty of Medical Laboratory Sciences, University of Kordofan, El-Obeid, Sudan;Department of Clinical Pharmacy at Pediatrics Department, EL-Obeid Teaching Hospital, El-Obeid, Sudan;Department of Obstetrics and Gynecology, Sudan Medical Specialization Board, El-Obeid, Sudan;EL-Obeid Teaching Hospital, El-Obeid, Sudan;Cardiac Catheterization Laboratory, EL-Obeid International Hospital, El-Obeid, Sudan;Faculty of Medicine, Suba University Hospital, University of Khartoum, Khartoum, Sudan;Department of General Surgery, El-Obeid Teaching Hospital, El-Obeid, Sudan;University of Kordofan, Faculty of Medicine, Registrar Obstetrics and Gynecology, Sudan Medical Specialization Board, EL-Obeid Teaching Hospital, El-Obeid, Sudan;Department of Obstetrics and Gynecology, Faculty of Medicine, University of Kordofan, El-Obeid, Sudan;Medical Research Consultancy Center, NK, El-Obeid, Sudan;Department of Histopathology and Cytology, FMLS, University of Khartoum, Khartoum, Sudan)

机构地区：[1]Department of Medicine, Faculty of Medicine, University of Kordofan, El-Obeid, Sudan [2]Aldaman International Hospital, El-Obeid, Sudan [3]Department of Microbiology, Faculty of Medical Laboratory Sciences, University of Kordofan, El-Obeid, Sudan [4]Department of Surgery, Faculty of Medicine, University of Kordofan, El-Obeid, Sudan [5]Department of General Surgery, General, El-Obeid Teaching Hospital, El-Obeid, Sudan [6]Department of Histopathology and Cytology, Faculty of Medical Laboratory Sciences, University of Kordofan, El-Obeid, Sudan [7]Department of Clinical Pharmacy at Pediatrics Department, EL-Obeid Teaching Hospital, El-Obeid, Sudan [8]Department of Obstetrics and Gynecology, Sudan Medical Specialization Board, El-Obeid, Sudan [9]EL-Obeid Teaching Hospital, El-Obeid, Sudan [10]Cardiac Catheterization Laboratory, EL-Obeid International Hospital, El-Obeid, Sudan [11]Faculty of Medicine, Suba University Hospital, University of Khartoum, Khartoum, Sudan [12]Department of General Surgery, El-Obeid Teaching Hospital, El-Obeid, Sudan [13]University of Kordofan, Faculty of Medicine, Registrar Obstetrics and Gynecology, Sudan Medical Specialization Board, EL-Obeid Teaching Hospital, El-Obeid, Sudan [14]Department of Obstetrics and Gynecology, Faculty of Medicine, University of Kordofan, El-Obeid, Sudan [15]Medical Research Consultancy Center, NK, El-Obeid, Sudan [16]Department of Histopathology and Cytology, FMLS, University of Khartoum, Khartoum, Sudan

出　　处：《Advances in Infectious Diseases》2024年第4期691-701,共11页传染病进展(英文)

摘　　要：Background: Tuberculosis is endemic in Sudan and has witnessed a major surge amid the country’s continuous conflict. The goal of this study is to analyze the epidemiological aspects of tuberculosis in Western Sudan from 2023 to 2024, during the Sudan War. Methodology: This is a retrospective descriptive study that was carried out at El-Obeid Teaching Hospital in North Kordofan State, Sudan, during August and September 2024. All information on tuberculosis patients diagnosed between 15 April 2023, and 15 April 2024, was obtained from the hospital. Results: The results showed that 71% of the 751 tuberculosis patients had pulmonary tuberculosis, while 29% had extrapulmonary tuberculosis. Among the 533 patients with pulmonary tuberculosis, 74.3% were male and 62% were female. Among the 218 patients with extrapulmonary tuberculosis, 19% were males and 37.9% were females. The predominant age group for pulmonary tuberculosis was 19 - 25 years, followed by ≥46 and 26 - 35 years, with incidence rates of 25.3%, 25%, and 24.6%, respectively. Extrapulmonary tuberculosis was most prevalent in those aged ≥ 46 years, followed by those aged ≤ 18 years and 26 - 35 years, representing 38%, 18.3%, and 16%, respectively. Conclusion: Tuberculosis is prevalent in western Sudan and has seen a significant rise during the region’s conflict. Tuberculosis predominantly impacts individuals in their younger years. The heightened operations of conventional gold mining, coupled with the escalating urban air pollution, have markedly influenced the elevated epidemiological rates of the disease in Sudan. A significant number of individuals receive diagnoses and treatment at a delayed stage, potentially facilitating the propagation of infection.Background: Tuberculosis is endemic in Sudan and has witnessed a major surge amid the country’s continuous conflict. The goal of this study is to analyze the epidemiological aspects of tuberculosis in Western Sudan from 2023 to 2024, during the Sudan War. Methodology: This is a retrospective descriptive study that was carried out at El-Obeid Teaching Hospital in North Kordofan State, Sudan, during August and September 2024. All information on tuberculosis patients diagnosed between 15 April 2023, and 15 April 2024, was obtained from the hospital. Results: The results showed that 71% of the 751 tuberculosis patients had pulmonary tuberculosis, while 29% had extrapulmonary tuberculosis. Among the 533 patients with pulmonary tuberculosis, 74.3% were male and 62% were female. Among the 218 patients with extrapulmonary tuberculosis, 19% were males and 37.9% were females. The predominant age group for pulmonary tuberculosis was 19 - 25 years, followed by ≥46 and 26 - 35 years, with incidence rates of 25.3%, 25%, and 24.6%, respectively. Extrapulmonary tuberculosis was most prevalent in those aged ≥ 46 years, followed by those aged ≤ 18 years and 26 - 35 years, representing 38%, 18.3%, and 16%, respectively. Conclusion: Tuberculosis is prevalent in western Sudan and has seen a significant rise during the region’s conflict. Tuberculosis predominantly impacts individuals in their younger years. The heightened operations of conventional gold mining, coupled with the escalating urban air pollution, have markedly influenced the elevated epidemiological rates of the disease in Sudan. A significant number of individuals receive diagnoses and treatment at a delayed stage, potentially facilitating the propagation of infection.

关 键 词：TUBERCULOSIS Pulmonary TB Extra Pulmonary TB SUDAN Mycobacterium Tuberculosis 

分 类 号：R52[医药卫生—内科学]