Alexandria Journal of Pediatrics

ORIGINAL ARTICLE
Year
: 2017  |  Volume : 30  |  Issue : 3  |  Page : 94--99

Prevalence of latent pulmonary tuberculosis in children with diabetes mellitus attending a Tertiary Care Hospital in Mansoura: a cross-sectional study


Mahmoud M Bakr1, Ashraf A Elsharkawy1, Yahya M Wahba1, Nermin Y Abo Elkheir2 
1 Department of Pediatrics, Faculty of Medicine, Mansoura University, Mansoura, Egypt
2 Department of Clinical Pathology, Faculty of Medicine, Mansoura University, Mansoura, Egypt

Correspondence Address:
Yahya M Wahba
Department of Clinical Pathology, Faculty of Medicine, Mansoura University, Mansoura 35516
Egypt

Aims Tuberculosis (TB) and diabetes mellitus are closely associated with each other. We conducted a cross-sectional study to assess the prevalence and pattern of latent pulmonary TB in diabetic children using a combined screening tool. Settings and design A cross-sectional study was carried out in a Tertiary Care Hospital, Mansoura, Egypt, during the period from January to December, 2016. Materials and methods The study enrolled all diabetic children with the inclusion criteria who were available during the study period and attending the endocrinology outpatient clinics or admitted in the inpatient ward. A total of 70 diabetic patients completed tuberculin skin test (TST) reading, and their results were compared with those of 70 healthy controls. All patients were subjected to detailed medical history, complete physical examination, and laboratory and radiological evaluation. TB screening was done for both groups using TST, sputum microscopy and culture, and chest radiography. We used TST induration diameter more than 6 mm as the cut-off value to determine test positivity. Results A total of 53 (75.7%) patients of the studied diabetic group were poorly controlled. TST was positive in 30% of the screened diabetic patients. Test positivity was significantly higher among diabetic group when compared with control group. TST positivity was significantly higher in poorly controlled diabetic cases. There was a statistically significant negative correlation between TST induration diameter and HBA1C. Conclusion Diabetic patients are more vulnerable to latent pulmonary TB. The association between poor glycemic control and latent pulmonary TB among diabetic patients was evident. Combining TST with sputum culture and chest radiography did not improve screening results.


How to cite this article:
Bakr MM, Elsharkawy AA, Wahba YM, Abo Elkheir NY. Prevalence of latent pulmonary tuberculosis in children with diabetes mellitus attending a Tertiary Care Hospital in Mansoura: a cross-sectional study.Alex J Pediatr 2017;30:94-99


How to cite this URL:
Bakr MM, Elsharkawy AA, Wahba YM, Abo Elkheir NY. Prevalence of latent pulmonary tuberculosis in children with diabetes mellitus attending a Tertiary Care Hospital in Mansoura: a cross-sectional study. Alex J Pediatr [serial online] 2017 [cited 2018 Aug 21 ];30:94-99
Available from: http://www.ajp.eg.net/article.asp?issn=1687-9945;year=2017;volume=30;issue=3;spage=94;epage=99;aulast=Bakr;type=0