Chahboune Mohamed, Barkaoui Mohamed, Iderdar Younes, Alwachami Nadia, Mourajid Yassmine, Ifleh Mohamed, Boumendil Karima, Bachar Khadija, El Madani Saad
Hassan First University of Settat, Higher Institute of Health Sciences, Laboratory of Health Sciences and Technologies, Settat, 26000, Morocco.
Hassan First University of Settat, Higher Institute of Sport, Laboratory of Health Sciences and Technologies, Settat, 26000, Morocco.
Pan Afr Med J. 2022 Jul 7;42:185. doi: 10.11604/pamj.2022.42.185.35250. eCollection 2022.
tuberculosis is a public health problem in Morocco. This study aims to examine the epidemiological profile as well as the evolutionary and diagnostic features of tuberculosis in Settat, Morocco.
we conducted a retrospective descriptive and analytical study of data from the medical records of TB patients managed at the Diagnostic Centre for Tuberculosis and Respiratory Diseases in Settat, Morocco from 1 January 2015 to 31 December 2019.
we identified 1270 cases of tuberculosis. Lung involvement was more common than extrapulmonary involvement. Ganglionic tuberculosis mainly occurred in patients with extrapulmonary tuberculosis. Severe forms included tuberculous meningitis (10 cases) and miliary tuberculosis (10 cases). Diagnosis was bacteriologically confirmed in the majority of patients (84.09%). Extreme ages and female sex were mainly affected by extrapulmonary tuberculosis. Recovery was reported in 35.12% of patients and its rate was higher in pulmonary TB patients than in extrapulmonary TB patients (62.18% vs 0.37%; P<0.001). Patients with pulmonary tuberculosis (19.33% vs 10.81%; P<0.001) were mainly lost to follow-up. Death occurred to almost the same extent in patients with pulmonary and extrapulmonary tuberculosis (2.52% vs. 2.56%).
efforts on all fronts are still needed if the country is to achieve the goal of eliminating TB by 2030.
结核病是摩洛哥的一个公共卫生问题。本研究旨在调查摩洛哥塞塔特市结核病的流行病学概况以及其演变和诊断特征。
我们对2015年1月1日至2019年12月31日在摩洛哥塞塔特市结核病与呼吸疾病诊断中心接受治疗的结核病患者病历数据进行了回顾性描述性和分析性研究。
我们共识别出1270例结核病病例。肺部受累比肺外受累更为常见。淋巴结结核主要发生在肺外结核患者中。严重形式包括结核性脑膜炎（10例）和粟粒性肺结核（10例）。大多数患者（84.09%）的诊断通过细菌学得到证实。极端年龄和女性主要受肺外结核影响。35.12%的患者实现康复，肺结核患者的康复率高于肺外结核患者（62.18%对0.37%；P<0.001）。肺结核患者失访情况更为严重（19.33%对10.81%；P<0.001）。肺结核和肺外结核患者的死亡率几乎相同（2.52%对2.56%）。
如果该国要实现到2030年消除结核病的目标，仍需要在各方面做出努力。
