Mohammed Amal Khalil Y, Humida Eldisugi Hassan M, Ali Ahmed Mirghani O, Ahmed Hussain G
Medicine, Faculty of Medicine, University of Kordofan, El-Obeid, SDN.
Medicine, El-Obeid International Hospital, El-Obeid, SDN.
Cureus. 2025 Jan 5;17(1):e76944. doi: 10.7759/cureus.76944. eCollection 2025 Jan.
Tuberculosis remains the leading cause of death from infectious diseases worldwide. This study assesses the impact of tuberculosis in western Sudan during armed conflict in 2023-2024.
This study was conducted by the respiratory department of El-Obeid Teaching Hospital in North Kordofan State, Sudan. The study encompassed 751 patients with tuberculosis. Data were collected in August 2024. A data collection sheet was developed to compile all pertinent information.
Of the 751 patients, 659 (87.7%) were classified as new cases, 85 (11.3%) as recurrent cases, and seven (9.3%) as multidrug-resistant (MDR). Of the 659 new cases, 470 (86.2%) were male patients, and 206 (91.7%) were female. The majority of patients were aged 26-35 years with 166 (22.1%), followed by those aged 19-25 years at 160 (21.3%) and 36-45 years at 127 (16.9%), totaling 127 individuals.
The incidence rate of tuberculosis rose markedly during the armed conflict in Sudan from 54 per 100,000 to 63 per 100,000 people. During wartime, there was an increase in recurrent disease, non-compliance with treatment methods, and multidrug resistance. The demographics most affected include men, laborers, and individuals employed in gold mining. Extrapulmonary tuberculosis is increasingly detected in lymph nodes, pleura, and abdominal areas. Immediate enhancements to the healthcare system are necessary to prevent the widespread transmission of tuberculosis in Sudan.
结核病仍是全球传染病致死的首要原因。本研究评估了2023 - 2024年武装冲突期间苏丹西部结核病的影响。
本研究由苏丹北科尔多凡州奥贝德教学医院呼吸科开展。该研究涵盖了751名结核病患者。数据于2024年8月收集。编制了一份数据收集表以汇总所有相关信息。
在751名患者中，659例（87.7%）被归类为新发病例，85例（11.3%）为复发病例，7例（9.3%）为耐多药（MDR）病例。在659例新发病例中，470例（86.2%）为男性患者，206例（91.7%）为女性患者。大多数患者年龄在26 - 35岁，有166例（22.1%），其次是19 - 25岁的患者，有160例（21.3%），36 - 45岁的患者有127例（16.9%），共计127人。
苏丹武装冲突期间结核病发病率从每10万人54例显著上升至每10万人63例。战时，复发病例、治疗方法依从性差和耐多药情况有所增加。受影响最大的人群包括男性、劳动者和从事金矿开采的人员。肺外结核在淋巴结、胸膜和腹部区域的检出率越来越高。必须立即加强医疗系统，以防止结核病在苏丹广泛传播。
