Abstract
The COVID-19 pandemic has affected the diagnosis and treatment of pediatric tuberculosis (TB), which can pose a public health burden if not properly treated. This study aims to find out the risk factors for pediatric TB. The design of this study was cross-sectional, using TB surveillance data extracted from maintenance cards of individuals who underwent TB screening in 2020–2022 at health facilities in DKI Jakarta. The independent variables in this study are age, gender, contact history, BCG immunization, and nutritional status. Logistic regression analysis was performed to identify factors associated with childhood TB after bivariate analysis using chi-square to determine the candidates. There were 14.158 patients as the sample, consisting of 5.9% positive TB. Risk factors associated with pediatric TB are aged 0-4 years (POR=0.3.90; 95% CI=3.32-4.58), male (POR=1.71; 95% CI=1.50-1.98), have a history of contact (POR=0.48; 95% CI=0.40-0.60) and do not have a history of contact (POR=0.78; 95% CI=0.64-0.91). Carrying out routine examinations on children in high TB areas, providing accessible health facilities, exceptional care for infected children, supporting vaccination programs, and promoting self-awareness and environmental sanitation can help prevent and control TB in children.
References
-
1. Centers for Disease Control. Basic TB Facts [Internet]. Centers for Disease Control. 2016 [cited 2024 Oct 24]. Available from: https://www.cdc.gov/tb/about/index.html
2. Agustina N. Faktor Risiko TB pada Anak [Internet]. Ditjen Pelayanan Kesehatan Kementrian Kesehatan . 2022 [cited 2023 Apr 2]. Available from: https://yankes.kemkes.go.id/view_artikel/1812/faktor-risiko-tb-pada-anak
3. Burusie A, Enquesilassie F, Salazar-Austin N, Addissie A. Epidemiology of childhood tuberculosis and predictors of death among children on tuberculosis treatment in central Ethiopia: an extended Cox model challenged survival analysis. BMC Public Health. 2023;23(1):1287.
4. UNICEF. Desk Review: Pediatric Tuberculosis with a Focus on Indonesia. UNICEF; 2022.
5. WHO. Global tuberculosis report 2022. Geneva: WHO; 2022. 104–116 p.
6. Kementrian Kesehatan RI. Dashboard TB. Kementrian Kesehatan RI. Jakarta: Kementrian Kesehatan RI; 2023.
7. Dinas Kesehatan DKI Jakarta 2021. Profil Kesehatan DKI Jakarta 2021. Jakarta ; 2022.
8. Malik AA, Safdar N, Chandir S, Khan U, Khowaja S, Riaz N, et al. Tuberculosis control and care in the era of COVID-19. Health Policy Plan. 2020;35(8):1130–2.
9. Purba IE, Harahap LM, Sembiring R, Wandra T, Nababan D. Determinants of Stunting Among Children Under Two Years of Age in Batu Bara District, Indonesia. Poltekita : Jurnal Ilmu Kesehatan. 2023;17(2):508–14.
10. Cilloni L, Fu H, Vesga JF, Dowdy D, Pretorius C, Ahmedov S, et al. The potential impact of the COVID-19 pandemic on the tuberculosis epidemic a modelling analysis. EClinicalMedicine. 2020;28:100603.
11. Ranasinghe L, Achar J, Gröschel MI, Whittaker E, Dodd PJ, Seddon JA. Global impact of COVID-19 on childhood tuberculosis: an analysis of notification data. Lancet Glob Health. 2022;10(12):e1774–81.
12. Xu C, Li T, Hu D, Zhang H, Zhao Y, Liu J. Predicted Impact of the COVID-19 Responses on Deaths of Tuberculosis — China, 2020. China CDC Wkly. 2021;3(2):21–4.
13. Kementrian Kesehatan RI. TB Anak [Internet]. Kementrian Kesehatan RI. 2019. Available from: https://sr.tbindonesia.or.id/wp-content/uploads/2019/12/website-tb-anak_3juli2019.pdf
14. Siddalingaiah N, Chawla K, Nagaraja SB, Hazra D. Risk factors for the development of tuberculosis among the pediatric population: a systematic review and meta-analysis. Eur J Pediatr. 2023;182(7):3007–19.
15. Maphalle LNF, Michniak-Kohn BB, Ogunrombi MO, Adeleke OA. Pediatric Tuberculosis Management: A Global Challenge or Breakthrough? Children. 2022;9(8):1120.
16. Thomas TA. Tuberculosis in Children. Pediatr Clin North Am. 2017;64(4):893–909.
17. Rizal Wahid A, Nachrawy T, Armaijn L. Karakteristik Pasien Tuberkulosis Pada Anak di Kota Ternate. Kieraha Medical Journal. 2021;3(1):15–20.
18. Thakur S, Chauhan V, Kumar R, Beri G. Adolescent Females are More Susceptible than Males for Tuberculosis. J Glob Infect Dis. 2021;13(1):3–6.
19. Wijaya MSD, Mantik MFJ, Rampengan NH. Faktor Risiko Tuberkulosis pada Anak. e-CliniC. 2021;9(1):124–33.
20. Dzakiyah RN, Karima UQ, Simanjorang C, Apriningsih. Determinan Kejadian Tuberkulosis Paru pada Usia Dewasa di Wilayah Kerja Puskesmas Parungpanjang, Kabupaten Bogor. Jurnal Penelitian Kesehatan SUARA FORIKES. 2023;14(3):603–8.
21. Centers for Disease Control. TB and Children [Internet]. Centers for Disease Control; 2022 [cited 2024 Apr 1]. Available from: https://www.cdc.gov/tb/about/children.html
22. Lo Vecchio A, Scarano SM, Amato C, Spagnuolo MI, Bruzzese E, Guarino A. Effects of COVID-19 pandemic on pediatric tuberculosis: decrease in notification rates and increase in clinical severity. Eur J Pediatr. 2023;182(7):3281–5.
23. USAID. Indonesia TB Recovery Plan To Mitigate The Impact Of COVID-19. 2021.
24. Bhatia V, Mandal PP, Satyanarayana S, Aditama TY, Sharma M. Mitigating the impact of the COVID-19 pandemic on progress towards ending tuberculosis in the WHO South-East Asia Region. WHO South East Asia J Public Health. 2020;9(2):95–9.
25. UNICEF. Cakupan Imunisasi Anak Rendah Akibat COVID-19, Pemerintah Atasi dengan Bulan Imunisasi Anak Nasional [Internet]. UNICEF. 2022 [cited 2023 Mar 21]. Available from: https://www.unicef.org/indonesia/id/siaran-pers/cakupan-imunisasi-anak-rendah-akibat-covid-19-pemerintah-atasi-dengan-bulan-imunisasi?gad_source=1&gclid=CjwKCAiA9vS6BhA9EiwAJpnXwzoiYl1drCX0vmdSULzE-kZIYdF1UiW4UgjPSVA5UzJgiY1P62nxPRoCWBEQAvD_BwE
Recommended Citation
Simanjorang, Chandrayani; Wangsawinangun, Rana Zahra Raniyah; Karima, Ulya Qoulan; and Nurcandra, Fajaria
(2024)
"Determinants of Pediatric Tuberculosis in DKI Jakarta During The COVID-19 Pandemic,"
Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan: Vol. 5:
No.
1, Article 5.
DOI: 10.7454/bikfokes.v5i1.1085
Available at:
https://scholarhub.ui.ac.id/bikfokes/vol5/iss1/5