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A B M Ali Hasan

 

A B M Ali Hasan

Kumudini Women’s Medical College Hospital,
Bangladesh

Abstract Title:Age and Gender Specific Burden of Child Tuberculosis: A Scenario of a Rural Area of Bangladesh

Biography:

Dr. A B M Ali Hasan has expertise in the area of child health and public health. His contextual researches reveal the root scenario of health among the rural population in Bangladesh. As a Faculty of Public Health Department of a University he is offering his best services in teaching and researches. He has a working experience in the most vulnerable country in the world like Afghanistan. His several articles were published in the Medical Journals of Bangladesh. Furthermore, two abstracts were accepted and presented in two different International Conferences in Bangladesh.

Research Interest:

Introduction: The age and gender specific burden of child Tuberculosis (TB) remains a major public health concern in rural area of Bangladesh with significant variability in its demographic and clinical aspects. We sought to characterize the age- and gender-specific burden of child TB in a rural Bangladeshi population, emphasizing diagnostic approaches and symptom variation and types of TB. Methods and materials: This retrospective cross-sectional study was conducted from October 1, 2023, to September 30, 2024, at the Directly Observed Treatment, Short Course (DOTS) Centre of Kumudini Hospital, Mirzapur, Tangail, Bangladesh. A total of 429 patients were diagnosed, registered and managed following DOTS protocols. Data were collected through clinical evaluations, chest X-rays, Mantoux Test (MT), GeneXpert, Fine Needle Aspiration Cytology (FNAC), and adenosine deaminase (ADA) tests, and analyzed using SPSS version 26. Results: Out Of 429 registered TB patients, 73 (17.02 %) was child < 15 with 50.68% male predominance. Majority i.e. 49.32% falls in the age group 10 - < 15. Extra Pulmonary TB (EPTB) accounted for 67.12% of all cases. Regarding symptoms 56.16% children presented with fever, weight loss & lump. Majority i.e. 95.89 % of children were referred to the DOTs Centre from Out Patient Department. Gender analysis revealed a male predominance bacteriologically positive (B+) PTB 66.67% and EPTB 75.51%, while clinically diagnosed PTB was more frequent in female (66.67%). Age distribution showed a higher burden of B+ PTB (50%) and EPTB (57.14%) in age group 10 - < 15, whereas clinically diagnosed PTB was most frequent among age group 0 -< 5 (50%). Conclusion: This study reported that a high burden of EPTB in youth age group 10 - <15 and PTB among <5 in the hospital coverage area. These findings indicate need of community based interventions including awareness and improved healthcare access.