title: Epidemiology of tuberculosis and evaluation of treatment outcomes in the national tuberculosis control programme, River Nile state, Sudan, 2011-2013.
abstract: Tuberculosis is a major health problem in Sudan, a country that carries 11-15% of the tuberculosis burden in the Eastern Mediterranean Region. This study aimed to describe the epidemiology of tuberculosis in River Nile State and to compare treatment outcomes with WHO recommended indicators. A descriptive study was conducted on data collected from records of 1221 patients registered at tuberculosis management units over the 3 years 2011-2013. The mean age of cases was 37.7 (SD 21.5) years and 65.9% were males; 76.3% were pulmonary tuberculosis and 36.9% were sputum smear-positive cases. Average values for all outcome indicators were suboptimal, notably rates of case notification (30.8 per 100 000), case detection (10.3%), treatment success (79.6%), treatment failure (3.0%), default (8.1%) and death (8.0%). Of the 264 patients tested for HIV, 3.8% were positive. Outcome indicators for the national tuberculosis control programme are lagging behind the required targets.
authors.affiliation: Nile Valley University, Atbara, Sudan.
authors.forename: W M
authors.initials: WM
authors.lastname: Elmadhoun
authors.affiliation: Nile Valley University, Atbara, Sudan.
authors.forename: S K
authors.initials: SK
authors.lastname: Noor
authors.affiliation: Nile Valley University, Atbara, Sudan.
authors.forename: S O
authors.initials: SO
authors.lastname: Bushara
authors.affiliation: National Tuberculosis Control Programme, River Nile State, Atbara, Sudan.
authors.forename: E O
authors.initials: EO
authors.lastname: Ahmed
authors.affiliation: National Tuberculosis Control Programme, Khartoum, Sudan.
authors.forename: H
authors.initials: H
authors.lastname: Mustafa
authors.affiliation: Nile Valley University, Atbara, Sudan.
authors.forename: A A
authors.initials: AA
authors.lastname: Sulaiman
authors.affiliation: University of Medical Sciences and Technology, Khartoum, Sudan.
authors.forename: A O
authors.initials: AO
authors.lastname: Almobarak
authors.affiliation: Department of Medicine, MILTON KEYNES FOUNDATION TRUST UNIVERSITY HOSPITAL, Milton Keynes, United Kingdom.
authors.forename: M H
authors.initials: MH
authors.lastname: Ahmed
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003140:Communicable Disease Control / Q000592:standards*; D005260:Female; D006078:Government Programs / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D013397:Sudan / Q000453:epidemiology; D014397:Tuberculosis, Pulmonary / Q000453:epidemiology* / Q000517:prevention & control*; D055815:Young Adult