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Table 1 History, clinical characteristics and drug susceptibility test results in children with culture-confirmed TB according to HIV status (n = 596)

From: Culture-confirmed childhood tuberculosis in Cape Town, South Africa: a review of 596 cases

Characteristic

HIV-uninfected N = 281 (%)

HIV-infected N = 133 (%)

HIV unknown N = 182 (%)

Odds ratio (95% CI)a

Previous TB treatment

26 (9.3)

40 (30.1)

16 (8.8)

0.24 (0.13–0.42)

Known TB source case

152 (54.1)

73 (54.9)

70 (38.5)

NS

Nutritional status

(n = 276)

(n = 128)

(n = 173)b

 

   Severely malnourished

53 (19.2)

26 (20.3)

20 (11.6)

NS

   < 3rd percentile WFA

78 (27.8)

57 (42.9)

44 (24.2)

0.49 (0.31–0.78)

   Total malnourished

131 (46.6)

83 (62.4)

64 (35.2)

0.49 (0.31–0.77)

TST (Mantoux) positive

190/232 (81.9)

50/83c (60.2)

90/110 (81.8)

2.99 (1.66–5.38)

DST results

(n = 277)d

   

   All drug resistance

31 (11.2)

23 (17.3)

13 (7.1)

NS

   INH monoresistance

21 (7.5)

12 (9.0)

10 (5.5)

NS

   RMP monoresistance

0

2 (1.5)

0

 

   MDR

10 (3.6)

9 (6.8)

3 (1.6)

NS

TB manifestation:

    

Intrathoracic TB onlye

126 (44.8)

84 (63.2)

96 (52.7)

0.47 (0.30–0.74)

Intra- and extrathoracic TBe

119 (42.3)

44 (33.1)

48 (26.4)

NS

Extrathoracic TB only

37 (13.2)

5 (3.8)

37 (20.3)

3.07 (1.41–11.48)

All extrathoracic TB

156 (55.5)

49 (36.8)

85 (46.7)

2.12 (1.36–3.32)

  1. CI = confidence interval; WFA = weight for age; TST = tuberculin skin test; DST = drug susceptibility test; INH = isoniazid; RMP = rifampicin; MDR = multidrug-resistant
  2. a: comparison between HIV-uninfected and HIV-infected groups
  3. b: significantly fewer children were malnourished among those not HIV tested compared to those tested for HIV (OR 1.91; 1.30–2.80)
  4. c: only 2 with TST 5–9 mm induration
  5. d: in 4 HIV-uninfected children DST was not done
  6. e: intrathoracic TB includes pleural and pericardial effusions
  7. NS = not significant