Submission ID 116322

Issue/Objective This systematic review and meta-analysis aimed to estimate the pooled prevalence of PTLD and determinants of Post-tuberculosis lung diseases in sub-Saharan African countries
Methodology/Approach This study followed PRISMA guidelines for systematic review and meta-analysis. We included studies reporting the prevalence and risk factors of PTLD among individuals with a history of pulmonary TB in sub-Saharan Africa. A comprehensive literature search was conducted in PubMed, Embase, Google Scholar and African Journals Online databases. The pooled prevalence of PTLD was estimated using a random-effects model, and associated factors were analyzed using adjusted odds ratios (OR).
Results A total of 20 studies, comprising 3,968 participants, met the inclusion criteria. The overall pooled prevalence of PTLD in sub-Saharan Africa was 40.57% (95% CI: 33.29%-47.86%). Significant risk factors for PTLD include female sex (OR: 3.26, 95% CI: 2.10-5.07), smoking (OR: 2.72, 95% CI: 1.30-5.70), and being underweight (OR: 2.35, 95% CI: 1.11-4.97).
Discussion/Conclusion Post-tuberculosis lung disease is a common complication among individuals with a history of pulmonary TB in sub-Saharan Africa. To effectively manage post-tuberculosis lung disease (PTLD) in sub-Saharan Africa, it is important to implement targeted interventions for high- risk groups, strengthen screening and chronic care services, enhance healthcare system capacity, and integrate PTLD management into national TB control programs
Presenters and affiliations Abraham Gebremedhn Armauer Hansen research institute
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