Epidemiological profile, diagnosis and evolution of tuberculosis in the community diagnostic and treatment center of Konobougou, Mali.

Abstract

Introduction: Tuberculosis still a major public health problem worldwide, particularly in sub-Saharan Africa. The aim of this work was to determine the epidemiological, diagnostic and evolutionary profile of patients followed-up for pharmacosensitive tuberculosis at the diagnosis and treatment center of the community and university health center of Konobougou in the health district of Barouéli in Mali. Methods and materials: This was a cross-sectional and retrospective study of patients followed for tuberculosis at the Konobougou diagnosis and treatment center in the Barouéli health district from January 1, 2017 to June 30, 2019. Results: We retained in this study 48 tuberculosis patients of all forms. The male was the most frequent at 79.2% with a sex ratio of 3.8. Bacteriologically confirmed pulmonary tuberculosis represented 89.6% (n = 43) and 10.4% (n = 5) was extra pulmonary. The TB - HIV comorbidity represented 12.5% of patients. Therapeutic success was 87.9% (n = 42). 8.3% of deaths, with 2.1% of cases of loss of follow-up and 2.1% of cases of therapeutic failure. Conclusion: The management of tuberculosis in the community through the strategy of directly observed treatment would be an important element in therapeutic success.