Evidence map›Paper›PMID 42135674›Full record

ArticleBMC infectious diseases2026

Prevalence and determinants of unsuccessful tuberculosis treatment outcomes among children in Northern Ghana: a retrospective review.

Abdul-Rauf Sulemana, Abass Abdul-Karim, Jacob Solomon Idan, Issah Haruna, Alex Aning-Bonsu, Stephen Osei Akoto Jnr, Ziblim Illiasu, Stephen Nimirkpen, Alhaji Ibrahim Cobbinah, David Ngmenbelle and 1 more

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Article in BMC infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Abdul-Rauf SulemanaDepartment of Epidemiology and Biostatistics, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. arsulemana24@gmail.com.ORCID http://orcid.org/0009-0006-5685-1463
Abass Abdul-KarimGhana Health Service, Public Health Reference Laboratory, Tamale, Ghana.
Jacob Solomon IdanDepartment of Epidemiology and Biostatistics, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Issah HarunaDepartment of Epidemiology and Biostatistics, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Alex Aning-BonsuDepartment of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Stephen Osei Akoto JnrGhana Health Service, Kumasi South Hospital, Kumasi, Ghana.
Ziblim IlliasuDepartment of General Surgery, Tamale Teaching Hospital, Tamale, Ghana.
Stephen NimirkpenDepartment of Epidemiology and Biostatistics, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Alhaji Ibrahim CobbinahDepartment of Epidemiology and Biostatistics, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
David NgmenbelleDepartment of Epidemiology and Biostatistics, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Aliyu MohammedDepartment of Epidemiology and Biostatistics, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTuberculosis (TB) remains a leading cause of childhood morbidity and mortality, yet evidence on treatment outcomes and associated determinants in Northern Ghana remains limited. This study examined the prevalence, trends, and determinants of unsuccessful treatment outcomes among children with TB at Tamale Teaching Hospital from 2016 to 2024.

methodsA retrospective review of secondary data was conducted among children (< 15 years) diagnosed with TB at Tamale Teaching Hospital from 2016 to 2024. Data were extracted from the National Tuberculosis Programme registers. Treatment outcomes were defined according to WHO guidelines. Modified Poisson regression with robust standard errors was used to examine predictors of unsuccessful treatment outcomes, while logistic regression was performed as a sensitivity analysis. Analyses were conducted using Stata version 16 IC (StataCorp LLC, College Station, TX, USA).

resultsOf 1,842 TB cases, 245 were children, of whom 233 had documented treatment outcomes and were included in the analysis. The median age was 5 years (IQR: 2-10), and 58.4% were males. Pulmonary TB accounted for 63.5% of cases, while 13.7% had TB/HIV coinfection. The treatment success rate was 75.5% (176/233), while 24.5% (57/233) experienced unsuccessful outcomes, including 11.2% deaths and 13.3% loss to follow-up, with no cases of treatment failure. In multivariable analysis, children aged < 1 year (aRR: 3.04; 95% CI: 1.13-8.23), those aged 5-9 years (aRR: 3.51; 95% CI: 1.63-7.57), and rural residents (aRR: 1.70; 95% CI: 1.08-2.66) had a significantly higher risk of unsuccessful treatment outcomes. Sensitivity analysis using logistic regression confirmed these findings, and no significant associations were observed with sex, HIV status, type of patient, or disease classification.

conclusionNearly one in four children experienced unsuccessful TB treatment outcomes, mainly due to death and loss to follow-up. Younger age and rural residence were key predictors of poor treatment outcomes. Strengthening early diagnosis, decentralised care, and targeted adherence support for vulnerable groups is essential to improve outcomes.

Indexed as

Antitubercular AgentsTuberculosisAdolescentChildChild, PreschoolCoinfectionFemaleGhanaHIV InfectionsHumansInfantMalePrevalenceRetrospective StudiesTreatment FailureTreatment OutcomeAntitubercular AgentsChildhood tuberculosisGhanaModified poisson regressionPredictorsRetrospective reviewTreatment outcomesUnsuccessful treatment outcomes

Identifiers

PMID42135674
PMCPMC13348263

What Socratic holds

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.