Research Article

The Burden of Bacteriologically Negative TB Diagnosis: A Four-Year Review of Tuberculosis Cases at a Tertiary Facility

Table 1

Demographic and clinical characteristics of the study population.

ParametersStudy population
(%)
Treatment completed
(%)
Lost to follow-up
(%)
Died
(%)
Treatment failure
(%)
Treatment stopped
(%)
Transferred out
(%)
value

Total sample1933752 (38.9)167 (8.6)483 (25.0)7 (0.4)30 (1.6)494 (25.6)

Age group in years
13–24268 (13.9)91 (12.1)23 (13.8)78 (16.2)0 (0.0)3 (10.0)73 (14.8)0.524
25–44890 (46.1)370 (49.2)75 (44.9)217 (44.9)3 (42.9)12 (40.0)213 (43.1)
45–64606 (31.4)228 (30.3)57 (34.1)152 (31.5)3 (42.9)12 (40.0)154 (31.2)
≥65167 (8.7)63 (8.4)12 (7.2)36 (7.5)1 (14.3)3 (10.0)52 (10.5)

Gender
Female706 (36.5)264 (35.1)64 (38.3)186 (38.5)2 (28.6)8 (26.7)182 (36.8)0.673
Male1,227 (63.5)488 (64.9)103 (61.7)297 (61.5)5 (71.4)22 (73.3)312 (63.2)

Patient type
New1,818 (94.1)698 (92.8)157 (94.0)458 (94.8)5 (71.4)29 (96.7)471 (95.3)0.382
Retreatment110 (5.7)52 (6.9)10 (6.0)24 (4.8)2 (28.6)1 (4.5)21 (4.3)
Not known5 (0.3)2 (0.3)0 (0.0)1 (0.2)0 (0.0)0 (0.0)2 (0.4)

Disease classification
Pulmonary986 (51.0)424 (56.4)88 (52.8)255 (52.8)5 (71.4)14 (46.7)200 (40.5)<0.001
Extrapulmonary935 (48.4)322 (42.8)78 (46.7)225 (46.6)2 (28.6)16 (53.3)292 (59.1)
Not known12 (0.6)6 (0.8)1 (0.6)3 (0.6)0 (0.0)0 (0.0)2 (0.1)

Bacteriological confirmation
Confirmed606 (31.4)289 (38.4)58 (34.7)146 (30.2)5 (71.4)0 (0.0)108 (21.9)<0.001
Unconfirmed1189 (61.5)415 (55.2)102 (61.1)300 (62.1)2 (28.6)28 (93.3)342 (69.2)
No documentation138 (7.1)48 (6.4)7 (4.2)37 (7.7)0 (0.0)2 (6.7)44 (8.9)

Radiological report
Suggestive1,593 (82.4)628 (83.5)140 (83.8)397 (82.2)5 (71.4)24 (80.0)399 (80.8)0.202
Not suggestive140 (7.2)51 (6.8)12 (7.2)38 (7.9)0 (0.0)2 (6.7)37 (7.5)
Not done102 (5.3)32 (4.3)6 (3.6)26 (5.4)0 (0.0)1 (3.3)37 (7.5)
Not known98 (5.1)41 (5.5)9 (5.4)22 (4.6)2 (28.6)3 (10.0)21 (4.3)

HIV status
Positive576 (29.8)172 (22.9)42 (25.2)218 (45.1)1 (14.3)3 (10.0)140 (28.3)<0.001
Negative1,096 (56.7)499 (66.4)102 (61.1)191 (39.5)6 (85.7)22 (73.3)276 (55.9)
HIV test declined261 (13.5)81 (10.8)23 (13.8)74 (15.3)0 (0.0)5 (16.7)nn (15.8)