Tuberculosis in the elderly: Epidemiology and outcomes of ambulatory followed-up in Abidjan

• Published in: Revue d'épidémiologie et de santé publique Vol. 60; no. 6; pp. 484 - 488
• Main Authors: Horo, K, Touré, K, Brou-Gode, V-C, Ahui, B J-M, Kouassi, B-A, Gnazé, A-Z, Konaté-Koné, F, Ouattara, K, Motsebo, F-S, Meless, T, N'gom, A-S, Koffi, N-B, Aka-Danguy, E
• Format: Journal Article
• Language: French
• Published: France 01.12.2012
• Subjects: Aged; Aged, 80 and over; Ambulatory Care; Cote d'Ivoire - epidemiology; Developing Countries - statistics & numerical data; Female; Humans; Male; Mycobacterium tuberculosis; Prevalence; Retrospective Studies; Tuberculosis - epidemiology; Cote d'Ivoire
• ISSN: 0398-7620
• DOI: 10.1016/j.respe.2012.02.009

Very few works approach elderly's tuberculosis (TB) in developing countries. The aim of this study is to present elderly's TB epidemiology and the outcomes of the ambulatory follow-up of the tuberculous patients aged more than 65years old (TBE) compared to the TB among patients less than 65years old (TBY). Our study is retrospective covering period of January 1999 to June 2006 activities of Adjamé's antituberculous center. It is a comparative study between patients of at least 65 years and patients of less than 65years when the diagnosis of TB was made. Among 36,923 cases of TB, the proportion of TBE is 2.33%. In case of TBE, the sex-ratio is 2.16 versus 1.50 among TBY (P<0.001). Localization of TB is pulmonary in 61.70% among TBE versus 67.26% among TBY (P=0.058). Among elderly's TB, the osteoarticular localization is more frequent. TB-VIH co-infection prevalence is estimated to 9.05% among elderly's TB versus 44.38% among patients of less than 65 years (P<0.001). The therapeutic success rate within elderly patients is 52.16% years versus 61.42% when it was patients of less than 65 years. The proportion of lost at follow-up and the rate of patient transfers within the elderly's TB are the most raised. The elderly's TB is rare with a more masculine predominance. TB-VIH co-infection is not important among elderly's TB. The aged patient follow-up must be improved.