Introduction: The emergence of multidrug-resistant tuberculosis (MDR-TB) is a challenge for disease control and prevention worldwide. Objective: To study factors associated with MDR-TB in patients diagnosed in the Centre region, from 2020 to 2022. Methods: We conducted a retrospective unpaired case-control study on data from January 1, 2020 to December 31, 2022. The variables used were grouped into sociodemographic, clinical, paraclinical and therapeutic characteristics. We calculated crude and adjusted odds ratios (aOR) at a 95% confidence interval (CI), with a significance level ɑ= 5%. Results: Factors associated with multidrug-resistant tuberculosis were history of TB treatment [OR=7.36; p=<0.0001]; place of residence [OR=6.04; p=0.0001]; alcohol consumption [OR=4.20, p=0.002]; Acid-Fast Bacillus (AFB) ≥ 3+ [OR=3.37, p=0.008]; hospitalization during treatment [OR=5.20; IC95%=1.79, p=0.002]; DOTS knowledge [OR=6.53; p=<0.0001]. Conclusion: Our study identified several factors associated with multidrug-resistant tuberculosis, those related to behavior in both patients and caregivers being: history of TB treatment; alcohol consumption; and lack of knowledge of the DOTS strategy. Which means that future studies should aim to understand the impact of patient behavior/knowledge or caregiver attitudes so that the results can guide the use of scarce resources to optimize their impact.
Published in | Central African Journal of Public Health (Volume 11, Issue 3) |
DOI | 10.11648/j.cajph.20251103.11 |
Page(s) | 91-101 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
Tuberculosis, Risk Factors, Multidrug-resistant Tuberculosis
[1] | Desissa F, Workineh T, Beyene T. Risk factors for the occurrence of multidrug-resistant tuberculosis among patients undergoing multidrug-resistant tuberculosis treatment in East Shoa, Ethiopia. BMC Public Health. 2018; 18(1): 422. |
[2] | Fregona G, Cosme LB, Moreira CMM, et al. Risk factors associated with multidrug-resistant tuberculosis in Espírito Santo, Brazil. Rev Saude Publica. 2017; 51(0): 41. |
[3] |
WHO. Global tuberculosis report. 2020.
https://iris.who.int/bitstream/handle/10665/336069/9789240013131-eng.pdf |
[4] |
WHO. Global tuberculosis report. 2022.
https://www.iom.int/sites/g/files/tmzbdl486/files/documents/2023-03/Global-TB-Report-2022.pdf |
[5] |
WHO. Guidelines for treatment of drug-susceptible tuberculosis and patient care, 2017 update. 2017.
https://iris.who.int/bitstream/handle/10665/255052/9789241550000-eng.pdf |
[6] | Bocar B, Kone B, Toloba yacouba, Clinical risk factors associated with multidrug-resistant tuberculosis (MDR-TB) in Mali. . Int J Infect Dis. 2019; 81: 149-155. |
[7] | Sylverken AA, Kwarteng A, Ankrah ST, Owusu M, Dumevi RM: The burden of drug-resistant tuberculosis in Ghana; Results of the first national survey Augustina Angelina Sylverken 1 2, Alexandre Kwarteng 2 3, Sampson Twumasi-Ankrah 2 4, Michaël Owusu 5, Réjouissez-vous d’Agyeiwaa Arthur 2, Rexford Mawunyo Dumevi 2, Louis Adu-Amoah 2, Nicolas Addofoh 2,. PLoS Un. 2021; 16(6). |
[8] | Diandé S, Badoum G, Combary A, et al. Multidrug-Resistant Tuberculosis in Burkina Faso from 2006 to 2017: Results of National Surveys. Eur J Microbiol Immunol (Bp). 2019; 9(1): 23-28. |
[9] | Welekidan LN, Skjerve E, Dejene TA, et al. Characteristics of pulmonary multidrug-resistant tuberculosis patients in Tigray Region, Ethiopia: A cross-sectional study. PLoS One. 2020; 15(8): e0236362. |
[10] | Huai P, Huang X, Cheng J, et al. Proportions and Risk Factors of Developing Multidrug Resistance Among Patients with Tuberculosis in China: A Population-Based Case-Control Study. Microb Drug Resist. 2016; 22(8): 717-726. |
[11] | Hirama T, Sabur N, Derkach P, et al. Risk factors for drug-resistant tuberculosis at a referral centre in Toronto, Ontario, Canada: 2010-2016. rmtc. 2020; 46(04): 95-103. |
[12] | Marahatta SB, Kaewkungwal J, Ramasoota P, Singhasivanon P. Risk factors of Multidrug Resistant Tuberculosis in central Nepal: A pilot study. Kathmandu Univ Med J. 2012; 8(4): 392-397. |
[13] | Sangaré L, Diandé S, Badoum G, Dingtoumda B, Traoré AS. Mycobacterium tuberculosis drug-resistance in previously treated patients in Ouagadougou, Burkina Faso. INT J TUBERC LUNG DIS. 2010; 14(11): 1424-1429. |
[14] | Pradipta IS, Forsman LD, Bruchfeld J, Hak E, Alffenaar JW. Risk factors of multidrug-resistant tuberculosis: A global systematic review and meta-analysis. Journal of Infection. 2018; 77(6): 469-478. |
[15] | Skrahina A, Hurevich H, Zalutskaya A, et al. Multidrug-resistant tuberculosis in Belarus: the size of the problem and associated risk factors. Bull World Health Organ. 2013; 91(1): 36-45. |
[16] | Massi MN, Wahyuni S, Halik H, et al. Drug resistance among tuberculosis patients attending diagnostic and treatment centres in Makassar, Indonesia. Int J Tuberc Lung Dis. 2011; 15(4): 489-495. |
[17] | Fiogbé AA, Adjoh KS, Ouedraogo AR, et al. Co-infection VIH/Tuberculose en milieu rural au benin: cas de la zone sanitaire Djougou-Ouake-Copargo (Nord-ouest Benin). Published online 2014. Accessed February 5, 2025. |
[18] | Chuchottaworn C, Thanachartwet V, Sangsayunh P, et al. Risk Factors for Multidrug-Resistant Tuberculosis among Patients with Pulmonary Tuberculosis at the Central Chest Institute of Thailand. PLOS ONE. 2015; 10(10): e0139986. |
APA Style
Balima, C., Yanogo, K. P., Traoré, Y., Aka, N. L., Barry, D., et al. (2025). Factors Associated with Multidrug-Resistant Tuberculosis in Patients Diagnosed in the Centre Region, Burkina Faso, 2020-2022. Central African Journal of Public Health, 11(3), 91-101. https://doi.org/10.11648/j.cajph.20251103.11
ACS Style
Balima, C.; Yanogo, K. P.; Traoré, Y.; Aka, N. L.; Barry, D., et al. Factors Associated with Multidrug-Resistant Tuberculosis in Patients Diagnosed in the Centre Region, Burkina Faso, 2020-2022. Cent. Afr. J. Public Health 2025, 11(3), 91-101. doi: 10.11648/j.cajph.20251103.11
@article{10.11648/j.cajph.20251103.11, author = {Clarisse Balima and Kiswendsida Pauline Yanogo and Youssouf Traoré and Nicaise Lepri Aka and Djibril Barry and Jean Kabore and Smaîla Ouédraogo and Nicolas Meda}, title = {Factors Associated with Multidrug-Resistant Tuberculosis in Patients Diagnosed in the Centre Region, Burkina Faso, 2020-2022 }, journal = {Central African Journal of Public Health}, volume = {11}, number = {3}, pages = {91-101}, doi = {10.11648/j.cajph.20251103.11}, url = {https://doi.org/10.11648/j.cajph.20251103.11}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20251103.11}, abstract = {Introduction: The emergence of multidrug-resistant tuberculosis (MDR-TB) is a challenge for disease control and prevention worldwide. Objective: To study factors associated with MDR-TB in patients diagnosed in the Centre region, from 2020 to 2022. Methods: We conducted a retrospective unpaired case-control study on data from January 1, 2020 to December 31, 2022. The variables used were grouped into sociodemographic, clinical, paraclinical and therapeutic characteristics. We calculated crude and adjusted odds ratios (aOR) at a 95% confidence interval (CI), with a significance level ɑ= 5%. Results: Factors associated with multidrug-resistant tuberculosis were history of TB treatment [OR=7.36; p=Conclusion: Our study identified several factors associated with multidrug-resistant tuberculosis, those related to behavior in both patients and caregivers being: history of TB treatment; alcohol consumption; and lack of knowledge of the DOTS strategy. Which means that future studies should aim to understand the impact of patient behavior/knowledge or caregiver attitudes so that the results can guide the use of scarce resources to optimize their impact. }, year = {2025} }
TY - JOUR T1 - Factors Associated with Multidrug-Resistant Tuberculosis in Patients Diagnosed in the Centre Region, Burkina Faso, 2020-2022 AU - Clarisse Balima AU - Kiswendsida Pauline Yanogo AU - Youssouf Traoré AU - Nicaise Lepri Aka AU - Djibril Barry AU - Jean Kabore AU - Smaîla Ouédraogo AU - Nicolas Meda Y1 - 2025/05/29 PY - 2025 N1 - https://doi.org/10.11648/j.cajph.20251103.11 DO - 10.11648/j.cajph.20251103.11 T2 - Central African Journal of Public Health JF - Central African Journal of Public Health JO - Central African Journal of Public Health SP - 91 EP - 101 PB - Science Publishing Group SN - 2575-5781 UR - https://doi.org/10.11648/j.cajph.20251103.11 AB - Introduction: The emergence of multidrug-resistant tuberculosis (MDR-TB) is a challenge for disease control and prevention worldwide. Objective: To study factors associated with MDR-TB in patients diagnosed in the Centre region, from 2020 to 2022. Methods: We conducted a retrospective unpaired case-control study on data from January 1, 2020 to December 31, 2022. The variables used were grouped into sociodemographic, clinical, paraclinical and therapeutic characteristics. We calculated crude and adjusted odds ratios (aOR) at a 95% confidence interval (CI), with a significance level ɑ= 5%. Results: Factors associated with multidrug-resistant tuberculosis were history of TB treatment [OR=7.36; p=Conclusion: Our study identified several factors associated with multidrug-resistant tuberculosis, those related to behavior in both patients and caregivers being: history of TB treatment; alcohol consumption; and lack of knowledge of the DOTS strategy. Which means that future studies should aim to understand the impact of patient behavior/knowledge or caregiver attitudes so that the results can guide the use of scarce resources to optimize their impact. VL - 11 IS - 3 ER -