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A Five-Year Retrospective Study on the Prevalence and Associated Factors of Mycobacterium Tuberculosis Among Tuberculosis Suspected Cases at Dessie Comprehensive Specialized Hospital, Dessie, Ethiopia

Received: 12 November 2025     Accepted: 25 November 2025     Published: 26 December 2025
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Abstract

Background: Tuberculosis (TB) remains a major public health issue in Ethiopia, with a high burden of both pulmonary and extrapulmonary TB cases. The prevalence of TB, including drug-resistant forms, continues to pose challenges, particularly in hospital settings like Dessie Comprehensive Specialized Hospital where both new and relapse cases are reported. This study aimed to determine the five-year prevalence and associated factors of MTB among TB-suspected cases at Dessie Comprehensive Specialized Hospital from 2020–2024. Method: A retrospective cross-sectional study was conducted using medical records of 1,850 TB-suspected cases. Data on socio-demographics, clinical presentation, and laboratory results (Gene-Xpert MTB/RIF) were analyzed using descriptive statistics and logistic regression. Results: The overall MTB prevalence was 23.4% (433/1,850). Significant risk factors included HIV co-infection (AOR=3.12, 95% CI: 2.34-4.16), malnutrition (AOR=2.45, 95% CI: 1.89-3.18), smoking (AOR=1.89, 95% CI: 1.32-2.71), and previous TB treatment (AOR=2.67, 95% CI: 1.95-3.65). Conclusion: The high MTB prevalence underscores the need for enhanced TB screening, particularly among high-risk groups.

Published in American Journal of Medical Science and Technology (Volume 1, Issue 1)
DOI 10.11648/j.ajmst.20250101.14
Page(s) 18-31
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

Keywords

Tuberculosis, Mycobacterium Tuberculosis, Prevalence, Risk Factors, Ethiopia, Retrospective Study, HIV, Gene x Pert, Northeast, Ethiopia

References
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[3] World Health Organization. Global tuberculosis report 2022. Geneva: World Health Organization; 2022. Licence: CC BY-NC-SA 3.0 IGO.
[4] World Health Organization. Automated real-time nucleic acid amplification technology for rapid and simultaneous detection of tuberculosis and rifampicin resistance: Xpert MTB/RIF assay for the diagnosis of pulmonary and extrapulmonary TB in adults and children – policy update 2013. Geneva: World Health Organization; 2013. WHO/HTM/TB/2013.16.
[5] World Health Organization. The End TB Strategy: Global strategy and targets for tuberculosis prevention, care and control after 2015. Geneva: World Health Organization; 2015. WHO/HTM/TB/2015.19.
[6] Abate E, Bekele A, Birlie B, Berisa S, Deribe T, Tsegaye G, et al. Multidrug-resistant tuberculosis in Ethiopian settings and its association with previous history of anti-tuberculosis treatment: a systematic review and meta-analysis. BMC Pulm Med. 2018; 18(1): 24.
[7] Mekonnen F, Tessema B, Moges F, Mengistu G, Mengistu Y, Dagnew M. Multidrug resistant tuberculosis: prevalence and risk factors in districts of Metema and West Armachiho, Northwest Ethiopia. BMC Infect Dis. 2015; 15: 461.
[8] Ethiopia Central Statistical Agency. Population and Housing Census of 2007: Amhara Region [Internet]. Addis Ababa: Central Statistical Agency; 2010.
[9] Kebede AH, Alebachew Z, Tsegaye F, et al. The first population-based national tuberculosis prevalence survey in Ethiopia, 2010–2011. Int J Tuberc Lung Dis. 2014; 18(6): 635–9.
[10] Dadi M, et al. Prevalence and factors associated with tuberculosis among HIV-positive adults attending a public health facility in Ethiopia. BMC Infect Dis. 2019; 19: 290.
[11] Lönnroth K, et al. Tuberculosis, poverty, and nutrition: a systematic review. J Clin Epidemiol. 2010; 63(10): 1047–58.
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[14] Tsegaye AT, Wondifraw Z. Epidemiology and risk factors of pulmonary tuberculosis in Ethiopia: A systematic review and meta-analysis of observational studies. PLoS One. 2024; 19(1): e0297594.
[15] Mamo G, et al. The burden of TB/HIV co-infection and its associated factors in Ethiopia: a systematic review and meta-analysis. BMC Public Health. 2022; 22: 1568.
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  • APA Style

    Ali, I. E., Awol, L. S., Mohammed, M., Mohammed, K. S. (2025). A Five-Year Retrospective Study on the Prevalence and Associated Factors of Mycobacterium Tuberculosis Among Tuberculosis Suspected Cases at Dessie Comprehensive Specialized Hospital, Dessie, Ethiopia. American Journal of Medical Science and Technology, 1(1), 18-31. https://doi.org/10.11648/j.ajmst.20250101.14

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    ACS Style

    Ali, I. E.; Awol, L. S.; Mohammed, M.; Mohammed, K. S. A Five-Year Retrospective Study on the Prevalence and Associated Factors of Mycobacterium Tuberculosis Among Tuberculosis Suspected Cases at Dessie Comprehensive Specialized Hospital, Dessie, Ethiopia. Am. J. Med. Sci. Technol. 2025, 1(1), 18-31. doi: 10.11648/j.ajmst.20250101.14

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    AMA Style

    Ali IE, Awol LS, Mohammed M, Mohammed KS. A Five-Year Retrospective Study on the Prevalence and Associated Factors of Mycobacterium Tuberculosis Among Tuberculosis Suspected Cases at Dessie Comprehensive Specialized Hospital, Dessie, Ethiopia. Am J Med Sci Technol. 2025;1(1):18-31. doi: 10.11648/j.ajmst.20250101.14

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  • @article{10.11648/j.ajmst.20250101.14,
      author = {Ismail Ebrie Ali and Lubaba Seid Awol and Mekonnen Mohammed and Kewser Seid Mohammed},
      title = {A Five-Year Retrospective Study on the Prevalence and Associated Factors of Mycobacterium Tuberculosis Among Tuberculosis Suspected Cases at Dessie Comprehensive Specialized Hospital, Dessie, Ethiopia},
      journal = {American Journal of Medical Science and Technology},
      volume = {1},
      number = {1},
      pages = {18-31},
      doi = {10.11648/j.ajmst.20250101.14},
      url = {https://doi.org/10.11648/j.ajmst.20250101.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajmst.20250101.14},
      abstract = {Background: Tuberculosis (TB) remains a major public health issue in Ethiopia, with a high burden of both pulmonary and extrapulmonary TB cases. The prevalence of TB, including drug-resistant forms, continues to pose challenges, particularly in hospital settings like Dessie Comprehensive Specialized Hospital where both new and relapse cases are reported. This study aimed to determine the five-year prevalence and associated factors of MTB among TB-suspected cases at Dessie Comprehensive Specialized Hospital from 2020–2024. Method: A retrospective cross-sectional study was conducted using medical records of 1,850 TB-suspected cases. Data on socio-demographics, clinical presentation, and laboratory results (Gene-Xpert MTB/RIF) were analyzed using descriptive statistics and logistic regression. Results: The overall MTB prevalence was 23.4% (433/1,850). Significant risk factors included HIV co-infection (AOR=3.12, 95% CI: 2.34-4.16), malnutrition (AOR=2.45, 95% CI: 1.89-3.18), smoking (AOR=1.89, 95% CI: 1.32-2.71), and previous TB treatment (AOR=2.67, 95% CI: 1.95-3.65). Conclusion: The high MTB prevalence underscores the need for enhanced TB screening, particularly among high-risk groups.},
     year = {2025}
    }
    

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  • TY  - JOUR
    T1  - A Five-Year Retrospective Study on the Prevalence and Associated Factors of Mycobacterium Tuberculosis Among Tuberculosis Suspected Cases at Dessie Comprehensive Specialized Hospital, Dessie, Ethiopia
    AU  - Ismail Ebrie Ali
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    AU  - Mekonnen Mohammed
    AU  - Kewser Seid Mohammed
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    DO  - 10.11648/j.ajmst.20250101.14
    T2  - American Journal of Medical Science and Technology
    JF  - American Journal of Medical Science and Technology
    JO  - American Journal of Medical Science and Technology
    SP  - 18
    EP  - 31
    PB  - Science Publishing Group
    UR  - https://doi.org/10.11648/j.ajmst.20250101.14
    AB  - Background: Tuberculosis (TB) remains a major public health issue in Ethiopia, with a high burden of both pulmonary and extrapulmonary TB cases. The prevalence of TB, including drug-resistant forms, continues to pose challenges, particularly in hospital settings like Dessie Comprehensive Specialized Hospital where both new and relapse cases are reported. This study aimed to determine the five-year prevalence and associated factors of MTB among TB-suspected cases at Dessie Comprehensive Specialized Hospital from 2020–2024. Method: A retrospective cross-sectional study was conducted using medical records of 1,850 TB-suspected cases. Data on socio-demographics, clinical presentation, and laboratory results (Gene-Xpert MTB/RIF) were analyzed using descriptive statistics and logistic regression. Results: The overall MTB prevalence was 23.4% (433/1,850). Significant risk factors included HIV co-infection (AOR=3.12, 95% CI: 2.34-4.16), malnutrition (AOR=2.45, 95% CI: 1.89-3.18), smoking (AOR=1.89, 95% CI: 1.32-2.71), and previous TB treatment (AOR=2.67, 95% CI: 1.95-3.65). Conclusion: The high MTB prevalence underscores the need for enhanced TB screening, particularly among high-risk groups.
    VL  - 1
    IS  - 1
    ER  - 

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