Abstract:

Background: Multidrug-resistant tuberculosis (MDR-TB) is an increasing global problem. Good laboratory diagnosis is key to prompt treatment. This study aimed at assessing the laboratory performance in the multidrug-resistant tuberculosis (MDR-TB) control activities in Kano state, north west Nigeria, 2018.

Methods: We reviewed data and used a check list for assessment and analysis of secondary data of Kano state DR TB component of the state tuberculosis and leprosy control programme (STBLCP). The data was analyzed using Epi Info version 3.5.4 and Microsoft Excel 2007.

Results: Kano state in 2018 had a total of 37496 presumptive Mycobacterium tuberculosis (MTB) cases reported and 37496 (100%) tested. Of the 37496 presumptive MTB cases tested, 36641 (97.7%) were presumptive pulmonary MTB cases and 855 (2.3%) were presumptive extra pulmonary MTB cases. Of the 37496 tested, 33781 (90.1%) were MTB negative, 3715 (9.9%) MTB positive. Of the 3715 MTB positive cases, 3531 (95.0%) were MTB positive but drug sensitive (DS MTB), 140 (3.8 %) were MDR TB cases and 44 (1.2%) were indeterminate. Of the 140 MDR TB cases, 3 (2.1%) were <15 years of age, 137 (97.9%) were ≥15 years age, 101 (72.1%) were males and 39 (27.8%) were females.

Conclusions: The laboratory performance of Kano state MDR-TB control programme activities is good with good detection rate and 100% testing rate. There is high number of MDR TB cases. Majority of MDR TB cases are males and aged ≥15 years of age. There is need for the state TBLCP and partners to intensify community awareness on MDR TB

Keywords: Assessment, laboratory performance, Multidrug-resistant tuberculosis, Kano state, north west Nigeria.

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