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Prevalence of drug-resistant tuberculosis in Nigeria: A systematic review and meta-analysis

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  • Cajetan C Onyedum
  • Isaac Alobu
  • Kingsley Nnanna Ukwaja

Abstract

Background: Drug-resistant tuberculosis (TB) undermines control efforts and its burden is poorly understood in resource-limited settings. We performed a systematic review and meta-analysis to provide an up-to-date summary of the extent of drug-resistant TB in Nigeria. Methods: We searched PubMed, Scopus, Embase, HINARI, AJOL, the Cochrane library, Web of Science, and Google Scholar for reports published before January 31 2017, that included any resistance, mono-resistance or multidrug resistance to anti-TB drugs in Nigeria. Summary estimates were calculated using random effects models. Results: We identified 34 anti-TB drug resistance surveys with 8002 adult TB patients consisting of 2982 new and 5020 previously-treated cases. The prevalence rate of any drug resistance among new TB cases was 32.0% (95% CI 24.0–40.0%; 734/2892) and among previously-treated cases, the rate was 53.0% (95% CI 35.0–71.0%; 1467/5020). Furthermore, multidrug resistance among new and previously-treated cases was 6.0% (95% CI 4.0–8.0%;161/2502)and 32.0% (95%CI 20.0–44.0; 357/949), respectively. There was significant heterogeneity between the studies (p

Suggested Citation

  • Cajetan C Onyedum & Isaac Alobu & Kingsley Nnanna Ukwaja, 2017. "Prevalence of drug-resistant tuberculosis in Nigeria: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-17, July.
    • Handle: RePEc:plo:pone00:0180996
    DOI: 10.1371/journal.pone.0180996
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    References listed on IDEAS

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    2. Qionghong Duan & Zi Chen & Cong Chen & Zhengbin Zhang & Zhouqin Lu & Yalong Yang & Lin Zhang, 2016. "The Prevalence of Drug-Resistant Tuberculosis in Mainland China: An Updated Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(2), pages 1-11, February.
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