Table 6. Effect of helminth infection on the clinical severity and clinical presentation in TB patients at the time of TB diagnosis.
Helminth infection | Severe TB scorea | High sputum bacterial loadb | Lung infiltration | Lung cavitation | ||||
---|---|---|---|---|---|---|---|---|
aOR (95% CI) | p-value | aOR (95% CI) | p-value | aOR (95% CI) | p-value | aOR (95% CI) | p-value | |
Any helminth infection | 0.55 | 0.12 | 0.42 | 0.82 | ||||
No | 1.00 | 1.00 | 1.00 | 1.00 | ||||
Yes | 1.12 (0.78–1.61) | 0.75 (0.51–1.08) | 0.82 (0.50–1.33) | 0.95 (0.60–1.50) | ||||
Strongyloides stercoralisc | 0.44 | 0.39 | 0.17 | 0.76 | ||||
No | 1.00 | 1.00 | 1.00 | 1.00 | ||||
Yes | 1.19 (0.76–1.86) | 0.82 (0.52–1.29) | 1.56 (0.83–2.92) | 1.09 (0.62–1.91) | ||||
Schistosoma mansoni d | 0.75 | 0.004 | 0.15 | 0.088 | ||||
No | 1.00 | 1.00 | 1.00 | 1.00 | ||||
Yes | 0.89 (0.45–1.78) | 0.37 (0.19–0.72) | 0.51 (0.21–1.27) | 0.41 (0.12–1.16) | ||||
Hookworme | 0.55 | 0.40 | 0.086 | 0.54 | ||||
No | 1.00 | 1.00 | 1.00 | 1.00 | ||||
Yes | 1.20 (0.67–2.15) | 0.77 (0.42–1.42) | 0.51 (0.23–1.10) | 0.79 (0.37–1.69) | ||||
Multiple infections | 0.82 | 0.020 | 0.19 | 0.40 | ||||
None | 1.00 | 1.00 | 1.00 | 1.00 | ||||
Mono | 1.13 (0.77–1.67) | 0.88 (0.59–1.31) | 0.85 (0.51–1.43) | 1.06 (0.66–1.72) | ||||
Double or more | 1.04 (0.48–2.22) | 0.34 (0.16–0.73) | 0.67 (0.24–1.84) | 0.50 (0.17–1.44) |
Logistic regression model adjusted for age, sex, HIV infection, and smoking status.
a TB score (mild [score of 1–5] and severe [score of 6–12])
b Sputum bacterial load (according to qualitative AFB smear microscopy grading): mild (scanty and 1+) and severe (≥+2)
c 79 TB patients with any helminth infection other than S. stercoralis were excluded
d 150 TB patients with helminth co-infection other than S. mansoni were excluded
e 72 TB patients with helminth co-infection other than hookworm were excluded