Clinico- Epidemiological Profile of Tuberculosis Patients Diagnosed in a Tertiary Care Hospital of Northern India: A Cross-Sectional Study
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 12
Abstract
Abstract: TB is an infectious disease caused by the bacillus Mycobacterium tuberculosis. Worldwide, TB is one of the top 10 causes of death and the leading cause from a single infectious agent (above HIV/AIDS). Millions of people continue to fall sick with TB each year. To reduce the TB burden and ultimately elimination, country as well as regional epidemiology regarding TB should be known. We conducted the present study at Indra Gandhi Medical College (IGMC) and Hospital Shimla, India. This study was a cross-sectional record-based study. We collected information using a self-designed, structured questionnaire containing information regarding various sociodemographic, clinical and laboratory variables. Information was collected from Tuberculosis (TB) notification register kept at DOTS centre. Statistical analysis was done using statistical software Epi Info v7.2.2. A two-sided p-value of less than 0.05 was taken as statistically significant. Among all the age group of 18-59 years contained 75% of TB cases. 84% of study participants resided in rural area. Only 18% of study participants were previously treated and 52% were of extrapulmonary in origin.52% of the participants had microbiological confirmed TB in our study and among them microscopy (56%) was most common. EPTB was found to be more common in rural areas as compare to urban area. There were a greater number of previously treated patients in PTB (22.7%) as compare to EPTB (13.5%) and this difference was found statistically significant (p value 0.016). Majority of PTB patients (89.6%) were microbiologically confirmed as compare to 17.3% of EPTB patients (p value 0.001). There was higher number of Extra Pulmonary TB cases than Pulmonary TB in Himachal Pradesh, which were more in rural areas. There should be more emphasis on EPTB under RNTCP especially in rural areas. Necessary steps should be taken to reduce the number of previously treated Pulmonary TB cases.
Authors and Affiliations
Priyanka . , Vineet Kumar, Rahul Gupta, Anmol K Gupta
Keywords
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