scholarly journals Diabetes Mellitus among Adult Tuberculosis Patients Attending Tuberculosis Clinics in Eastern Ethiopia

2019 ◽  
Vol 2019 ◽  
pp. 1-7
Author(s):  
Lucy Tenaye ◽  
Bizatu Mengiste ◽  
Negga Baraki ◽  
Ermiyas Mulu

Background. Developing countries are suffering from the previously existing infectious diseases and alarmingly growing burden of noncommunicable diseases like diabetes mellitus. There is increased speculation that diabetes mellitus might attribute to high infectious diseases burden, such as tuberculosis. The global importance of diabetes mellitus as a tuberculosis-risk factor is still not a well-established fact. Thus, we conducted this study to determine the prevalence of diabetes mellitus and its associated factors among adult tuberculosis patients attending tuberculosis clinics. Methodology. We conducted a cross-sectional survey, from March 10 to April 15, 2017, among 421 tuberculosis patients receiving tuberculosis treatment in health facilities of Dire Dawa City Administration Council, Eastern Ethiopia. Study participants were selected using systematic random technique, and data were collected using a structured questionnaire. Fasting blood sugar and anthropometric measurements were carried out for all participants. A logistic regression analysis was performed to identify factors associated with diabetes mellitus. Result. The prevalence of diabetes mellitus in this study was 13.5%. Age 26–40 (AOR = 6, 95% CI: (1.28, 27.5)), age ≥41(AOR = 9, 95% CI: (1.9, 44.4)), and family history of diabetes (AOR = 3.14, 95% CI: (1.23, 8.02)) were found to have a significant association with diabetes mellitus. Conclusion. This study found that the magnitude of diabetes mellitus among tuberculosis patients was higher than the national estimated prevalence of diabetes mellitus in Ethiopia. This study suggests the need for screening each tuberculosis patient for diabetes.

Author(s):  
Kaushik Tripura ◽  
Kaushik Nag ◽  
Nabarun Karmakar ◽  
Anjan Datta ◽  
Partha Bhattacharjee

Background: Diabetes mellitus, a major lifestyle disease is undoubtedly the most challenging public health problem of 21st century with a worldwide prevalence of 387 million (8.3%).  The objective of this study was to get an estimate of the prevalence of diabetes mellitus and associated factors in a sample of adult population in a peri-urban area of West Tripura.Methods: In a cross-sectional study, prevalence of diabetes mellitus was found among adult population of a peri-urban area (Dukli) of west Tripura from April 2016 to May 2016. Multistage random sampling was followed to include 76 participants. Taking house as a sampling unit, every 5th house was chosen for this study. From every selected house, one adult participant was chosen by simple random sampling until desired sample size was attained. Collected data was compiled and analyzed with the help of statistical package for social sciences (SPSS 16.0.). Chi-square, Fischer exact test was applied to find out association.Results: The mean age of the study participants was 42.21±17.65 years, comprised of 23.7% male and 76.3% female. The prevalence of diabetes mellitus was 17.1% among study participants. Diabetes was found highest in 39-58-year age group (37.5%). Males were more affected with diabetes mellitus (22.2%) compared to females (15.5%). The study also revealed a significant association of diabetes mellitus with family history of diabetes mellitus (p value 0.00).Conclusions: Present study showed very high prevalence of diabetes mellitus among adult population. Healthy lifestyle measures might reduce burden of diabetes mellitus which could be evaluated in future research.


2015 ◽  
Vol 05 (04) ◽  
pp. 017-021
Author(s):  
Roshni Jaiswal ◽  
Nina Shenoy ◽  
Biju Thomas

Abstract Background: Diabetes mellitus is a metabolic disorder characterized by hyperglycemia due to defective secretion or activity of insulin Prevalence of diabetes mellitus has tripled since 1970, hence it is a significant finding for dental professionals, as evidence from clinical research showing a strong relationship between diabetes and periodontal disease is mounting. In fact, periodontitis is often referred to as the sixth complication of diabetes. Objective : To assess the extent of awareness of periodontal disease in diabetic patients, among medical interns. Methods: A cross sectional survey containing 21 questions was answered by 150 medical interns from Mangalore, Karntaka. Conclusion: The results of this survey indicate that medical interns have thorough knowledge about diabetes and its complications; however, their awareness about periodontal disease in diabetic patients is limited thus further emphasis should be given to the dissemination of knowledge about the inter-relationship of diabetes and periodontal health.


Author(s):  
Vijayalakshmi Eruva ◽  
Clarence James Samuel ◽  
Shavinder Singh

Background: Co-association between tuberculosis (TB) and diabetes has been observed for more than 2000 years. The burden of the both diabetes and tuberculosis is very high in India. Diabetes in TB patient decreases the success of anti-tubercular therapy and overall cure rates, which causes social and economic burden to country. The objective of the study was to find out the prevalence of diabetes mellitus in patients with tuberculosis under RNTCP treatment.Methods: This cross-sectional study was conducted in DOTS centers under Civil Hospital TU of Ludhiana, Punjab. 300 TB cases, above 18 years of age were included and screened for diabetes. Patients were interviewed regarding demographic profile and family history of diabetes. Height, weight, blood pressure, BMI and waist hip ratio were recorded.Results: The prevalence of diabetes in tuberculosis patients was found to be 21.3% (known diabetics- 6.3%, new diabetes cases- 15%). There was a statistically significant association of diabetes with older age and high BMI.Conclusions: Specific guidelines for management of the dual disease may help in improving the overall success of treatment.


2020 ◽  
Vol 2 ◽  
pp. 37-44
Author(s):  
BN Azuogu ◽  
UC Madubueze ◽  
AF Una ◽  
IN Okedo-Alex ◽  
VC Azuogu

Background: Teachers play an important role in delivering health education to empower students with skills for healthy living pertinent to prevent the development of non-communicable diseases. The development of non-communicable disease like hypertension, diabetes, obesity and cancers is highly associated with modifiable lifestyle. This study was conducted to determine the prevalence of self-reported Diabetes Mellitus, knowledge of its risk factors as well as risk factors among secondary school teachers in Abakaliki, Ebonyi State. Methods: A cross-sectional survey was conducted among 282 secondary school teachers selected through multistage sampling technique using a self-administered pre-tested questionnaire for data collection. Bivariate and multivariate analysis was done using Statistical Package for the Social Sciences version 21 to determine associations between socio-demographic variables and knowledge of the risk factors for diabetes mellitus. Results: The prevalence of self-reported diabetes mellitus among the teachers was 3.5%. The knowledge of Diabetes Mellitus was generally poor as about 60% of respondents were categorized as having poor knowledge and 4.9% of them had glycosuria while majority 172 (61.0%) reported family history of Diabetes Mellitus. More than half (58.5%) reported not engaging in any form of physical exercise and more than half were considered overweight/obese. There was statistically significant relationship between family history and general knowledge of diabetes mellitus risk factors, (P < 0.001). Conclusion: Knowledge of risk factors of diabetes mellitus was poor among the teachers, and there is urgent need for orientation towards routine screening for diabetes mellitus for this group of professionals who are strategic for education of teenagers.


Healthline ◽  
2021 ◽  
Vol 12 (2) ◽  
pp. 49-53
Author(s):  
Nirali Patel ◽  
Shikha Jain ◽  
Shraddha Khirid ◽  
Radhika Sharma

Introduction: Diabetes Mellitus and Tuberculosis are two major diseases that often present together and complicate each other at many levels. The epidemic growth of Diabetes Mellitus has occurred in developing countries where Tuberculosis (TB) is highly endemic. As a result, Diabetes Mellitus and TB are increasingly present together. Objectives: To estimate the prevalence of diabetes in tuberculosis patients currently on DOTS treatment and to determine the socio-demographic factors associated with it. Method: A cross sectional study was carried out among pulmonary TB patients receiving DOTS treatment. Total 340 patients were included using convenient sampling who received treatment between August and October 2018. Results: Out of 340 patients, 208 (61%) were males and 132 (39%) were females. The prevalence of diabetes in patients of tuberculosis was found to be 11.5%. Among diabetics, 59% had only diabetes and 41% had other co-morbid disease apart from it. About 56.4% of diabetic TB patients were consuming tobacco. Age, Illiteracy, re-treatment regime were significantly associated with presence of diabetes among TB patients.Conclusion: Diabetes was found to be prevalent in 11.5% of the patients of tuberculosis. Diabetes is significantly associated with the severity of TB, old age and literacy of the TB patients in this study.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Rousset ◽  
G Voglino ◽  
E Boietti ◽  
A Corradi ◽  
M R Gualano ◽  
...  

Abstract Background Infectious diseases are more common and severe in patients with HIV, which show different response to vaccines and a diminished protection. It is therefore very important to assess knowledge and attitudes towards vaccination in people with HIV, since precise vaccination coverage and vaccine hesitancy are not well established in this subgroup of patients. Methods A sample of 119 patients with HIV completed a cross-sectional survey. Patients were recruited during their routine medical examination at the infectious diseases clinic in Turin. The survey explored these main areas: demographics and history of HIV infection, vaccination history, attitudes towards vaccination, confidence in the public health system, contagion risk and disease seriousness perception. In this preliminary phase descriptive analysis were conducted. Results Preliminary data show that mean age of the participants was 49.51 years, 80% were males. The median of HIV infection duration was 10 years, while the median of the lymphocyte count was 762.50 cells/mm3. The disease with the highest vaccination coverage was tetanus (88.7%), considered a serious or very serious disease by 85.6% of the participants, despite low or very low contagion risk perception (84.1%). The disease with the lowest vaccination coverage was Herpes Zoster (7.3%), despite high or very high seriousness perception (70%). Furthermore, 99.1% of the participants showed high or very high confidence toward public health system professionals, and the majority of them (59.5%) stated that vaccines are more useful for the community than for the single person. Conclusions Vaccination coverage is still not fully satisfactory regarding diseases considered infrequent or mild. Considering the high level of confidence toward the public health system that has emerged, it is necessary to implement informative and operative strategies about vaccination for European HIV patients, which are particularly at risk regarding infectious diseases. Key messages Vaccination coverage and risk perception in HIV patients is not satisfactory for many diseases and an effort to implement informative strategies in Europe is needed. The role of vaccination in preventing infectious diseases in HIV patients should be recognized and strengthened by relying on the high level of confidence toward European public health systems.


2001 ◽  
Vol 12 (2) ◽  
pp. 98-100 ◽  
Author(s):  
B Craig Lee

PURPOSE:To evaluate training in infectious diseases, determining which components of the training program best prepare residents for their career choices and where improvements are needed.METHOD:A cross-sectional survey was mailed to all 14 physicians who had graduated from both the Adult and Paediatric Infectious Diseases Training Program at the University of Calgary from 1985 to 1998. Responses about the adequacy of training were measured using a Likert-type scale and a qualitative questionnaire.RESULTS:Of 14 mailed questionnaires, nine responses were received (64%). Two-thirds of respondents were in an academic setting, and seven (78%) graduates obtained postfellowship training. The specialists in academic settings were all engaged in multiple nonclinical activities. The clinical and diagnostic microbiological components of training received the highest scores in terms of adequacy of training.CONCLUSION:Graduates of the University of Calgary training program indicated an overall satisfaction with their training. However, improvements are needed in career counselling, health administration, antibiotic utilization, infection prevention and specialized outpatient clinics. Potential strategies for addressing these issues include didactic lectures, enhanced exposure to clinical outpatient settings and provision of designated faculty mentors.


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