Treatment outcome of pulmonary tuberculosis patients attending a tertiary care centre

Background: Directly observed treatment remains one of the most widely-accepted global health interventions for tuberculosis. Tuberculosis treatment outcome is one of the performance indicators of the programme set by World Health Organization.Methods: This study was conducted in a tertiary care centre Chennai. A retrospective analysis of the profile and treatment outcome of all tuberculosis patients registered from January 2015 to December 2015 at DOTS centre under RNTCP was conducted. Data on treatment outcomes was analysed using appropriate statistical methods and percentages were calculated.Results: Out of 118 TB cases, 59.3% had pulmonary while 40.7% had extra-pulmonary TB. Sputum positive PTB is more common than sputum negative which is 74.2% and 25.8% respectively. Frequency of TB lymphadenitis is being the common presentation among extra pulmonary TB cases, followed by TB pleurisy. Success rate (cure rate plus treatment completion rate) for new cases was 63.1% and for retreatment cases was 36.9% while the overall success rate was 81%.Conclusions: Effective measures have to be taken in the programme to move forward to help in the eradication of TB. Tuberculosis mostly affects males of the economically productive age group and causes economic losses. The success rate of new cases was higher compared to retreatment cases though the overall success rate was lower compared to the RNTCP norms. Proper education on DOTS can help in improving the success rate and cure rate.

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Assessment of tuberculosis spatial hotspot areas among smear positive pulmonary tuberculosis patients attending JSS: a tertiary health care centre from Mysore district, South India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20194488 ◽

2019 ◽

Vol 6 (10) ◽

pp. 4322

Author(s):

Krishna Karthik Manthravadi ◽

Tejashree Anantharaj ◽

Satya Sai Badveti

Keyword(s):

Spatial Distribution ◽

Pulmonary Tuberculosis ◽

Hot Spot ◽

Demographic Data ◽

Tertiary Care ◽

Health Concern ◽

Care Centre ◽

Tertiary Care Centre ◽

Tuberculosis Patients ◽

Smear Positive Pulmonary Tuberculosis

Background: Tuberculosis (TB) is a disease of public health concern, with a varying distribution across settings depending on socio-economic status, HIV burden, availability and performance of the health system. In 2017, TB caused an estimated 1.3 million deaths (range, 1.2–1.4 million) among HIV-negative people, and there were an additional 300 000 deaths from TB (range, 266 000–335 000) among HIV-positive people. The current TB program reports are often compiled and reported at higher administrative units and there is limited information about the spatial distribution of the disease. Hence, we aimed to assess the spatial distribution and hot spot areas of the disease among the patients attending a tertiary care centre in Mysore over a period of 3 years.Methods: This is a taluk based study, the spatial analysis and hot spot area identification was done by collecting the demographic data from the smear positive pulmonary tuberculosis patients attending JSS a tertiary care centre from Mysore district. Hot spot areas and areas with TB transmission are identified and estimated using GIS software tool. Distribution of TB incidence was mapped with the population density from 2016-2018.Results: Spatial mapping of smear positive tuberculosis revealed that majority of cases were recorded from Mysore city followed by T. N. Pura and Hunsur taluk regions.Conclusions: This study emphasized on finding hot spot areas and local clusters involved in TB transmission.

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