scholarly journals Treatment Outcome of Pulmonary and Extra Pulmonary Tuberculosis Patients in TB and Chest Disease Hospital DOT Centre, Goa, India

2016 ◽  
Vol 5 (4) ◽  
pp. 437-441 ◽  
Author(s):  
A.L. Da Costa ◽  
Sanjivani J. Keny ◽  
Durga Lawande
Keyword(s):  
Treatment Outcome ◽  
Pulmonary Tuberculosis ◽  
Extra Pulmonary Tuberculosis ◽  
Tuberculosis Patients ◽  
Chest Disease ◽  
Extra Pulmonary ◽  
Disease Hospital

scholarly journals A 5-year experience characterizing the demographic and clinical profile and directly observed treatment short-course treatment outcome in National Tuberculosis Center of Duhok province, Iraqi Kurdistan

2020 ◽  
Vol 8 ◽  
pp. 205031212092105
Author(s):  
Muayad Aghali Merza
Keyword(s):  
Treatment Outcome ◽  
Pulmonary Tuberculosis ◽  
Treatment Outcomes ◽  
Clinical Profile ◽  
Patient Treatment ◽  
Extra Pulmonary Tuberculosis ◽  
Tuberculosis Patients ◽  
National Tuberculosis Program ◽  
National Tuberculosis ◽  
Extra Pulmonary

Background: The objectives were to describe the demographic and clinical profile and treatment outcomes in the National Tuberculosis Program Center of Duhok governorate. Methods: This was a descriptive retrospective study of all forms of drug-susceptible tuberculosis cases in the National Tuberculosis Program Center of Duhok. The Electronic Nominal Recording Reporting System data of tuberculosis cases were reviewed during 2014–2018. Information on the demographic, clinical, and laboratory characteristics of the patients were analyzed. Tuberculosis trends and treatment outcomes were determined. Results: A total of 1063 tuberculosis patients visited the National Tuberculosis Program Center, of whom 905 were from Duhok. The estimated tuberculosis notification rate per 100,000 people in Duhok governorate was 14.06, 16.16, 10.43, 11.05, and 10.34 for the years 2014, 2015, 2016, 2017, and 2018, respectively. The most affected age group was 15–24 years. The male cases were predominant. Most patients (97.3%) were native Iraqi. There were 718 (67.5%) pulmonary tuberculosis cases and 345 (32.5%) extra-pulmonary tuberculosis cases; tuberculosis lymphadenitis was the most common presentation. The majority of extra-pulmonary tuberculosis patients were females aged 15–24 years (p = 0.019), and patients aged ⩾65 years were associated with pulmonary tuberculosis and extra-pulmonary tuberculosis in males (p ⩽ 0.001). The highest tuberculosis incidence occurred in winter (288 patients). The patient treatment outcomes were as follows: 90.7% successful treatment, 1.6% lost to follow-up, 6.7% death, 0.3 transferred out, and 0.8 treatment failure. Conclusion: There was a high frequency of extra-pulmonary tuberculosis, which may reflect overestimation in its diagnosis. Therefore, meticulous evaluations should be provided. The treatment outcome was satisfactory in the center. Hence, we should maintain the favorable work to attain tuberculosis control objectives. Performing GeneXpert for all tuberculosis cases and introducing culture and drug susceptibility testing should be an urgent plan to strengthen the diagnosis of susceptible and drug-resistant tuberculosis cases.

scholarly journals Incidence, risk factors and clinical characteristics of extra‐pulmonary tuberculosis patients: a ten‐year study in the North of Iran

2020 ◽  
Vol 25 (9) ◽  
pp. 1131-1139
Author(s):  
Hesamaddin Shirzad‐Aski ◽  
Niloofar Hamidi ◽  
Ahmad Sohrabi ◽  
Abdollah Abbasi ◽  
Roghieh Golsha ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pulmonary Tuberculosis ◽  
Clinical Characteristics ◽  
Extra Pulmonary Tuberculosis ◽  
Tuberculosis Patients ◽  
The North ◽  
Incidence Risk ◽  
North Of Iran ◽  
Extra Pulmonary

scholarly journals Tuberculosis: an experience at government chest disease hospital

2018 ◽  
Vol 6 (11) ◽  
pp. 3527
Author(s):  
Syed S. A. Farooq ◽  
Nazia Mehfooz ◽  
Khurshid A. Dar ◽  
Naveed N. Shah ◽  
Faheem Gul ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Treatment Failure ◽  
Extrapulmonary Tuberculosis ◽  
Tuberculosis Patient ◽  
Age Group ◽  
Tuberculosis Patients ◽  
Medical College ◽  
Chest Disease ◽  
Group 2 ◽  
Disease Hospital

Background: This retrospective study was carried out to find the incidence, clinical profiles and treatment outcome of pulmonary and extrapulmonary tuberculosis patients attending the only Chest Disease Hospital in Srinagar.Methods: A retrospective analysis of 613 patients having EPTB and PTB was undertaken from the chest disease hospital of Government Medical College Srinagar. Demographic characteristics, clinical features and treatment outcome were obtained from medical case records of all patients visiting the hospital for a period of two years from May 2016-May 2018.Results: The study comprised of 613 patients, out of which 365% were having pulmonary TB while 35% were having extrapulmonary TB. Majority of patients (44.5%) in TB group were in age group 10-30 while majority of patients (42%) in EPTB group were in age group 51-70. Males were seen more commonly affected. Majority (90%) of patients in EPTB group had pleural effusion. Majority of patients (71%) were smear positive by ZN staining in PTB group. Majority (90%) of PTB patients in smear negative group were BAL negative. In PTB group 8% were treatment failure while in EPTB group 2% were treatment failure. MDR was seen in 4.2% of total tuberculosis patient while XDR was seen in 0.32% of total patients. Out of treatment failure in PTB group MDR was seen in 64% followed by monoresistance to INH in 30% and XDR in 6%. In EPTB group MDR was seen in 100% of treatment failure. All patients with XDR died. Among the MDR patients majority are on treatment while 12% died, another 12% defaulter while 12% completed treatment.Conclusions: Among evaluated tuberculosis patients, maximum had PTB. Pleural tuberculosis was the most common presentation of EPTB. The study shows male preponderance in both groups. Treatment response was excellent with failure rate of 8% in PTB and 2% in EPTB. Most common cause of failure was MDR. XDR was seen in two patients and both of them died.

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