A study on clinical profile of indoor patients receiving anti-tuberculosis treatment at KPC Medical College and Hospital, Kolkata, India

Authors

  • Shilpa Karir Department of Community Medicine, KPC Medical College, and Hospital, Kolkata, West Bengal, India
  • Atanu Biswas Department of Community Medicine, KPC Medical College, and Hospital, Kolkata, West Bengal, India
  • Asok Kumar Mandal Department of Community Medicine, KPC Medical College, and Hospital, Kolkata, West Bengal, India
  • Vidya Sagar Department of Community Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
  • Moumita Pal Department of Community Medicine, ICARE Institute of Medical Sciences and Research, Haldia, Purba Medinipur, West Bengal, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20163379

Keywords:

Tuberculosis, Anti-tuberculosis treatment, Clinical profile

Abstract

Background: India is the biggest contributor of TB cases globally. About 2.5million prevalent cases and 0.22 million deaths from the disease were reported in India in 2015. The objective of this study was to assess the socio-demographic and clinical profile of the indoor patients receiving treatment from the DOTS centre of KPC Medical College and Hospital, Kolkata, India.

Methods: An observational, descriptive, record based study was conducted on TB patients admitted in indoor wards under various departments of KPC Medical College and Hospital. Data were analyzed using IBM SPSS (version 20).

Results: Of 80 study subjects, 73.8% were male and 25% belonged to 20-30 years age group. Records reflected 41.3% subjects had pulmonary TB, 51.2% had extrapulmonary TB and the rest had both pulmonary and extrapulmonary TB. New cases comprised 91.3% subjects and previously treated cases were 8.7% subjects. HIV status was negative in 67.5% subjects and records were unavailable in 32.5% subjects. Diabetes was present in 27.5% subjects, negative in 67.5% and information was unavailable in 5% cases. Among the patients with known Diabetes status, the result of association between TB-Diabetes and gender of the subjects was found to be statistically significant.

Conclusions: Information regarding occupation, investigations other than sputum test, HIV and Diabetes status were not mentioned in some treatment cards; hence emphasis should be given on proper record maintenance. Awareness generation and proper counseling on TB-HIV co-infection among all the patients should be focused on so that all the patient’s turn up for HIV testing.

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References

TB India 2016. Revised National TB Control Programme Annual Status Report. Central TB Division; March 2016 [cited 15th July 2016]. Available from: http://www.tbcindia.gov.in

Taneja DK. Health Policies and Programmes in India. Revised National Tuberculosis Control Programme. 14th ed. Delhi: Doctors Publication; 2016:213.

Giri PA, Deshpande JD, Phalke DB. Prevalence of pulmonary tuberculosis among HIV positive patients attending antiretroviral therapy clinic. North Am J Med Sci. 2013;5:367-70.

WHO 2014. Global Tuberculosis Report 2014.

Jethani S, Kakkar R, Semwal J, Rawat J. Socio-demographic Profile of Tuberculosis Patient : A Hospital Based Study at Dehradun. Nat J Com Med. 2014;5(1):6-9.

Sumana M, Sreelatha CY, Renuka M, Ishwaraprasad GD. Patient and health system delays in diagnosis and treatment of tuberculosis patients in an urban tuberculosis unit of south India. Int J Community Med Public Health. 2016;3:796-804.

Sunderam S, Kumari S, Haider S, Kashyap V, Singh S. A study on socio demographic profile of patients having cough of two weeks or, more along with their smear microscopy outcome attending a Tertiary Care Hospital of Jharkhand, India. IJIMS. 2015;2(5):119-27.

Christian D, Singh US, Mukherjee S, Sharma D. Socio-demographic profiles of the delayed diagnosed patients in RNTCP, Anand District. Healthline. 2010;1(1):45-8.

Park K. Park’s Textbook of Preventive and Social Medicine. Tuberculosis. Epidemiology of Communicable Diseases. 23rd Ed. Jabalpur: Bhanot publishers. 2015.

Prakash BC, Ravish KS, Prabhakar B, Ranganath TS, Naik B, Satyanarayana S, et al. Tuberculosis-diabetes mellitus bidirectional screening at a tertiary care centre, South India. 2013;3(1):s18-22.

Dey D, Patra BC, Ghosh D. HIV seroprevalence among Tuberculosis patients in East Midnapore district of West Bengal, India. International journal of Current research. 2015;7(5):15582-5.

Prakasha SR, Suresh G, D’sa IP, Shetty SS, Kumar SG. Mapping the Trend and Pattern of Extrapulmonary Tuberculosis. J Glob Infe Dis. 2013;5(2):54-9.

Mavila R, Kottarath M, Nair S, Thaha M. Site predilection of extrapulmonary tuberculosis: study from a tertiary care centre. IJRMS. 2015;3(11):3386-90.

Mukhopadhyay S, Sarkar AP, Sarkar S. A Study on Factors Influencing Treatment Outcome of Failure Patients Receiving DOTS in a District of West Bengal. Ind Jou PubHealth. 2010;54(1):21-3.

Raghuraman S, Vasudevan KP, Govindarajan S, Chinnakali P, Panigrahi KC. Prevalence of Diabetes Mellitus among Tuberculosis patients in urban Puducherry. Nor Ame J Med Sci. 2014;6(1):30-4.

Shrivastava SR, Shrivastava PS. HIV-tuberculosis interface: a comparison of collateral prevalence of HIV and tuberculosis in an urban health centre. An Tro Med Pub Health. 2013;6:290-6.

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Published

2016-12-24

How to Cite

Karir, S., Biswas, A., Mandal, A. K., Sagar, V., & Pal, M. (2016). A study on clinical profile of indoor patients receiving anti-tuberculosis treatment at KPC Medical College and Hospital, Kolkata, India. International Journal Of Community Medicine And Public Health, 3(10), 2891–2896. https://doi.org/10.18203/2394-6040.ijcmph20163379

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Original Research Articles