Longitudinal study to assess socio-demographic profile and treatment outcome of new sputum smear positive cases at designated microscopy centre of tertiary care hospital

G. R. Vishwanath, Sandeep Dattatray Babar, J. D. Naik, Girish Kamble


Background: Tuberculosis (TB) remains one of the world’s deadliest communicable diseases. In 2013, an estimated 9.0 million people developed TB and 1.5 million died from the disease, 360 000 of whom were HIV-positive. Of the estimated 9 million people who developed TB in 2013, more than half (56%) were in the South-East Asia and Western Pacific Regions and India and China alone accounted for 24% and 11% of total cases, respectively. India’s TB Control Program is on track as far as reduction in disease burden is concerned there was 50% reduction in TB mortality rate by 2013 as compared to 1990 level. Tuberculosis prevalence per lakh population reduced from 465 in year 1990 to 211 in 2013. But still, in India there is high burden of Tuberculosis cases and high mortality in the current situation.

Methods: Descriptive Longitudinal study was conducted from 1st January 2015 to 31st December 2016 at designated microscopy centre (DMC) in tertiary care hospital of Government Medical Miraj.

Results: Maximum of TB cases 47 (30.71%) were from >30-45 age group and 72 (47.05%) cases belongs nuclear family. 126 (82.35%) cases had completed their treatment schedule for 6/7 months were labelled ‘cured’ at the end of study, while among 27 (17.65%) cases 17 (11.11%) ‘Died’ during treatment schedule, 9 (5.88%) cases became ‘defaulters’ and 1 (0.65%) case was ‘failure’.

Conclusions: In the present study, Maximum cases were from >30-45 yrs age group and proportions of males were more as compare to females. Hindus was predominantly more in number among all religions and number of cases coming from rural area was more. The association between gender and treatment outcome of study cases was found statistically significant.


Tuberculosis, Treatment outcome, Longitudinal study, Designated microscopy centre

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History of TB and Significance of World TB day. JIMA. 2003;101(3):138.

Harms, Jerome. 1997. Tuberculosis: Captain Death. Accessed on 3 June 2018.

Bhalwar R. Textbook of Public Health and community Medicine, AFMC Pune; 2005: 1104–1113.

Lal S. Textbook of Community Medicine, 4thedition.CBS publishers and Distributors Pvt Ltd; 2014: 435–452.

World Health Organization, Global Tuberculosis Report, 2015.

Annual Tuberculosis status report, TBC india.pdf. 2016.

Suryakantha AH. Community Medicine with recent advances. 3rd edition. Jaypee brothers medical publishers; 2014: 351–376.

Annual Tuberculosis status Report, TBC India, 2015.

Mangal A, Kumar V, Panesar S, Talwar R, Raut D, Singh S. Updated BG Prasad socioeconomic classification, 2014: A commentary. Indian J Public Health. 2015;59:42-4.

Banu Rekha VV, Balasubramanian R, Swaminathan S, Ramachandran R, Rahman F, Sundaram V, et al, Sputum conversion at the end of intensive phase of Category-1 regimen in the treatment of pulmonary tuberculosis patients with diabetes mellitus or HIV infection:an analysis of risk factors. Ind. J. Med. Res. 2007;126:452–8.

Sophia V, Balasangameswara VH, Jagannatha PS, Saroja VN, Kumar P. Treatment outcome and two and half years follow-up status of new smear positive patients treated under RNTCP. Indian J Tuberc. 2004;51:199-208.

Jethani S, Kakkar R, Semwal J, Rawat J. Socio- demographic profile of tuberculosis patient:a hospital based study at dehradun. National J Community. 2014;5(1):6-9

Chandrasekaran V, Santha T, Garg R, Frieden TR, Subramani R, Gopi. Default during the intensive phase of treatment under dots programme.Int. J. Tuberc. Lung Dis. 2005;52:197-202.

Gopi PG, Vasantha M, Muniyandi M, Chandrassekaran V, Balasubramanian R and Narayanan R. Risk factors for non-adherence to directly observed treatment (DOT) in a rural tuberculosis unit, South India. Indian J Tuberculosis. 2007;54(2):66–70.