Assessment of demographic characteristics of patients with tuberculosis and treatment profile of revised national tuberculosis control programme in Purba Bardhaman district of West Bengal
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20222022Keywords:
RNTCP, DTO, DRTB, Pulmonary TB, Extra-pulmonary TB, TB-HIV, TB-diabetesAbstract
Background: Tuberculosis is a communicable disease caused by Mycobacterium tuberculosis bacteria spread by droplet infection. India is classified to be among those with a high TB burden, contributing 26% of the total TB cases, globally. The objective of this study is to access the clinical and demographic characteristics of patients with tuberculosis to determine the nature of disease, its co-morbidities, and treatment profile of the patients attending the revised National TB control programme clinics.
Method: This study was carried out with data collection from the District Tuberculosis Office (DTO) section of Purba Bardhaman district, West Bengal. Data relevant to the study were collected for four consecutive years, from 2017 to 2020, and were analysed using suitable statistical software.
Results: In the year 2017, 2018, 2019 and 2020, there were 6569, 5534, 5964 and 4012 reported cases of TB, respectively. Out of the total cases, 73.78% were male patients. It was observed that 97.24% patients were aged ≥15. Majority of the patients, 73.97%, had pulmonary TB. 1.92% cases had drug resistance tuberculosis (DRTB). The comorbid conditions associated with TB revealed that 7.58% TB patients had diabetes and only 0.48% cases had TB-HIV. The rate of successful treatment was 88.49%. The average rate of mortality was found to be 5.27% of reported cases.
Conclusions: There was a significantly high proportion of male patients afflicted with TB in the region under study and the patients ≥15 years were mostly affected. The average rate of mortality was had increased in each year from 2017 to 2020.
References
Tuberculosis. Available at: https://www.who.int/ news-room/fact-sheets/detail/tuberculosis. Accessed on 20 October 2021.
Sakula A. Robert Koch: centenary of the discovery of the tubercle bacillus, 1882. Thorax. 1982;37(4):246-51.
Global tuberculosis report 2020. Available at; ttps://www.who.int/publications/i/item/9789240013131. Accessed on 20 October 2021.
Smith I. Mycobacterium tuberculosis pathogenesis and molecular determinants of virulence. Clin Microbiol Rev. 2003;16(3):463-96.
National tuberculosis elimination programme. Available at: https://www.nhp.gov.in/revised-national tuberculosis-control-programme_pg. Accessed on 20 October 2021.
Tuberculosis. Available at: https://reports.nikshay.in/ Shared/DatabaseSync. Accessed on 20 October 2021.
Kundu SS, Sikder R, Dey R, Majumdar KK, Joardar G. Study of socio-demographic and treatment profile and other epidemiological correlates of clients attending revised national tuberculosis control programme clinic in a tertiary hospital of West Bengal, India. Int J Community Med Public Heal. 2020;7(2):742.
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 Heal. 2016;3(4):796-804.
Shalini S, Sneha K, Shamim H, Vivek K, Shashi 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. J Interdiscip Multidiscip Res. 2015;2(5):119-27.
Sumit J, Rakesh K, Jayanti S, Jagdish R. Socio-demographic profile of tuberculosis patient: a hospital based study at Dehradun. Natl J Commu Med. 2014;5(1):6-9.
Shivekar S, Kaliaperumal V, Brammacharry U, Sakkaravarthy A, Raj C, Alagappan C et al. Prevalence and factors associated with multidrug-resistant tuberculosis in South India. Sci Rep. 2020;10(1):1-11.
Dey D, Patra BC, Ghosh D. HIV seroprevalence among Tuberculosis patients in East Midnapore district of West Bengal, India. Int J Curr Res. 2015;7(5):15582-5.
Mohan V, Pradeepa R. Epidemiology of diabetes in different regions of India. Natl J Commu Med. 2009;1:1-18.
Karanjekar V, Kulkarni A, Lokare P, Doibale M, Gaikwad A, Gujrathi V. Treatment outcome and follow-up of tuberculosis patients put on directly observed treatment short-course under rural health training center, Paithan, Aurangabad in India. Ann Med Health Sci Res. 2014;4(2):222.
Agarwal N, Biswas B, Kumar A. Performance of revised national tuberculosis control program in Bihar: A situational analysis. J Family Med Primary Care. 2020;9(2):735.
Rana MC, Naskar S, Roy R, Das DK. Survival Analysis of tuberculosis patients registered in a rural tuberculosis unit of Purba Bardhaman District , West Bengal, India. Indian J Chest Dis Allied Sci. 2020;62(3):127-32.
