Socio-Demographic Profile and Treatment Outcomes of Tuberculosis Patients Diagnosed In a Government Civil Hospital of Northern India: A Cross-Sectional Study

Rishab Chadha, J. Kumar
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Abstract

Background: Tuberculosis remain a worldwide public health problem and is one of the top 10 causes of death globally. Millions of people continue to fall sick with TB each year. We conducted the present study to evaluate the Socio-demographic Profile and treatment outcomes of Tuberculosis Patients Diagnosed in a Government Civil Hospital of Northern India. Material and Methods: This cross-sectional record-based study was conducted at Civil Hospital Jogindernagar of Himachal Pradesh. We collected information using a self-designed, structured questionnaire containing information regarding various sociodemographic and clinical variables. Information was collected from Tuberculosis (TB) notification register kept at DOTS centre. Statistical analysis was done using statistical software Epi Info v7.2.2. Results: There were total 74 patients of tuberculosis were registered from Jan 2020 to June 2020 at DOTS center in Civil Hospital, Jogindernagar, Himachal Pradesh Among the total, 54 27(73%%) were 21-60 years of age. Mean age of patients were 44.78±17.01 years. Majority of patients, 56(75.7%) were male and 51(68.9%) belong to lower middle class. 46 (62.25) were pulmonary TB cases while 28 (37.8%) were extra pulmonary cases. Among the total, 26(35.1%) cases were clinically diagnosed, 11(14.9%) cases were Clinically diagnosed or Diagnosed by FNAC while 37(50.0%) cases Microbiological confirmed cases. 29( 39.2%) cases were Contact of TB/DRTB Cases , 29(39.2%) were tobacco user while 16(21.6%) had other risk factors. None of the case Reactive HIV status, 8(10.8%) had Diabetes while 27(35.5%) had associated Cervical lymphadenopathy. 71(95.8%) were cured after completing ATT, 1(1.4%) were become defaulter , 1(1.4%) Shifted to MDR Treatment and (1.4%) was died. Conclusion: Study concluded that most of the patients were males, belonged to lower socioeconomic status , in productive age group and of pulmonary TB. Treatment success rate is good but still need to improve, to make it 100 percent.
印度北部一家政府民用医院诊断的肺结核患者的社会人口特征和治疗结果:一项横断面研究
背景:结核病仍然是一个全球性的公共卫生问题,是全球十大死亡原因之一。每年仍有数百万人罹患结核病。我们进行了本研究,以评估在印度北部一家政府民用医院诊断的结核病患者的社会人口特征和治疗结果。材料和方法:本横断面记录研究在喜马偕尔邦Jogindernagar民用医院进行。我们使用自行设计的结构化问卷收集信息,其中包含有关各种社会人口统计学和临床变量的信息。资料收集自直接督导下短程化疗中心保存的结核病通报登记册。使用统计软件Epi Info v7.2.2进行统计分析。结果:2020年1月至2020年6月,喜马达尔邦焦金德纳格尔市人民医院DOTS中心共登记结核患者74例,其中年龄21 ~ 60岁54 27例,占73%。患者平均年龄44.78±17.01岁。男性56例(75.7%),中下层51例(68.9%)。肺结核46例(62.25例),外肺28例(37.8%)。其中临床诊断26例(35.1%),临床诊断或FNAC诊断11例(14.9%),微生物学确诊37例(50.0%)。有接触者29例(39.2%),吸烟者29例(39.2%),其他危险因素16例(21.6%)。8例(10.8%)有糖尿病,27例(35.5%)有相关的宫颈淋巴结病。71例(95.8%)完成ATT治疗后治愈,1例(1.4%)转为违约,1例(1.4%)转为MDR治疗,1例(1.4%)死亡。结论:患者以男性为主,社会经济地位较低,处于生产年龄,为肺结核患者。治疗成功率不错,但仍需提高,使其达到100%。
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