Outcome of patients with tuberculosis managed under NTEP through STEPS in a private hospital in India

Q3 Medicine

Indian Journal of Tuberculosis Pub Date : 2025-01-01 DOI:10.1016/j.ijtb.2024.03.012

Jaisy Thomas, Merin Yohannan, Rajkrishnan Soman Pillai

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引用次数: 0

Abstract

Objective

As the global health care commits to the ambitious goal of TB elimination, System for TB Elimination in Private Sector (STEPS) was introduced to provide appropriate standards of TB care to all patients. This study aims to assess the outcome of TB patients treated under STEPS programme in a Private hospital and find any significant factors in determining favourable and unfavourable outcomes.

Setting

Private Quaternary care hospital in South India.

Design

Retrospective study which included 163 patients diagnosed with Pulmonary and Extra-Pulmonary Tuberculosis from January 2020 to June 2022. Details like clinical profile, type and site of tuberculosis, modification of ATT regimen, adverse effects and outcomes were recorded.

Results

The study population included 62.6% males. 45.3% had Type-2 Diabetes mellitus. More than half of the cases were Extra-Pulmonary TB (52.2%) and 54.6% had microbiological confirmation. The Cure Rate in Pulmonary and Extra-Pulmonary TB cases were 76.7% and 79.2% respectively. 29 patients expired during TB treatment out of which 41.3% had renal failure. Advanced age and chronic kidney disease as a co-morbidity were significant in causing unfavourable outcomes.

Conclusion

Proper implementation of STEPS can help in 100% TB notification and effective care of TB patients.

查看原文本刊更多论文

印度一家私立医院通过 STEPS 对接受 NTEP 治疗的肺结核患者的治疗效果

随着全球卫生保健致力于实现消除结核病的宏伟目标，引入了私营部门消除结核病系统（STEPS），为所有患者提供适当的结核病治疗标准。本研究旨在评估结核病患者在私立医院接受STEPS方案治疗的结果，并发现决定有利和不利结果的任何重要因素。在印度南部建立私立第四医疗医院。设计回顾性研究纳入163例诊断为肺结核和肺外肺结核的患者，时间为2020年1月至2022年6月。记录了临床概况、结核病类型和部位、ATT治疗方案的修改、不良反应和结果等细节。结果研究人群中男性占62.6%。45.3%患有2型糖尿病。超过一半的病例为肺外结核（52.2%），54.6%的病例有微生物学证实。肺结核和肺外结核的治愈率分别为76.7%和79.2%。29例患者在结核病治疗期间死亡，其中41.3%发生肾衰竭。高龄和慢性肾脏疾病作为合并症是导致不良结果的重要因素。结论正确实施STEPS可促进结核病患者100%的通报和有效的治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian Journal of Tuberculosis Medicine-Infectious Diseases

CiteScore

2.80

自引率

0.00%

发文量

103

期刊介绍： Indian Journal of Tuberculosis (IJTB) is an international peer-reviewed journal devoted to the specialty of tuberculosis and lung diseases and is published quarterly. IJTB publishes research on clinical, epidemiological, public health and social aspects of tuberculosis. The journal accepts original research articles, viewpoints, review articles, success stories, interesting case series and case reports on patients suffering from pulmonary, extra-pulmonary tuberculosis as well as other respiratory diseases, Radiology Forum, Short Communications, Book Reviews, abstracts, letters to the editor, editorials on topics of current interest etc. The articles published in IJTB are a key source of information on research in tuberculosis. The journal is indexed in Medline