Role of sociodemographic factors in tuberculosis treatment outcome: A prospective study in Aligarh, Uttar Pradesh (original) (raw)
Related papers
Clinical profile of patients with abdominal tuberculosis in rural North India
International Surgery Journal, 2019
Background: Tuberculosis is a very serious health hazard in India. The nonspecific clinical features of abdominal tuberculosis (TB) have made its diagnosis difficult, which can lead to the poor outcome in patients who are not able to receive early treatment especially from rural areas. Aim of our study was to determine the clinical profile including various clinico-pathological manifestations, demographic profile, spectrum of clinical presentation, etiology, pathological and radiological investigations of patients with abdominal TB.Methods: A total of 30 patients with abdominal TB were analysed. All diagnosed patients received anti-tubercular treatment and were followed up at 1 to 3 months of ATT.Results: The disease was common in both sexes. Most common symptoms were abdominal pain (93%), weight loss (83%), anorexia (68%). Most commonly observed signs were ascities (73.3%) abdominal distension and abdominal tenderness (43.3%) and lymphadenopathy (40%). Most of the patient were dia...
Indian journal of applied basic medical sciences, 2020
Background: Tuberculosis is a major health hazard in India. Because of its diverse manifestation ,difcult diagnosis, widespread complication ,prolonged morbidity and increased mortality the study of this disease becomes even more important .The objectives of the study were to study age and sex distribution of abdominal tuberculosis ,to study the association of abdominal tuberculosis with pulmonary tuberculosis ,various clinical presentation of abdominal tuberculosis ,to study surgical management of abdominal tuberculosis. Methods: The study was carried out in 30 patients of abdominal tuberculosis of diferent age group and sex admitted in department of surgery , Smt SCL hospital , Saraspur , Ahmedabad during period of April 2018 to march 2019.This is the prospective study in which patients are present with acute abdomen like intestinal obstruction ,peritonitis ,RIF lump taken ,further investigated and laparotomies were performed and AKT started after proven by biopsy reports. RESULTS: In my study most common age group afected is between 2 nd to 4 th decade and gender wise male are more afected then female., Most common symptom of presentation is abdominal pain mostly at RIF and periumbilical region associated with anorexia and vomiting and abdominal distension .Out of 30 patients 19 patients had pulmonary tuberculosis and patient had completed course of AKT. CONCLUSION: In all 30 patients present as acute abdomen. Patients present with peritonitis were explored in emergency and other patients initially conservatively managed after all radiological investigations on patients were explored ,Biopsy reports were collected and after confrmation of tuberculosis AKT (ISONIAZID,RIFAMPICIN,PYRAZINEMIDE,ETHAMBUTOL and STRPTOMYCIN,LEVOFLOXACIN.) started .Good clinic pathological workup in patients of abdominal tuberculosis results in earlier diagnosis and timely management of this curable disease.
2017
DOI: 10.21276/sjams.2017.5.9.7 Abstract: Abdominal tuberculosis is an increasingly common disease that posts diagnostic challenge as the nonspecific features of the disease may lead to diagnostic delays and development of complications. A high index of suspicion is an important factor in early diagnosis. Abdominal involvement may occur in the GI tract, peritoneum, lymph nodes or solid viscera. Early diagnosis and initiation of anti-TB therapy and surgical treatment are essential to prevent morbidity and mortality. A retrospective study was conducted on 60 patients with abdominal TB from January 2016 to May 2017 in Basaveshwar Teaching and General Hospital, Kalaburagi. The median age was 32 years (Range 6-70 years). The majority of patients had primary abdominal TB with a M:F of 2:1. A total of 27 patients (45%) presented with intestinal obstruction, 18 patients (30%) presented with peritonitis, 5 patients (8.3%) presented with abdominal masses. A total of 54 patients (90%) underwent...
Clinical presentation of abdominal tuberculosis in Indian scenario: A retrospective study
Research journal of pharmaceutical, biological and chemical sciences, 2015
Tuberculosis (TB) is global public health emergency with 24% of all cases being reported from India. TB of the abdomen is often vague and non-specific in presentation and a great mimic of other diseases. With the objective of characterizing the demographic, clinical and treatment features of abdominal TB, all patients, without an age restriction with diagnosis of abdominal TB in the years of 2011 and 2012 were included. Median age was found to be 35. Abdominal pain (68.9%), fever (44.4%), weight loss (44.4%) were most frequent symptoms in the study group. The highest proportion of patients had peritoneal TB (46.3%). We found that 69% of the patients had hyponatremia at their first presentation. The study showed male predominance and showed no relation with HIV co-infection. A significant number of patients with abdominal TB too exhibit hyponatremia, and might be a valuable data just as it is in pulmonary and meningeal TB. The absence of a specific tool for the diagnosis of abdominal...
International Surgery Journal
Background: Tuberculosis is seen due to various factors such as overcrowding and unhygienic conditions. In order to diagnose a case of abdominal tuberculosis, a detailed history and a thorough clinical examination must be done. The objective of this article was to determine the number of patients who presented to a tertiary hospital with abdominal tuberculosis and in which of these patients management in the surgical department was required.Methods: A total of 50 patients who had abdominal tuberculosis were studied. The study was carried out at SRM Medical College Hospital and Research Center, Kattankulathur, Tamil Nadu, India. The study was carried out from February 2017 to January 2020. A detailed history was obtained and a thorough clinical examination was done. Investigations such as CBC, chest X-ray, abdomen X-ray, ultrasound scan and CT scan of the abdomen were done. When required, patients underwent surgery and the results obtained were analyzed and tabulated. In our study, o...
2017
Background: Current study aims to determine the frequency of abdominal tuberculosis and to evaluate the current surgical treatment strategies and itsoutcome. Methods: This prospective observational case series study was conducted in Medical Teaching Institute (MTI) surgical department of the Lady Reading Hospital Peshawar from January 2015 to January 2016. In this study a total of 40 patients of abdominal tuberculosis were admitted in surgical department through emergency and outpatient department. All the patients underwent surgery, 75% in the casualty and 25% as elective cases. Detailed history was taken from all patients and surgery was performed. Diagnosis of abdominal tuberculosis was established on histological basis. Data was entered and analyzed in SPSS. Results: Thirty (75%) patients were admitted through casualty as acute emergency, 10 (25%) through OPD. Mean age of the patients was 32.3 years (range = 15-70 years). Most commonly affected age group was 20-29 years. Male to...
A Study of 25 Diagnosed Cases of Abdominal Tuberculosis – A Review Article
2019
Background: The objective of this study is to evaluate diagnosed cases of abdominal tuberculosis (TB) in terms of incidence, manifestation in different age groups, clinical presentations, treatment received (conservative or surgical), lesions found intraoperatively, and its outcome on follow-ups. Methods: It is a retrospective study with 25 cases of abdominal TB treated at Guru Gobind Singh Hospital, Jamnagar, during the period of 2005–2007. Detailed history, physical examination, necessary investigations such as complete blood counts, ESR, urine examination, sputum examination, and radiological investigations were prescribed in all cases. Barium study, Mantoux test, ascitic fluid examination, and computed tomography scan abdomen were carried out when indicated. Tissue or biopsy materials were histologically examined. Results were analyzed with patient’s health status. Results: In 25 case series of abdominal TB, the average age of presentation was between 10 and 40 years with defini...
International Journal of Surgery Science, 2020
Abdominal tuberculosis is an increasingly common disease that poses diagnostic challenge, as the nonspecific features of the disease which may lead to diagnostic delays and development of complications. This condition is regarded as a great mimicker of other abdominal pathology. A high index of suspicion is an important factor in early diagnosis. Abdominal involvement may occur in the gastrointestinal tract, peritoneum, lymphnodes or solid viscera. Various investigative methods have been used to aid in the diagnosis of abdominal tuberculosis. Early diagnosis and initiation of antituberculous therapy and surgical treatment are essential to prevent morbidity and mortality. Most of the patients respond very well to standard antitubercular therapy and surgery is required in some cases. Imaging plays an important role in diagnosis of abdominal tuberculosis because early recognition of this condition is important. Abdominal tuberculosis constitutes a chief public health setback, presents a diagnostic challenge requiring a high index of clinical suspicion. Young age at presentation, delayed presentation, poverty & high morbidity & mortality are among the hallmarks of the disease in this region. These challenges need to be addressed in order to deliver optimal care for these patients. Early diagnosis, early antituberculous therapy & surgical treatment of the related complications are important for survival.
INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, 2020
Objective: To determine the prevalence of Intestinal Tuberculosis in cases of Acute abdomen. Design & Duration: A randomized prospective study from August 2019 to July 2020. Setting: Department of Surgery, VMMC & Safdarjung Hospital, New Delhi. Patients: A total number of 200 patients with Acute Abdomen, who presented as intestinal obstruction or peritonitis. Methodology: Detailed data of each patient including presentation, operative findings, procedure performed, post operative outcome and histopathology was entered on a specially designed proforma, compiled and analyzed. Results: Among the 200 patients with acute abdomen, 32 (16%) had Intestinal Tuberculosis on the basis of operative findings and histopatholoigcal reports. Age of the patients ranged between 15 to 65 years; majority (75%) were in the age group of 20 to 40 years. Male to female ratio was 1:0.45. Twelve (37.5%) patients had evidence of Pulmonary Tuberculosis as well on X-ray chest. The commonest operative findings w...
Abdominal Tuberculosis: A Prospective Study of Pattern of Occurrence, Diagnosis and Treatment
Abdominal Tuberculosis includes tuberculosis infection of gastrointestinal tract, mesentery, lymph nodes, omentum, the peritoneum and related solid organs such as liver and spleen. This study aims to document the trend of different types of presentation, methods and findings for diagnosis and treatment approaches in Abdominal Tuberculosis. 46 patients of abdominal tuberculosis admitted in emergency as well as in outpatient department of People's college of Medical Sciences,, Bhopal during the period