Socio-Demographic Factors affecting the Treatment Outcome in Patients of Tuberculosis (original) (raw)
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PARIPEX INDIAN JOURNAL OF RESEARCH
Introduction: Tuberculosis (TB) is an age-old disease killing significant number of humans over history and one of the major cause of morbidity and mortality, especially in developing and underdeveloped countries. It killed 1.4 million people annually worldwide in the year 2019. India had 2.69 million cases in 2019, according to TB report 2020. Despite the presence of the programme for it's control, TB continues to threaten the population due to emergence of more and more resistance cases challenging it's elimination. This study reflects the annual burden of tuberculosis in an area served by a Primary Health Centre in Urban Delhi and the treatment outcomes. The records of the patients attendingMethods: the DOTS centre was obtained from the treatment register at Primary Health Centre, Palam, Delhi. The records of patients visiting between April 2020 to March 2021 were included. Data analysis was done on Statistical Package for the Social Sciences (SPSS) version 22 and appropr...
Journal of Evolution of Medical and Dental Sciences, 2018
BACKGROUND Tuberculosis (TB) remains a global public health problem and a major cause of death from a single infectious agent among adults in India and other developing countries. Aims & Objectives-The aim of this study is to characterise outcome and efficacy of tuberculosis treatment among patients put on DOTS in RNTCP. MATERIALS AND METHODS This is a retrospective study of diagnosed TB patients of all age groups attending OPD of various departments of LN Medical College and JK Hospital, Bhopal, MP (India), between the period of January 2012 and October 2015. RESULTS Total 454 patients were found eligible for this study who were diagnosed and received full course of ATT under DOTS in RNTCP. In different age groups percentages of patients observed were 12.11%, 31.27%, 22.68%, 13.65% and 20.26% in 0-14 years, 15-25 years, 26-35 years, 36-45 years and above 45 years respectively. CONCLUSION Maximum patients, 31.27% (142/454) were registered in the age group of 15-25 years. Overall, treatment outcome were observed as follows-82.81% treated successfully, 7.70% defaulted, 4.18% failed and 3.96% died. Higher percentage of treatment was successful (98.18%) and was observed in the age group of 0-14 years, whereas higher percentage of both defaulter (14.13%) and mortality (13.04%) with lower treatment success rate (65.21%) was observed in the age group of above 45 years. Higher percentage of defaulter, failure and mortality were observed in males and category I in comparison to females and category II.
A Study on Complaince Pattern of Tuberculosis Patients Under DOTS in A District of West Bengal
Journal of Comprehensive Health
Background: DOTS is a comprehensive strategy for tuberculosis control based largely on Indian research and it now recognized worldwide. Still non-compliance to DOTS remains a major public health challenge. Aims: To know the compliance of DOTS therapy in tuberculosis patients in Howrah district of West Bengal and to find out the factors responsible for non-compliance. Methods: A community based cross-sectional study was undertaken to determine socio-demographic and treatment related risk factors in relation to non-compliance of patients under DOTS in Howrah district of West Bengal. Altogether 141 patients registered in 2nd quarter(1st April to 30th June2007) in Domjure TU were interviewed by home visit after their completion of intensive phase of treatment. Results: 63.8% patients were compliant with treatment. Non-compliance was significantly higher among 25-54 years age group(51.4%) and in male(46%) patients. Literate patients, patients of upper and lower middle socio-economic clas...
International Journal of Community Medicine and Public Health, 2016
Background: Tuberculosis is a social disease with medical aspect. It has also been described as barometer of social welfare. India is the second-most populous country in the world. One fourth of the global incident TB cases occur in India annually. Various social and demographic factors are variably related to poor adherence. Methods: A longitudinal study was designed and all category II TB patients registered for DOTS treatment during period from July 2014 to December 2014 (2 Quarter), of corporation area in tuberculosis register of district TB centre were included in present study. Considering exclusion criteria total 89 patients were studied in present study. Results: Out of 89 patients mean age (+SD) of the patients were 38±16.1 years , 75.28% were male, 40.45% were labourers, 29.31% patients were illiterate, over all treatment success is 59 (66.29%). Out of 63 literate patients, 79.36% patients were successfully treated, while Among 26 illiterate patients, only 34.61% patients were successfully treated. Treatment outcome lower class (Modified B.G. Prasad classification class IV and class V) having only 53.70% treatment success rate. Conclusions: The findings of this study suggest that improvement in quality of life is necessary for better outcome. Future programme or research should focus on improvement of quality of life as well as reducing the duration of treatment for better compliance with.
IOSR Journal of Dental and Medical Sciences
Background: Tuberculosis remain a worldwide public health problem despite the fact that the causative organism was discovered more than 100 years ago and highly effective drugs and vaccine available making tuberculosis a preventable and curative disease. India is highest tuberculosis burden country in the world in the term of absolute number of incident cases that occurs each year. Aims and objectives-To study sociodemographic profile of pulmonary tuberculosis patients attending DOTS centre. Material and method: A cross-sectional, descriptive and community based study was conducted at field practice area(Kanke Block) of RIMS, Ranchi. A total of 300 patients of age group 14 years and above were included in the study. Pre tested, semi structured questionnaire were used for data collection. Data were entered in MS excel and analysed in spss software. Results: Out of 300 patient's majority were male (70%), between age group of 15-25 years (27.7%), Hindu (42.7%), nontribal (52%), from rural area (83.7%), educated upto secondary (33.3%), self employed (22.7%), married (56.3%), having joint family (60.3%), belonged to class IV socio economic status (B G Prasad) (58.7%). Conclusion: An overall improvement in living condition, education, socioeconomic status and sanitation is necessary to decrease the prevalence of tuberculosis.
Assessment of Epidemiological Determinants in Tuberculosis Patients Receiving DOTS under RNTCP
National Journal of Community Medicine, 2017
Introduction: Tuberculosis is a barrier to socio-economic development as the greatest burden of tuberculosis incidence and mortality in India is in adult and socio-demographic factors, are a major determinant of ill- health and barrier to health care. Methodology: Out of six Designated Microscopy Centres in Ujjain city (Madhya Pradesh), two DMCs were selected. 241 patients were included in the study from registered 253 patients. Results: Mean age of subjects was 35.9 ± 13.8 years. Tuberculosis was more common in males, >3/4th participants had pulmonary tuberculosis. Nearly 1/5th of participants were illiterate (24.5%), <1/3rd participants were unemployed and less than half were unskilled workers. Majority (2/3rd) belonged to class IV according to Kuppuswamy’s scale of socio economic status. 66.8% study participants were married. Nearly 2/3rd participants were from nuclear family & living in kuccha or semi-pucca houses. More than 3/4th participants were vegetarian and 44.4 % study participants were living in overcrowding. Tobacco consumption was prevalent in half of participants while alcoholism in < 1/4th subjects. One fifth participants had history of pre-existing illness and treatment. Conclusion: Epidemiological characteristic like age, type of tuberculosis, literacy, occupation, economic status, marital status, type of family and living conditions like overcrowding, type of house have effect on development of tuberculosis.
2018
Tuberculosis is one of the most globally serious public health problems, despite its causative organism was discovered more than 100 years and highly effective drugs and vaccines are available making tuberculosis a preventable and curable disease. A clinic based, descriptive, cross sectional study was conducted in a rural block of Burdwan district among 180 adult new pulmonary TB patients for duration of 10 months with the objectives of 1. To study the socio-demographic characteristics of the Tuberculosis patients receiving Directly Observed Treatment Short course chemotherapy. 2. To look for the treatment outcome of those patients and the factors that might influence the outcome. Complete enumeration method was used. Results revealed that 72.3 % were males and 27.7% were females; 82.7 % were economically productive age groups (15 – 54 ) years. General caste and Scheduled Caste were 40.2% and 32.5% respectively. 43.3 % have primary level of education, 35.0% were illiterate or just l...
Journal of Evolution of Medical and Dental Sciences, 2017
BACKGROUND Tuberculosis continues to be a major public health problem in India. The Revised National Tuberculosis Control Programme (RNTCP), an application of Directly Observed Treatment Short Course (DOTS) was launched in 1997 with a goal to reduce mortality and morbidity due to tuberculosis. DOTS Strategy aims to improve patient adherence to treatment and thereby prevents development of drug resistance. Treatment outcome is an important indicator of tuberculosis control programme. Objective-To assess the profile and treatment outcome among pulmonary tuberculosis patients registered under DOTS in Assam
International Journal Of Community Medicine And Public Health, 2017
Background: Tuberculosis has existed for millennia and remains a major global health problem. It causes ill-health in millions of people each year and in 2015 it was one of the top 10 causes of death worldwide. Understanding the specific reasons for unsuccessful outcomes is important to improve the treatment system. This present study was carried out to find out the effects of socio-demographic factors on TB defaulters under DOTS centre in Warangal District, Telangana state.Methods: A cross sectional study was carried among 103 defaulters of TB patients in 3 TB units (TU) Warangal (urban), Ragunathapally (rural) and Eturunagaram (tribal) out of 7 TB units in Warangal district, attached to District Tuberculosis Centre (DTC) from January 2016 to June 2016 by interview technique utilising a pretested and structured questionnaire to collect the data. Statistical analysis: Percentages, proportions and chi-square test were applied whenever necessary.Results: In present study, males (35%) ...
Annals of Community Health, 2015
Introduction: Tuberculosis (TB) is a major public health problem worldwide. Two deaths occur for every three minutes in India due to tuberculosis and two people become sputum positive for tuberculosis every minute. Designated Microscopic Centre (DMC) is the most peripheral laboratory unit under RNTCP catering to population of one lakh. Objective: To know the outcome of tuberculosis patients in terms of treatment success, cured, treatment completed, transferred out, died and defaulted among registered TB cases under DMC. Methodology: Five years’ secondary data about tuberculosis patients on DOTS under the Designated Microscopic Centre (DMC), Vantamuri (R) PHC, Belgaum from January 2008 to March 2013 was included. Total of 182 patients on DOTS, who were enrolled under Vantamuri (R) DMC during this period were in-cluded for data analysis. Revised International Union Against Tuberculosis and Lung Diseases (IUATLD, 2001) definitions in tuberculosis control were used. Data was analysed us...