Cross Sectional Study to Assess Rationale Behind Anti Koch Treatment in Severe Acute Malnourish Children in Ujjain Block Madhya Pradesh

Authors

  • Rashmi Bhujade Dept. of Community medicine, Index Medical College, Indore
  • Abhinav Sinha National Institute of Malaria Research, ICMR, Delhi
  • Taique Ibrahim Civil hospital, Siwan, Bihar

Keywords:

AKT, Tuberculosis, Acute Malnourished, Pediatric

Abstract

Background: Tuberculosis (TB) and under-nutrition has got vicious cycle presence of one can increase the chance of having other. Both are common in under-five children. In spite of many efforts still TB and under-nutrition are most important cause of mortality and morbidity. To get rid from TB it is essential to diagnose and manage TB accurately.

Method: A cross sectional observation study was planned to estimate the prevalence of AKT prescription and rationale behind AKT prescription in 204 admitted SAM children in Ujjain block.

Result: Total 51% admitted SAM children were put on AKT among them only around 8% children were having the rationale for starting AKT .Chi square test was applied for data analysis.

Conclusion: Present study concludes that very few children were prescribed AKT rationally. Is Gap in the TB diagnosis and treatment in children especially in SAM children is resulting in over-prescription of AKT in SAM children. It may be contributing in AKT resistance which is the most deadly problem we are facing with many antibiotics including AKT.

References

L. N. Patel, A. K. Detjen.Integration of childhood TB into guidelines for the managementof acute malnutrition in high burden countries. Public health action2017;7(2):110-115

T Walls ,D Shingadia.Global epidemiology of paediatric tuberculosis.Journal of infection 2004 ;48(1):13-22.

Lewinsohn, DA., Gennaro, ML., Scholvinck, L. & Lew-insohn, DM. Tuberculosis immunology in chil-dren:diagnostic & therapeutic challenges & opportunities. International Journal of Tuberculosis & lung Disease 2004;8(5):658-674.

B.Marais, R.P.Gie, H.S.Schaaf, A.C.Hessling.The natural his-tory of childhood intra-thoracic tuberculosis: A critical re-view of literature from the pre-chemotherapy era. Interna-tional Journal of Tuberculosis & lung Disease2004;8(4):392-402.

V. Seth, SK Kabra .Essentials of Tuberculosis in Children,4th edition. New Dehli:Jaypee; 2011.263.

N.S.Scrimshaw , C.E.Taylor ,J.E.Gordon .The interaction of nutrition & infection, Geneva,WHO Monograph series 1968;57(3):329.

Ministry of Health and Family Welfare Government of In-dia. Operational Guidelines on Facility Based Management of Children with Severe Acute Malnutrition,2011.

International Standards for Tuberculosis Care (ISTC). The Hague: Tuberculosis Coalition for Technical Assistance, 2006.page no26-27

Ministry of health. National guidelines on management of tuberculosis in children:Division of leprosy, tuberculosis and lung disease.;2013 page no.9.

WHO.Guidance for national tuberculosis programmes on the management of tuberculosis in children. second edition. Geneva, Switzerland; 2014.page no 21-22.

T. Munthali , C. Chabala, E. Chama3, R. Mugode5, N. Kapa-ta,P. Musonda and C Michelo.Tuberculosis caseload in children with severe acute malnutrition related with high hospital based mortality in Lusaka, Zambia. BMC Research Notes2017;10:206.

R.Bollinger, M.Tambe.Prevalence of Tuberculosis in Severely Malnourished Indian Children 2018.

M. J. Chisti, Stephen M. Graham, T Duke, T.Ahmed, H Ash-raf,A.Syed ,G. Faruque1, S La Vincente, S. Banu1, R. Ra-qib,M. A. Salam. A Prospective Study of the Prevalence of Tuberculosis and Bacteraemia in Bangladeshi Children with Severe Malnutrition and Pneumonia Including an Evalua-tion of Xpert MTB/RIF Assay.Plos one 2014 ; 9 (4 ).

N.Safdar,S.G.Hinderkar,N.A.Baloch ,D.A.Enarson,M.A.Khan ,O.Morkve.Are children with tuberculosis in Pakistan man-aged according to National programme policy guidelines? A study from 3 districts in Punjab.BMC Race Notes 2010.

R.Prasad, R.G.Nautiyal, P.K.Mukherji, A.Jain.Diagnostic evaluation of pulmonary tuberculosis: what do doctors of modern medicine do in India?.Int J Tuberc Lung Dis. 2003; 7(1): 52-57

LaCourse SM, Chester FM, Preidis G, McCrary LM, Arscott-Mills T, Maliwichi M, James G, McCollum ED, Hosseini-pour MC. Use of Xpert for the diagnosis of pulmonary tu-berculosis in severely malnourished hospitalized Malawian children. Pediatr Infect Dis J. 2014;33(11):1200–2.

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Published

2020-01-31

How to Cite

1.
Bhujade R, Sinha A, Ibrahim T. Cross Sectional Study to Assess Rationale Behind Anti Koch Treatment in Severe Acute Malnourish Children in Ujjain Block Madhya Pradesh. Natl J Community Med [Internet]. 2020 Jan. 31 [cited 2024 Mar. 29];11(01):37-40. Available from: https://www.njcmindia.com/index.php/file/article/view/205

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Original Research Articles