A Study on Epidemiological Parameters of Tuberculosis among Treated Patients in an Urban Area of Pune, Maharashtra

Authors

  • Balkrishna S Lanjewar Dr DY Patil Medical College, Pune
  • Devidas T Khedkar Dr DY Patil Medical College, Pune
  • Jitendra S Bhawalkar Dr DY Patil Medical College, Pune
  • Jyoti A Landge Dr DY Patil Medical College, Pune

Keywords:

Tuberculosis, parameters, Pulmonary, Sputum positive, extra pulmonary, Sputum conversion, RNTCP

Abstract

Background: Tuberculosis, an ancient infectious disease, affects all persons and all organs of human body. Various parameters of tuberculosis are studied worldwide to assess the epidemiological profile of TB in relation to patients under treatment, with varied results. This study was intended to assess the profile of tuberculosis parameters in relation to treated patients under RNTCP in an urban area, as it was not done here in the recent past.

Materials and methods: It’s an observational and combined retrospective-prospective cohort study, carried on 429 tuberculosis patients. Data was collected by trained personnel in structured and pretested formats from a Tuberculosis Unit, under which patients were receiving treatment and through direct visits and interviews with patients. The statistical analysis was done by subjecting data to ‘EPI INFO’ and WIN PEPI software.

Results: Of all 429 patients, 66% were male, 62% pulmonary, 78% new and 56% belonged to 15-34 year age group and sputum conversion rates were 89% and 51% for new and retreatment cases respectively.

Conclusions: The proportion of tuberculosis is found to be significantly higher in males, adults, pulmonary type and in new category.

References

K. Park. Tuberculosis. In: Park’s Textbook of Preventive and Social Medicine, 22nd ed. Jabalpur (India): M/s Banarsidas Bhanot Publishers; 2013. p. 166-84.

Vaidya R. Tuberculosis. In: RajVir Bhalwar, Chief Edi-tor.Text Book of Public Health and Community Medicine, 1st ed. Published by Department of Community Medicine, Armed Forces Medical College Pune in Collaboration with WHO, India Office, New Delhi; 2009. p. 1107-16.

Sunder Lal, Adarsh, Pankaj. Tuberculosis: Epidemiology of Communicable Diseases and Related National Health Programs. In: Textbook of Community Medicine (Preventive and Social Medicine), 4th ed. New Delhi, Bangalore, Pune (India): CBS Publishers and Distributors; 2014. p. 435-52.

Government of India, Ministry of Health and Family Wel-fare, Directorate of Health Services, Central TB Division, RNTCP, Technical and Operational Guidelines for TB Control in India 2016. Available at: www.tbcindia.gov.in (last

viewed on Nov, 11, 2017)

National Tuberculosis Institute, Bangalore, India. About us. Available from: http://ntiindia.kar.nic.in/aboutus.htm (last viewed on Nov. 5, 2017)

National Institute of Health and Family Welfare, New Delhi. National Tuberculosis Program. In: National Health Program Series-7, National Tuberculosis Control Program, 2003. p. 10-13.

World Health Organization, Regional Office for South-East Asia, New Delhi (India); Joint Tuberculosis program Review, 1992.

World Health Organization, Geneva. Introduction. In: WHO Report 2011, Global Tuberculosis Control; 2011. p. 3-8. Available from: http://whqlibdoc.who.int/publications/ 2011/9789241564380_eng.pdf [Last viewed on Nov 6, 2017].

Central TB Division, Directorate General of Health Services, New Delhi. Introduction to Tuberculosis and Revised National Tuberculosis Control Programme (RNTCP). In: Revised National Tuberculosis Control Programme, Training Course for Programme Manager (Modules 1-4), developed under GOI-WHO Collaboration Programme (2008-09), April 2011. Available at: http://ntiindia.kar.nic.in/cdphclevel/ Ielearn%5CCA (Last accessed on Nov. 7, 2017)

10. Mario C Raviglione. The New Stop TB Strategy and the Global Plan to Stop TB, 2006-15. Bulletin of WHO I May 2007, 85 (5). Available at: http://www.who.int/bulletin/ volumes/85/5/06-038513.pdf (last viewed on Nov 7, 2017)

Government of India, Central TB Division, Directorate General of Health Services. Draft National Strategic Plan 2017-2025 for TB Elimination in India. Available at: https:// tbcindia.gov.in/index1.php?lang=1&level=1&sublinkid= 4768&lid=3266 (last viewed on Nov. 8, 2017)

WHO. The End TB Strategy, Implementing the End TB Strategy: The Essentials. (2015-35). Available at: http:// www.who.int/tb/publications/2015/end_tb_essential.pdf?ua=1 (last viewed on Nov. 9, 2017)

TB India 2017. Government of India, Ministry of Health and Family Welfare, Directorate of Health Services, Central TB Division, RNTCP, Annual Status Report 2017: pp 9. Available at: www.tbcindia.gov.in (Viewed on Nov 11, 2017)

Mohammed T, Sharma S, Roherberg D, Gupta D, Singh U, Sinha P. DOTS at a tertiary care center in Northern India: Successes, Challenges and the next steps in TB control. Indian J Med Res, May 2006;123:702-06

TB India 2017. Government of India, Ministry of Health and Family Welfare, Directorate of Health Services, Central TB Division, RNTCP, Annual Status Report 2017: pp29-33. Ava-ilable at www.tbcindia.gov.in (Viewed on Nov. 13, 2017)

Nirupa C, Sudha G, Thomas A, Gopi p. Evaluation of DOT providers under RNTCP at Ernakulum. Ind. J Tub. 2005;52: 73-77.

Raviglione M, Sudre P, Rieder H, Spinaci S, Kochi A. Secular Trends in Tuberculosis in western Europe: Epidemiological Situation in 14 Countries. WHO, Tuberculosis Program, Division of Communicable Diseases 1992; 92:170.

Saleem Mohamed, Shankar Kanagasabhpathy, Sabeeta Kalifulla. Socio demographic profile and risk factors amongst pulmonary TB patients in Madurai, India: a cross sectional study. Int J Res Med Sci. 2015 Dec;3(12):3490-98

Zhao F, Christopher M, Sergio S, Karl S, Jaap B, Results of Directly Observed Short-course Chemotherapy in Chinese patients with Smear Positive Tuberculosis. Lancet 1996, Feb. 347: 358-62.

Chaddha S L and Bhagi R P. Treatment Outcomes in TB Patients under Directly Observed Treatment Short-course: A Cohort Study. Ind. J Tub. 2000;47:155-58.

Downloads

Published

2018-01-31

How to Cite

1.
Lanjewar BS, Khedkar DT, Bhawalkar JS, Landge JA. A Study on Epidemiological Parameters of Tuberculosis among Treated Patients in an Urban Area of Pune, Maharashtra. Natl J Community Med [Internet]. 2018 Jan. 31 [cited 2024 Apr. 30];9(01):56-9. Available from: https://www.njcmindia.com/index.php/file/article/view/636

Issue

Section

Original Research Articles