Epidemiological profile of tuberculosis patients in Delhi, India: A retrospective data analysis from the directly observed treatment short-course (DOTS) center.

Directly observed treatment short-course occupational profile revised national tuberculosis control program tuberculosis

Journal

Journal of family medicine and primary care
ISSN: 2249-4863
Titre abrégé: J Family Med Prim Care
Pays: India
ID NLM: 101610082

Informations de publication

Date de publication:
Oct 2019
Historique:
received: 19 05 2019
revised: 20 05 2019
accepted: 13 09 2019
entrez: 20 11 2019
pubmed: 20 11 2019
medline: 20 11 2019
Statut: epublish

Résumé

Tuberculosis (TB) has been a public health menace for decades. India harbors its highest burden globally. The present study was conducted to study the epidemiological profile of patients taking treatment from a directly observed treatment short-course (DOTS) center in Delhi, India. Retrospective analysis of past 1-year treatment records of a total of 227 patients undergoing treatment in DOTS since June 2014-2015 was undertaken. Socio-demographic information, data related to disease status, and HIV testing were collected and analyzed. The majority of cases were new (77.1%) and pulmonary TB (69.2%). The highest disease burden was found in the 20-60 year age group (72.2%) and males (58.6%). Genitourinary TB was present only among females. None of the patients was HIV positive. A significant association was found between the age group of 20-60 years and relapse and loss to follow-up cases ( A higher proportion of adult males aged 20-60 years constituted the majority of patients treated in the DOTS center. Focussed interventions can be designed for this age group in future public health policies to reduce disease burden in the total population. Further research is required to be undertaken in exploring reasons for higher prevalence among males and productive age group and role of age, gender in disease causation.

Sections du résumé

BACKGROUND BACKGROUND
Tuberculosis (TB) has been a public health menace for decades. India harbors its highest burden globally. The present study was conducted to study the epidemiological profile of patients taking treatment from a directly observed treatment short-course (DOTS) center in Delhi, India.
METHOD METHODS
Retrospective analysis of past 1-year treatment records of a total of 227 patients undergoing treatment in DOTS since June 2014-2015 was undertaken. Socio-demographic information, data related to disease status, and HIV testing were collected and analyzed.
RESULTS RESULTS
The majority of cases were new (77.1%) and pulmonary TB (69.2%). The highest disease burden was found in the 20-60 year age group (72.2%) and males (58.6%). Genitourinary TB was present only among females. None of the patients was HIV positive. A significant association was found between the age group of 20-60 years and relapse and loss to follow-up cases (
CONCLUSIONS CONCLUSIONS
A higher proportion of adult males aged 20-60 years constituted the majority of patients treated in the DOTS center. Focussed interventions can be designed for this age group in future public health policies to reduce disease burden in the total population. Further research is required to be undertaken in exploring reasons for higher prevalence among males and productive age group and role of age, gender in disease causation.

Identifiants

pubmed: 31742174
doi: 10.4103/jfmpc.jfmpc_409_19
pii: JFMPC-8-3388
pmc: PMC6857397
doi:

Types de publication

Journal Article

Langues

eng

Pagination

3388-3392

Informations de copyright

Copyright: © 2019 Journal of Family Medicine and Primary Care.

Déclaration de conflit d'intérêts

There is no conflict of interest.

Références

Int J Tuberc Lung Dis. 2004 Mar;8(3):323-32
pubmed: 15139471
Int J Epidemiol. 2009 Aug;38(4):1026-32
pubmed: 19509182
Int J Prev Med. 2010 Fall;1(4):223-32
pubmed: 21566777

Auteurs

Priyanka Sharma (P)

Department of Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

Madhur Verma (M)

Department of Community Medicine/Family Medicine, AIIMS, Bathinda, Punjab, India.

Meenakshi Bhilwar (M)

Department of Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

Himanshu Shekhar (H)

Department of Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

Neelam Roy (N)

Department of Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

Anita Verma (A)

Department of Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

Geeta Pardeshi (G)

Department of Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

Classifications MeSH