A Study to Observe Complications and Sequelae in Patients of Pulmonary Tuberculosis under Revised National Tuberculosis Control Programme (RNTCP)
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 1
Abstract
To determine the occurrence and various types of complications and Sequelae in patients of Pulmonary Tuberculosis, to plan for future course of action for reduction of the same. The study was conducted in 100 patients diagnosed with pulmonary tuberculosis under Revised National Tuberculosis Control Programme (RNTCP), coming to outpatient department or admitted in wards of the department of Tuberculosis and respiratory diseases. In results out of the total 100 patients 10% were positive for sputum for AFB-recurrent pulmonary tuberculosis, 24% of patients showed growth in sputum – super added infection (Gram Staining, sputum for AFB negative, raised ESR, raised TLC, systemic symptoms), 4% of the patients showed growth of fungus in sputum – mycetoma and 16% of patients had pus in their pleural cavity – chronic empyema, pyopneumothorax. Out of the 100 patients studied the diagnosis of the complications is: Super added infection (38%), Fibrocavitory disease (14%), recurrent pulmonary tuberculosis (10%), Pyopneumothorax (9%), Pneumothorax (8%), chronic empyema (7%), Mycetoma (6%), Bronchiectasis (4%), Pleural effusion (3%), and Bronchogenic carcinoma (squamous cell carcinoma) 1%. Our results show that pulmonary tuberculosis is a curable disease but the sequelae and complications are inevitable with the disease but their incidence can be decreased by proper steps taken in management of the disease and counseling of the patients. This study may be useful in determining the incidence of complications and sequelae in patients of pulmonary tuberculosis, to find out various types of complications and sequelae and to plan for future course of action for reduction of them. Keywords: Tuberculosis, Sp. For AFB: Sputum For Acid Fast Bacilli, ESR: Erythrocyte Sedimentation Rate, recurrent pulmonary tuberculosis, fibrosis
Authors and Affiliations
Dr. N. C. Kajal, Dr. B. Bhushan, Dr. D. Singh, Dr. S. Gupta, Manish Sahu
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