Clinical profile of childhood Tuberculosis in a Tertiary Care Rural Hospital and comparision of efficacy of daily vs. intermittent chemotherapy
Journal Title: International Archives of Integrated Medicine - Year 2018, Vol 5, Issue 5
Abstract
Introduction: Tuberculosis (TB) remains a major public health problem, despite noteworthy socio-economic development and advances in medical science. It is a curable disease but still millions of people suffer every year and a number of them die from this infectious disease, resulting in devastating social and economic impact. We report the disease course, clinical profile and factors associated with treatment outcome in a tertiary facility of Waghodia. Materials and methods: The study was carried out in the Department of Pediatrics at Dhiraj Hospital, Piparia. Recruitment took place from February 2014 to February 2015. The clinical profile of 71 patients was studied and patients were followed up to 6 months to evaluate the treatment outcome. Results: There was preponderance of males (60.56%, n=43) in study population as compared to females (39.44%, n=28). Most of the patients were belonging to age group of <6 years (32.4%, n=23) and >10 years (38.0%, n=27). Among 6 to 10 years, 21 (29.6%) patients were included in study. Most common form of TB was extra-pulmonary TB (60.56%, n=43) followed by pulmonary TB (39.43%, n=28). Non-specific symptoms like fever (82.5%, n=66) was the commonest presenting symptoms. Other symptoms included cough (33.8%, n=24), altered sensorium (19.71%, n=14), swelling (15.5%, n=11). From all the patient with follow up (n=50), 44 (88.0%) were cured. Conclusion: Diagnosis of paediatric tuberculosis still continues to be a challenge. In the study TB was more common in extra-pulmonary than pulmonary forms in our setting. Diagnosis was based on a combination of epidemiological and clinical suspicion supported by results of various investigations. Presence of paediatric TB is an indication of prevalence of TB in that community. Extra pulmonary tuberculosis is more common in pediatric population and comparison of daily vs. intermittent treatment shows similar efficacy.
Authors and Affiliations
Aashish Sethi, Prasad Muley
Factors affecting duration of untreated psychosis - A retrospective study done in general hospital setting
Background: Duration of the untreated psychosis has been predicted to be one of a factor which affects the outcome of disease and leading to poor prognosis in the patients. Previous studies had predicted that the longer...
A study of functional outcome after Primary Total Knee Arthroplasty in elderly patients
Introduction: Osteoarthritis is thought to be the most prevalent chronic joint disease. Total Knee Arthroplasty (TKA) is now a reliable treatment for severe arthritis and is now commonly done for end stage arthritis of k...
Effects of open chain exercises on muscle strength and function in elderly patients with knee osteoarthritis
Objective: The purpose of this research was to verify the effectiveness of an eight week quadriceps strengthening program on pain, function and quality of life of patients with knee osteoarthritis. Material and methods:...
Role of antibiotic prophylaxis in open inguinal hernioplasty – A prospective randomized clinical trial
Background: Inguinal hernia surgery is the most commonly performed surgery worldwide. Lichtenstein tension free repair using polypropylene mesh is the gold standard procedure for inguinal hernioplasty. Wound infection is...
Diabetic foot – A clinical study: Early surgical intervention is a key to early cure and rehabilitation in accordance with the international consensus on the Diabetic foot
Background: Diabetes mellitus is as old as mankind and perhaps humans know it from early ages. It is one of the most deeply studied diseases and is still un-understandable ailment that humans deal with. As we are digging...