IS PULMONARY TUBERCULOSIS ASSOCIATED WITH SMOKELESS TOBACCO USE?
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 62
Abstract
BACKGROUND Tobacco is one of the major causes of disease and death in India, accounting for nearly 0.9 million deaths every year. The prevalence of SLT use among adult men in India increased from 24% in 1995 to 33% in 2009, whereas the prevalence of smoking reduced from 35% to 24% during the same period. Several studies have demonstrated the association between smoking and the risk of pulmonary TB, relapse of TB and mortality due to TB and poor tuberculosis treatment outcome. Little data exist on the prevalence and patterns of SLT use among patients with TB in India. The objective of present study to assess the association between the tobacco chewing and pulmonary tuberculosis with respect to prevalence and mycobacterium tuberculosis bacilli load. MATERIALS AND METHODS A descriptive study was conducted among 257 pulmonary TB patients between January 2017 and June 2017 attending Department of Respiratory Medicine, MLN Medical College, Allahabad. Using a structured interview schedule, retrospective smoking and smokeless tobacco use data were collected at the diagnosis. RESULTS Total 257 pulmonary tuberculosis patients enrolled in our study, of which 178 (69.2%) ever users of any form of tobacco in lifetime and 140 (54.4%) patients were current users of any form of tobacco at the time of the survey. Among the tobacco users, 42 patients were exclusive smokers, 68 were exclusive SLT users and 30 of them used both forms of tobacco. The prevalence of tobacco chewing and smoking was 48.5% and 30% respectively at the time of diagnosis. Among tobacco chewers, the AFB smear grading was 2.9% scanty positive, 23.5% were 1+, 38.2% were 2+ and 35.2% were 3+ respectively. CONCLUSION Tobacco chewing prevalence is higher than tobacco smoking alone among patients with tuberculosis. Proper education and programmatic protocols should address against the use of tobacco products either in form of tobacco chewing or smoking which often go undetected among TB patients.
Authors and Affiliations
Amitabh Das Shukla, Shreenivasa A, Abhinav Chaudhary
Keywords
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- EP ID EP230524
- DOI 10.14260/Jemds/2017/976
- Views 71
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