Original research Article: The proportion of tuberculin test positive patients among severely acute malnourished / moderately acute malnourished children registered with Anganwadi centers in Karad TU
Journal Title: International Journal of Medical and Health Research - Year 2018, Vol 4, Issue 12
Abstract
Background: WHO has declared TB to be responsible for more deaths than any other single infectious disease. The rate of infection is higher in malnourished children compared to well nourished children. India houses highest number of malnourished children in the world. The Tuberculin skin test (TST) is one of the investigations widely used as an important test for diagnosing tuberculosis. The present study is therefore done to maximise the detection of TB cases in SAM and MAM children by using TST as the diagnostic investigation. Objective: To study the prevalance of TST positivity in SAM / MAM children, registered with anganwadi centres of Karad Taluka. Method: It is a cross-sectional prevalance study involving all the children registered in anganwadi centres in Karad Taluka of Satara Distt. Results: Prevelance of TST positivity in SAM/MAM children was estimated to be 12.5% Out of the 4500 children, 104 were either SAM (42) or MAM (62). After testing the 104 children with TST, 13 children (12.5%) showed a positive response, 5 out of which had SAM and 8 had MAM. Also, 4 children showed Chest X-Ray signs s/o TB (3 SAM, 1 MAM). 2 children (0 SAM, 2MAM) had matted lymph nodes. Conclusion: TST serves as an indicator of latent TB infection. This test could be used to it’s full potential for early detection and treatment of M. Tuberculosis infection, before it presents as full blown TB disease. Since children with SAM/MAM show a degree of immunosuppression, they are at a higher risk of getting infected with tuberculosis and should be screened prudently.
Authors and Affiliations
Dr. CD Aundhakar, Dr. Raghav Kakar, Dr. Harshada Tatiya, Dr Madhura Karguppikar, Dr. Aieshwarya Pradhan, Dr. Tanya Varghese
Keywords
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