Outcome of patients subjected to short course chemotherapy (DOTS) under RNTCP at tertiary care institute
Journal Title: MedPulse -International Medical Journal - Year 2014, Vol 1, Issue 9
Abstract
Introduction: Tuberculosis is leading infectious cause of death worldwide being responsible for 3-million deaths annually, with 6% of all deaths worldwide attributable to tuberculosis. About 95% of tuberculosis cases and 98% of all deaths occur in poor developing countries. Present study was carried out to study outcome of newly diagnosed cases of Tuberculosis subjected to short course chemotherapy regimen under DOTS. Aims and Objectives: To study the outcome of patients subjected to short course chemotherapy (DOTS) under RNTCP at tertiary care institute. Material and Method: All the newly diagnosed cases of pulmonary and extra pulmonary tuberculosis attending OPD/IPD of Govt. Medical College Nanded and residing in area under coverage of RNTCP centre of GMC Nanded were included in this study. Name, age, sex, address, occupation, income, number of family members, presenting complaints in chronological order, past history, personal history, through general and systemic examinations, investigations were carried out and the findings were recorded. All the standard definitions defined by Central TB division of Directorate General of Health Services were used. All the patients were followed up regularly and outcome was recorded. Results: Out of 221 patients, 126 were of pulmonary tuberculosis and 95 were suffering from extra pulmonary tuberculosis. Out of all sputum positive cases 84.54% of patients were converted to sputum negative status after two months of Intensive phase. 66.66% patients were cured after DOTS. 19.04% cases of pulmonary tuberculosis and 90.52% of extra pulmonary tuberculosis had completed the treatment. Success Rate (Success Rate = cure + treatment completed) for pulmonary tuberculosis was found to be 85.70% and failure rate among smear positive was 2.08%. Success rate for extra pulmonary Tuberculosis was found to be 90.52%. Thus overall Success Rate for PTB and EPTB was found to be 87.78%. Conclusion: Overall success rate of DOTS amongst PTB and EPTB was found to be 87.78%. The treatment effectiveness of DOTS is evident from smear conversion rate at 2-3 months and success rate (cure rate >85%) both above satisfactory mark by RNTCP guidelines.
Authors and Affiliations
Sanjiv Zangde, Anjali Deshmukh
Keywords
Related Articles
- EP ID EP180124
- DOI -
- Views 114
- Downloads 0
Role of progesterone in prevention of preterm labor among women with a short cervix
Introduction: Asymptomatic women found at midgestation to have a short cervix are at increased risk for spontaneous early preterm delivery. Progesterone has an essential role in maintaining pregnancy, primarily through e...
Epidemiology of Breast Cancer at Tertiary Care Hospital in Rural Maharashtra: An Observational Study
Background: Breast cancer is an important health problem in India. It is among the most common types of malignant cancers in women. There is a need to observe and analyze the clinical data from various regions in India s...
A study of clinical profile and factors associated with the patients of breast carcinoma at tertiary health care centre
Background: Cancer has become one of the ten leading causes of death in India. It is estimated that there are nearly 2 to 2.5 million cancer cases at any given point of time in India. Aims and Objectives: To Study clinic...
Usefullness of mannheim peritonitis index scoring system in predicting the outcome in patients of periotonitis due to hollow viscous perforation
Aims and Objectives: Early prognostic evaluation of patients with peritonitis is desirable to select high- risk patients for intensive management and also to provide a reliable objective classification of severity and op...
A study of anatomical basis of Coraco-Acromial arch impingement
This Study Was carried out to study the morphology of Coraco-Acromial arch and to consider the functional implications of the structure of the arch. For this study 100 Dry Scapulae are taken. Out of which 60 scapulae are...