PROFILE AND TREATMENT OUTCOME AMONG PULMONARY TUBERCULOSIS PATIENTS UNDER DOTS ATTENDING A TERTIARY CARE CENTRE IN DIBRUGARH DISTRICT, ASSAM
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 41
Abstract
BACKGROUND Tuberculosis continues to be a major public health problem in India. The Revised National Tuberculosis Control Programme (RNTCP), an application of Directly Observed Treatment Short Course (DOTS) was launched in 1997 with a goal to reduce mortality and morbidity due to tuberculosis. DOTS Strategy aims to improve patient adherence to treatment and thereby prevents development of drug resistance. Treatment outcome is an important indicator of tuberculosis control programme. Objective- To assess the profile and treatment outcome among pulmonary tuberculosis patients registered under DOTS in Assam Medical College and Hospital, Dibrugarh, Assam. MATERIALS AND METHODS A retrospective cross sectional study of patients diagnosed with Pulmonary Tuberculosis and enrolled under DOTS between February 2012 to January 2013 in Pulmonary Medicine Department of Assam Medical College and Hospital, Dibrugarh, Assam was carried out from March to August 2013. Analysis was done by using ratio, proportion, mean and standard deviation and chi-square test was used to see association. RESULTS Of the 661 patients registered, ratio of male and female was 2:1 and mean age of patients enrolled was 32.25 ± 15.12 years. Majority (63.2%) of patients were sputum smear-positive pulmonary tuberculosis followed by Re-treatment (18.8%) and sputum smear negative pulmonary tuberculosis (18%). Success rate was 85.4% whereas rate of default, failure, died and transferred out were 5.7%, 5%, 3%, and 0.8% respectively. Cure rate was found significantly highest in 21-30 years age group while default, failure and died rate was highest in >60 years age group. A significant association of unsuccessful treatment outcome was seen with older age group and male patients. CONCLUSION The study reveals high success rate (85.4%) which ensures that the DOTS therapy is highly effective and safe. Special emphasis should be put on sputum smear-positive pulmonary TB patients, older age group and male patients to decrease TB transmissions and unsuccessful treatment outcome.
Authors and Affiliations
Pushpita Barman
Keywords
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- EP ID EP214004
- DOI 10.14260/Jemds/2017/703
- Views 72
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