The adequacy of two sputum smear examinations for diagnosis of Pulmonary Tuberculosis as per RNTCP- A Retrospective study in Pondicherry
Journal Title: International Journal of Medical and Health Sciences - Year 2012, Vol 1, Issue 2
Abstract
Introduction: The failure to promptly identify and treat infectious cases stands out as a critical obstacle in the global control of tuberculosis. The RNTCP ( Revised National Tuberculosis Control Program) guidelines specify that the numbers of sputum samples required are 2 with one of them being an early morning sample. Methodology: All the samples collected for A.F.B staining from suspect T.B patients from Jan 2009 onwards till Oct 2011 in Sri Lakshmi Narayana Institute Of Medical Sciences, a medical teaching hospital were retrospectively analyzed to compare two sputum samples to three samples in diagnostic yield. Results: Of all the samples given 391 (54.9%) suspect patients had given only one sputum sample. There were less number of female suspects (33.75%) in the total number of people examined. Looking at the diagnostic yield, three samples instead of two added only one extra case to the detection program among the 320 patients who gave two or more samples. Conclusion: Two smear examinations instead of three is a viable and efficient change in the armamentarium of the revised national tuberculosis control program in our country.
Authors and Affiliations
R. S Bharatwaj, T. Mangaiyarkarasi, D. Jeyakumari, P. Rajaram
Keywords
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