Role of risk factors and socio-economic status in pulmonary tuberculosis: a search for the root cause in patients in a tertiary care hospital, South India

Gupta, Soham and Shenoy, Vishnu Prasad and Mukhopadhyay, Chiranjay and Bairy, Indira and Muralidharan, Sethumadhavan (2011) Role of risk factors and socio-economic status in pulmonary tuberculosis: a search for the root cause in patients in a tertiary care hospital, South India. Tropical Medicine and International Health, 16 (1). pp. 74-78.

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Official URL: doi:10.1111/j.1365-3156.2010.02676.x

Abstract

Objective: To determine the frequency of underlying risk factors and the socio-economic impact based on occupation in the development of tuberculosis. Method: Retrospective analysis of 207 clinically and microbiologically diagnosed patients with pulmonary tuberculosis (PTB) admitted to Kasturba Hospital in 2005 and 2006. Demographic details and underlying risk factors were statistically evaluated. Results: Diabetes mellitus (DM) (30.9%) was the most prevalent condition and significantly more common than other risk factors like smoking (16.9%), alcoholism (12.6%), HIV (10.6%), malignancy (5.8%), chronic liver diseases (3.9%), history of contact with TB (3.4%), chronic corticosteroid therapy (2.9%), chronic kidney diseases and malnourishment (1.5%). There were 82 patients (39.6%) with no underlying risk factor. Men (M:F = 3.7:1) and patients older than 40 years had a higher incidence of co-existing conditions. PTB was significantly more common in blue-collar (44%) and white-collar (27.1%) workers than household workers (12.1%), students (10.6%) and retired ⁄ unemployed people (6.3%). Conclusion: Pulmonary tuberculosis had a significant impact and predominated in male patients coexisting with DM. Patients with DM and suggestive pulmonary symptoms should be screened for tuberculosis. More stringent health education and awareness programme should be implemented at the grass root level.

Item Type: Article
Additional Information: Copyright by publisher
Uncontrolled Keywords: diabetes mellitus, HIV, pulmonary tuberculosis, socio-economic impact
Subjects: Medicine > KMC Manipal > Microbiology
Depositing User: KMC Manipal
Date Deposited: 27 May 2011 06:46
Last Modified: 18 Jun 2011 03:57
URI: http://eprints.manipal.edu/id/eprint/72

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