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Pattern of Tuberculosis, Trend and Outcome of Patients Registered at DOTS Centre of a Tertiary Care Hospital.
Pant, Pankaj; Joshi, Aishana; Adhikari, Yagya Raj; Rijal, Yasoda; Ghimire, Sharmila; Gautam, Ashmita; Shah, Sangam; Bam, Niraj; Das, Santa Kumar.
Affiliation
  • Pant P; Department of Pulmonology and Critical Care, TU Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal.
  • Joshi A; Methinkot hospital, Kavrepalanchowk.
  • Adhikari YR; Department of Pulmonology and Critical Care, TU, Institute of Medicine, Maharajgunj, Kathmandu, Nepal.
  • Rijal Y; Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Kathmandu, Nepal.
  • Ghimire S; Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Kathmandu, Nepal.
  • Gautam A; Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Kathmandu, Nepal.
  • Shah S; Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Kathmandu, Nepal.
  • Bam N; Department of Pulmonology and Critical Care, TU Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal.
  • Das SK; Department of Pulmonology and Critical Care, TU Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal.
J Nepal Health Res Counc ; 20(1): 54-58, 2022 Jun 02.
Article in En | MEDLINE | ID: mdl-35945853
ABSTRACT

BACKGROUND:

Tuberculosis is a common respiratory disease imposing significant health burden. Directly observed treatment short course strategy ensures patient compliance in tuberculosis treatment. The aim of this study was to assess pattern of tuberculosis, trend and outcome of patients registered at Directly observed treatment short course centre of Tribhuvan University Teaching Hospital.

METHODS:

A retrospective observational study was conducted at Tribhuvan University Teaching Hospital. Tuberculosis patients of all age groups registered from July 2017 to June 2020 at Tribhuvan University Teaching Hospital Directly observed treatment short course centre were included. Data entry and analysis was done in SPSS version 20.0. Descriptive statistics was performed and results were interpreted in mean, frequency and percentage.

RESULTS:

A total of 2790 tuberculosis patients were included for final analysis. There were 1736 (62.2%) males. Mean age of patients was 37.94±20.28 years. Pulmonary tuberculosis was the most common type of tuberculosis seen in 948 (34%) patients. Fifty percent of total tuberculosis cases were confined to thorax. Tubercular pleural effusion and pleurisy (14.6%), central nervous system (13.2%), bone and joint (12.2%) were common forms of extrapulmonary tuberculosis. The mean incident tuberculosis cases registered annually was 697.5±95.63. Nearly half (49.1%) of the patients completed tuberculosis treatment regimen while 43.3% were referred to other Directly observed treatment short course centre as per their convenience.

CONCLUSIONS:

This study reflects the trend and pattern of tuberculosis epidemiology at tertiary care hospital of Nepal. There is a huge burden of both pulmonary and extrapulmonary tuberculosis at Tribhuvan University Teaching Hospital with slight annual variation in incident tuberculosis cases. Despite implementation of Directly observed treatment short course, the problem of non-compliance persists among the tuberculosis patients.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Tuberculosis / Tuberculosis, Pulmonary Type of study: Observational_studies / Risk_factors_studies Limits: Adolescent / Adult / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: En Journal: J Nepal Health Res Counc Journal subject: PESQUISA EM SERVICOS DE SAUDE Year: 2022 Document type: Article Affiliation country: Nepal

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Tuberculosis / Tuberculosis, Pulmonary Type of study: Observational_studies / Risk_factors_studies Limits: Adolescent / Adult / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: En Journal: J Nepal Health Res Counc Journal subject: PESQUISA EM SERVICOS DE SAUDE Year: 2022 Document type: Article Affiliation country: Nepal