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Papel de los factores de riesgo y del estatus socio‐económico en la tuberculosis pulmonar: búsqueda de la raíz de la causa en pacientes de un hospital terciario en el sur de la India
Author(s) -
Gupta Soham,
Shenoy Vishnu Prasad,
Mukhopadhyay Chiranjay,
Bairy Indira,
Muralidharan Sethumadhavan
Publication year - 2011
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2010.02676.x
Subject(s) - medicine , tuberculosis , incidence (geometry) , diabetes mellitus , risk factor , malnutrition , malignancy , surgery , pathology , physics , optics , endocrinology
Summary 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 co‐existing 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.