Diabetes mellitus and HIV as co-morbidities in tuberculosis patients of rural south India

Gupta, Soham; Shenoy, Vishnu Prasad; Bairy, Indira; Srinivasa, H; Mukhopadhyay, Chiranjay

doi:10.1016/j.jiph.2011.03.005

Cited by 61 publications

(56 citation statements)

References 7 publications

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“…However, in a study by Gupta et al, 75% of the HIV positive patients belonged to the 45-60 years age group. 12 Co-infection in the present study was observed in 0.4% of the cases. In a study in Udipi, a very high prevalence of 18.6% of a coinfection of TB and HIV was observed.…”

supporting

confidence: 47%

Prevalence of coinfection of human immunodeficiency virus and tuberculosis in a semi urban area in Telangana

Jahnavi

Toppo

2017

Int J Adv Med

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Background: HIV is known to be one of the major risk factors for the progression of active tuberculosis. Seronegative individuals have 10% risk of developing tuberculosis in an endemic region, while those infected with HIV have 60% chances. Moreover, this incidence varies with different geographical area.Methods: 1330 of HIV patients and 1800 suspected TB patients had undergone testing for HIV. All the suspected TB patients had undergone X ray evaluation and sputum examination.Results: 482 were positive for tuberculosis among 1800 patients of whom 286 were males and 196 were females. Out of a total of 3130 patients who have undergone HIV test, 115 were found to be HIV Seropositive with 68 (3.6%) males and 47 (3.8%) females.Conclusions: It is essential to impart proper education to the people as they are from a low socioeconomic background regarding the usefulness of the HIV and the TB testing and the government protocols and measures taken to eradicate this disease.

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supporting

confidence: 47%

Prevalence of coinfection of human immunodeficiency virus and tuberculosis in a semi urban area in Telangana

Jahnavi

Toppo

2017

Int J Adv Med

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“…This higher prevalence may be attributed to selection bias due to hospital-based sampling. 12 Previous studies from other South Indian states, such as Kerala and Tamil Nadu, reported a prevalence of 44% and 25% respectively. 4,5 As has been reported in earlier studies, patients aged >40 years and those with smearpositive pulmonary TB had a higher prevalence of DM.…”

Section: Discussionmentioning

confidence: 95%

Is screening for diabetes among tuberculosis patients feasible at the field level?

Naik

Kumar²,

Satyanarayana³

et al. 2013

public health action

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and TB recommends bidirectional screening of the two diseases. 6 A countrywide project was conducted in 2012 to better understand the optimal screening procedures, implementation, monitoring, results and challenges of screening patients with TB for DM within eight tertiary health care settings and more than 60 peripheral health institutions (PHIs). The aggregate data of the project have been reported elsewhere. 7,8 In this article, we pre sent on a more individual basis the feasibility and results of screening TB patients for DM in 17 PHIs in a district of South India, and the challenges faced during implementation. METHODS DesignThis was a descriptive study involving the implementation of DM screening procedures for TB patients in routine programmatic settings. SettingBangarpet (population 0.5 million) is one of the Tuberculosis Units (TU) in the Kolar district in the southern part of India. TB diagnosis and treatment services are delivered in a decentralised manner at all the 17 PHIs of the TU. Under India's Revised National TB Control Programme (RNTCP), a PHI is defi ned as any health facility with a sanctioned medical offi cer position. All presumptive TB cases are investigated for the disease at the designated microscopy centres. After being diagnosed with TB, patients receive intermittent treatment three times a week for a period of 6-9 months, delivered under direct observation in accordance with national guidelines. 9 TB patients are registered and followed up until completion of treatment as per national guidelines.While facilities for DM screening are available at all PHIs, treatment services are provided only by the specialists at the district level hospital and are continued in the PHI closest to the patient. The average distance from the PHIs to the district hospital is 35 km. Patients had to travel to the specialist hospital at their own expense. The drugs for treating DM were available in the general pharmacy and dispensed by the hospital pharmacist on prescription by the treating doctor. All services for the diagnosis and treatment of DM were provided free of charge. Interna onal Union Against Tuberculosis and Lung DiseaseHealth solu ons for the poor Study populationAll TB patients registered from January to September 2012 in 17 PHIs in Bangarpet TU were included in the study. Diabetes mellitus screening, variables and data collectionThe methods of screening, diagnosis and referral of TB patients with DM to diabetes care have been described in detail elsewhere. 8 Briefl y, TB patients were asked if they had a history of DM. Among those with unknown DM status, a random blood glucose (RBG) test was offered, followed by a fasting blood glucose (FBG) test if the RBG was ⩾110 mg/dl (⩾6.1 mM). Blood glucose was assessed using a glucometer supplied by the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Disease and Stroke (NPCDCS) on a capillary blood sample. Those with an FBG ⩾126 mg/dl (⩾7 mM) were diagnosed with DM, and those with an FBG between 110 and 125 were diag...

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“…It has been reported that treatment fail is increased 8.5 times in diabetic patients with TB, general relate to abandonment. In diabetic group infection with TB seems to be more severe that in people no-diabetic (Gupta et al, 2011). The abandonment of HIV co-infection patients could reach 53% (Table 1).…”

Section: Familiarmentioning

confidence: 96%

“…Diabetes / TB = TB infections have more severe, with treatment failure rate of 8.5 x higher, which generates most abandoned, because this patient needs a longer treatment (Gupta et al, 2011). HIV / TB: The patient focuses on the treatment of HIV, at least tolerate the associated treatment.…”

Section: Patients With Co-morbiditymentioning

confidence: 99%

Health Interventions to Improve the Medication Efficacy in Tuberculosis Treatment

Santos¹,

Chin²,

Vizioli³

et al. 2012

Understanding Tuberculosis - Global Experiences and Innovative Approaches to the Diagnosis

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Diabetes mellitus and HIV as co-morbidities in tuberculosis patients of rural south India

Abstract: Though more importance is being given to HIV-TB coinfection, we cannot overlook DM, which showed a significantly higher prevalence in pulmonary TB patients compared to HIV. The rising prevalence of DM in high TB burden countries may adversely affect TB control.

Cited by 61 publications

References 7 publications

Prevalence of coinfection of human immunodeficiency virus and tuberculosis in a semi urban area in Telangana

Prevalence of coinfection of human immunodeficiency virus and tuberculosis in a semi urban area in Telangana

Is screening for diabetes among tuberculosis patients feasible at the field level?

Health Interventions to Improve the Medication Efficacy in Tuberculosis Treatment

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