Knowledge on tuberculosis and utilization of DOTS service by tuberculosis patients in Lalitpur District, Nepal

Gautam, Nirmal; Karki, Rewati Raj; Khanam, Rasheda

doi:10.1371/journal.pone.0245686

Cited by 7 publications

(5 citation statements)

References 39 publications

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“…In 2020, the COVID-19 pandemic dislodged TB from the top infectious disease cause of mortality globally [1]. In Nepal, in 2018, about 69,000 people were living with TB, but only 32,474 cases were reported in the National Tuberculosis Program [8]. While most of the cases of TB are pulmonary; extrapulmonary TB (EPTB) accounts for above one-fifth of the global burden of the disease [9].…”

Section: Discussionmentioning

confidence: 99%

Primary Esophageal Tuberculosis With Dysphagia

Paudel

Parajuli

Baral

et al. 2021

Cureus

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Tuberculosis is a common infection caused by Mycobacterium tuberculosis. Tuberculosis can affect many organ systems of the human body including the gastrointestinal tract. Esophageal involvement of tuberculosis is however rare.A 60 years old male from Nepal with an occupational history suggestive of exposure to tuberculosis presented with dysphagia. He did not have any other complaints and his physical examination was unremarkable. An upper gastrointestinal endoscopic examination revealed an esophageal ulcer at 25 cm from incisors. Biopsy from the edge of the ulcer revealed granulomas with central caseous necrosis. A computed tomography scan of the chest and abdomen did not reveal additional lesions. Considering the higher prevalence of tuberculosis in the geographical area, he was started on an empirical antitubercular regimen. His dysphagia subsided within two weeks of starting therapy. A repeat upper gastrointestinal examination at six months of therapy revealed complete healing of the esophageal lesion.In this case report, we review the symptomatology, diagnosis, and treatment of esophageal tuberculosis.

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Section: Discussionmentioning

confidence: 99%

Primary Esophageal Tuberculosis With Dysphagia

Paudel

Parajuli

Baral

et al. 2021

Cureus

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“…The Knowledge on tuberculosis and utilization of DOTS service by tuberculosis patients in Lalitpur District, Nepal further supports the fact that approximately one quarter of the patients did not have adequate knowledge of tuberculosis and were not utilizing the DOTS service efficiently [11] A nine city longitudinal study from India assessing the knowledge about tuberculosis and infection prevention behaviour had concluded that social proximity between health worker and patients predicted greater knowledge and adherence to infection prevention behaviors but unfortunately, data suggests that the latter rate remains undesirably low [12].…”

Section: Discussionmentioning

confidence: 68%

Knowledge of Adults Regarding Tuberculosis in Selected Rural Community

George

Chauhan

et al. 2021

JPRI

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Background: Tuberculosis (TB) has existed for millennia and remains a major global health problem. According to WHO, (2015) TB causes ill-health in millions of people each year and in 2015 TB was one of the top 10 causes of death worldwide, ranking above HIV/AIDS. Globally there were 10.4 million new TB cases and 1.4 million TB deaths in 2015.A timely diagnosis and correct treatment can cure TB patients. Objectives: Of the study were to assess the knowledge of adults regarding tuberculosis, to develop and administer an information booklet regarding tuberculosis to adults, to associate the knowledge of adults regarding tuberculosis with selected socio-demographic variables. Materials and Methods: The research approach adopted for this study was quantitative and non-experimental descriptive research design was used to collect data to assess the knowledge of adults regarding Tuberculosis. Analysis of the study consisted of section 1: Analysis of socio demographic variables, section 2: Analysis of knowledge scores of adults, section 3: Association of knowledge of adults regarding tuberculosis with selected socio demographic variable. Results: The study revealed that 77% of the adults had poor level of knowledge while 23% of the adults had only average knowledge regarding tuberculosis. 45% of adults were in the age group of 51-60 years and 20% were in 30-40 years age group. Among the participants, 55% were males and 45% were females, 42% adults were living in nuclear family and 28% belonged to extended family, 42% of adults were having primary education whereas only 7% were graduated and above. Conclusion: The knowledge regarding Tuberculosis was found to be poor among adults living in rural communities. Association was found between the religion of the adults and their knowledge scores. There was no significant association found between other demographic variables of the adults with their knowledge scores regarding tuberculosis.

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“…Few numbers of patients took treatment themselves without observation. Nearly a quarter of TB patients did not take Directly Observed Treatment (DOT) of from the designated treatment centre in Nepal [25]. None of the patients received their medication from the Community DOT providers, which is a crucial and interesting finding from this study.…”

Section: Discussionmentioning

confidence: 82%

Health Seeking Behaviour among Past and Current Tuberculosis Patients in a Low-Income Country

Mishra¹

2021

TIJPH

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In Nepal, the estimated incident cases are 0.07 million, of them, 0.03 million people are diagnosed and enrolled in the treatment annually, and numbers of undiagnosed people living with tuberculosis (TB) might be a threat to achieving END TB strategy targets. Understanding health-seeking behaviour and care pathways is crucial to reducing missed cases and decreasing TB transmission. The objective of the study was to identify the health-seeking behavior of TB patients and understand the reasons behind TB diagnostic and treatment delays in Nepal. This was a cross-sectional, population-based survey carried out in 99 clusters of 55 districts (total of 77) of Nepal. Primary Sampling Units were Village Development Committees or Municipalities and wards selected using systematic proportional to population size method. Of the total 54,200 people who attended in the survey, 1,825 had a history of TB and asked their health-seeking practice. 62% and 72% of the TB patients utilised the government health facilities for diagnosis and treatment. 18% of the TB patients said that they received diagnosis services, and 16% of patients took their treatment from outside of the country, especially India, due to fear of stigma and easy access to the services. The majority of the TB patients utilised government health facilities to receive diagnosis and treatment services. Some of the participants sought TB services from private health care providers, and a significant proportion of participants received them from India due to difficulty in accessing local services and fear of stigma and discrimination. Keywords: Community Based Directly Observed Treatment, Health Seeking Behaviour, Prevalence Survey, Tuberculosis.

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Knowledge on tuberculosis and utilization of DOTS service by tuberculosis patients in Lalitpur District, Nepal

Cited by 7 publications

References 39 publications

Primary Esophageal Tuberculosis With Dysphagia

Primary Esophageal Tuberculosis With Dysphagia

Knowledge of Adults Regarding Tuberculosis in Selected Rural Community

Health Seeking Behaviour among Past and Current Tuberculosis Patients in a Low-Income Country

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