Nagar Vivek, Gour Devendra, Pal Dinseh Kumar, Singh Akash Ranjan, Joshi Ankur, Dave Lokendra
Department of Community and Family Medicine, All Institute of Medical Science, Bhopal, Madhya Pradesh, India.
Department of Community Medicine, Gandhi Medical College, Bhopal, Madhya Pradesh, India.
J Family Med Prim Care. 2018 Jan-Feb;7(1):130-136. doi: 10.4103/jfmpc.jfmpc_289_17.
Tuberculosis (TB) and diabetes mellitus (DM) remains a worldwide global public health problem. About 95% of patients with TB live in the low and middle-income countries and more than 70% of patients with DM also live in the same countries, especially in South East Asia. Screening for diabetes in patients with TB will not only ensure early case detection but also better management of diabetes and will lead to better TB treatment outcome.
This study aims to determine the prevalence and its associated factors of diabetes and prediabetes among diagnosed cases of TB patients registered under Revised National Tuberculosis Control Programme (RNTCP) in Bhopal city.
The current study was a longitudinal follow-up study conducted among registered TB patients under RNTCP in all 5 TB units of Bhopal District.
Participants were contacted and interview was conducted after obtaining consent using predesigned and pretested Performa during October 2013-September 2014.
Continuous variable were summarized as frequency, mean, and standard deviation. All variables were analyzed using Chi-square test of significance; < 0.05 was taken as statically significant.
Out of the total 662 TB patients, 352 were male and 310 were female. Out of the total, 82 (12.39%) patients were diagnosed as diabetic and 108 (16.3%) were prediabetic. significant association found with six variables which are age, sex, body mass index, type of TB, Category of TB, and smoking.
This study shows feasibility and importance of screening of TB patients.
结核病(TB)和糖尿病(DM)仍然是一个全球性的公共卫生问题。约95%的结核病患者生活在低收入和中等收入国家,超过70%的糖尿病患者也生活在这些国家,尤其是东南亚地区。对结核病患者进行糖尿病筛查不仅能确保早期病例发现,还能更好地管理糖尿病,并带来更好的结核病治疗效果。
本研究旨在确定在博帕尔市根据修订后的国家结核病控制规划(RNTCP)登记的结核病确诊病例中糖尿病和糖尿病前期的患病率及其相关因素。
本研究是一项对博帕尔区所有5个结核病防治单位中根据RNTCP登记的结核病患者进行的纵向随访研究。
在2013年10月至2014年9月期间,获得同意后,使用预先设计和预测试的表格对参与者进行联系并访谈。
连续变量以频率、均值和标准差进行汇总。所有变量使用卡方显著性检验进行分析;P<0.05被视为具有统计学显著性。
在总共662例结核病患者中,男性352例,女性310例。其中,82例(12.39%)患者被诊断为糖尿病,108例(16.3%)为糖尿病前期。发现与六个变量存在显著关联,这些变量是年龄、性别、体重指数、结核病类型、结核病分类和吸烟。
本研究表明对结核病患者进行筛查的可行性和重要性。