Association of Treatment Outcome of Tuberculosis with type of Category of Tuberculosis
Abstract
Tuberculosis is the third major cause of adult mortality i.e. 15-59 years of age group on which the nation’s economy depended on. In treatment of tuberculosis, failure of treatment and defaulters of treatment are the main hurdles. So this study was carried out with the aim to find out association of treatment outcome with category of case and diagnosed in various four quarters of year. For the study purpose 160 case sheets of tuberculosis patients attended at District Tuberculosis Centre, Jaipur were taken, by identify 40 cases randomly from each of four quarter. Chi-square test was used to find out association. It was found in this study that maximum cases were of category II followed by I and II. Cure rate was found 44.38% with maximum in category III (60.42%). Defaulter rate was found 32.5% with maximum in category II (35.48%). Failure rate was found 9.38% with maximum in category I(14%). And Case Fatality Rate was found 32.5% with maximum in category II(20.97%).This variation in treatment outcome was found significantly associated for Cure rate and CFR not for Defaulter and Failure rate.
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Introduction
“Captain of all the men of death” as the T.B. is known one of the most prevalent infectious disease worldwide. Tuberculosis is a disease caused by Mycobacterium Tuberculosis; has affected mankind for over 5000 yrs.1 and continue to be a major public health problem. It is leading cause of adult mortality ranking 3rd after HIV/AIDS and IHD among aged 15-59 years.2 This age group is the group n which nation’s economy depend on, so should take care of more.
India being identified as one of the “HOT ZONES” i.e. highest TB burden country accounting for approximately 1/5th (20%) of Global T.B. burden having. 3 It has 1.8 million new TB cases per year with 0.8 million are new smear positive and 0.37 million people dies due to T.B.
Conclusion
Cases of category II were maximum followed by category I and II. Overall Cure rate was found 44.38% with maximum in category III and minimum in category II. Overall Defaulter rate was found 32.5% with maximum in category II and minimum in category I. Overall Failure rate was found 9.38% with maximum in category I and minimum in category III. And overall Case Fatality Rate was found 32.5% with maximum in category II and minimum in category III.This variation in treatment outcome was found significantly associated for Cure rate and CFR not for Defaulter and Failure rate. Category II cases are difficult to treat and have higher Defaulters and Case Fatality Rate so they require more attention for their followup and treatment.