Bhushan Kamble1, Sumit Malhotra2. 1. Department of Community Medicine, Institute of Medical Sciences, BHU, Varanasi, UP, India. 2. Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India. Electronic address: drsumitaiims2012@gmail.com.
Abstract
BACKGROUND: Against the backdrop of Tuberculosis (TB) elimination strategy within India, all ages have assumed importance including the burden of pediatric TB. The current study was carried out to study the profile of pediatric TB patients and factors associated with treatment outcome of these patients registered in Faridabad district of Haryana, India. METHODS: This was a descriptive cross-sectional study. Record reviews of 1589 pediatric tuberculosis patients (≤14 years) registered under Revised National Tuberculosis Control Programme of Faridabad district was carried out using TB registers present at tuberculosis units. Socio-demographic data, clinical characteristics, treatment outcome and factors associated with treatment outcome were studied. RESULTS AND CONCLUSIONS: Among 1589 pediatric TB patients with records available, 62% were females, majority (68%) belonged to age group 10-14 years, 93% were new cases, and 65% had extra-pulmonary TB. Among 554 pulmonary TB cases, 41% were sputum smear-positive. Majority (97%) patients reported successful treatment outcome (cured or treatment completed). In bivariable analysis, sex, category of TB treatment, sputum result, type of TB and past history of TB treatment were significantly associated with successful treatment outcome. On multivariable analysis, patients who were female, had higher bacillary load and previously treated, had significantly lesser odds for achieving successful treatment outcomes at the end of treatment.
BACKGROUND: Against the backdrop of Tuberculosis (TB) elimination strategy within India, all ages have assumed importance including the burden of pediatric TB. The current study was carried out to study the profile of pediatric TB patients and factors associated with treatment outcome of these patients registered in Faridabad district of Haryana, India. METHODS: This was a descriptive cross-sectional study. Record reviews of 1589 pediatric tuberculosis patients (≤14 years) registered under Revised National Tuberculosis Control Programme of Faridabad district was carried out using TB registers present at tuberculosis units. Socio-demographic data, clinical characteristics, treatment outcome and factors associated with treatment outcome were studied. RESULTS AND CONCLUSIONS: Among 1589 pediatric TB patients with records available, 62% were females, majority (68%) belonged to age group 10-14 years, 93% were new cases, and 65% had extra-pulmonary TB. Among 554 pulmonary TB cases, 41% were sputum smear-positive. Majority (97%) patients reported successful treatment outcome (cured or treatment completed). In bivariable analysis, sex, category of TB treatment, sputum result, type of TB and past history of TB treatment were significantly associated with successful treatment outcome. On multivariable analysis, patients who were female, had higher bacillary load and previously treated, had significantly lesser odds for achieving successful treatment outcomes at the end of treatment.