A descriptive study of tuberculosis case finding in private health care facilities in a South Indian district

Int J Tuberc Lung Dis. 2014 Dec;18(12):1455-8. doi: 10.5588/ijtld.14.0228.

Abstract

Setting: A South Indian district providing anti-tuberculosis services through the Revised National TB Control Programme (RNTCP) and private health care facilities.

Objective: To ascertain the profile of tuberculosis (TB) patients diagnosed and/or treated in private health care facilities.

Methods: Data on TB cases diagnosed and/or treated in all clinical departments of the medical college, 83 nursing homes and RNTCP health care facilities were collected prospectively.

Results: About 83% of new TB cases recorded in the private medical college, 47% in nursing homes and 24.5% in RNTCP TB registers were extra-pulmonary. The proportion of retreatment cases was respectively 5.5%, 9.6% and 19.8%. The proportion of males and those in the economically productive age group were similar in the three data sources. About 94% of cases diagnosed in the medical college and 55% in nursing homes were registered for treatment under the RNTCP. About 11% of the smear-positive patients diagnosed in RNTCP were initial defaulters.

Conclusion: The proportion of extra-pulmonary cases was higher in the medical college and nursing homes and that of retreatment cases was lower than in the RNTCP.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Antitubercular Agents / therapeutic use*
  • Female
  • Health Care Surveys
  • Health Facilities*
  • Humans
  • India / epidemiology
  • Male
  • Middle Aged
  • Mycobacterium tuberculosis / isolation & purification
  • Nursing Homes
  • Private Sector*
  • Prospective Studies
  • Registries
  • Sputum / microbiology
  • Tuberculosis, Pulmonary / diagnosis*
  • Tuberculosis, Pulmonary / drug therapy*
  • Tuberculosis, Pulmonary / epidemiology
  • Tuberculosis, Pulmonary / microbiology
  • Young Adult

Substances

  • Antitubercular Agents