A Study Of Socio -Economic Impact Of Tuberculosis On Patients And Their Family

Chand, Nirmal; Singh, T.; Khalsa, J.S.; Verma, Vishal; Rathore, Jorawar S.

doi:10.1378/chest.126.4_meetingabstracts.832s-c

Cited by 4 publications

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“…from Amritsar, Punjab, India, which found that 12% of children discontinued their studies and 7% had to take up jobs. [ 5 ] In our study, 6.3% of children in exposed families experienced delays in school admission, compared with 2.1% of unexposed families. Similarly, high rates of school disruption and dropout were noted.…”

Section: Discussionmentioning

confidence: 53%

“…Various studies conducted all over the country have demonstrated a significant effect on the economic and social domains of patients' lives. [ 4 5 6 ] Considering the immense burden of TB in India, there has been a multitude of studies done on the disease and its impact on the population that it affects. One of the first studies examining the economic impact of TB on its patients was performed by the Tuberculosis Research Centre of the Indian Council of Medical Research;[ 4 ] It revealed that the total cost and indirect cost are found to be relatively high in the treatment of TB with an average period of loss of wages for 3 months.…”

Section: Introductionmentioning

confidence: 99%

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Unmasking the human face of TB- The impact of tuberculosis on the families of patients

Goyal-Honavar

Markose²,

Chhakchhuakk³

et al. 2020

J Family Med Prim Care

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Section: Discussionmentioning

confidence: 53%

Section: Introductionmentioning

confidence: 99%

Unmasking the human face of TB- The impact of tuberculosis on the families of patients

Goyal-Honavar

Markose²,

Chhakchhuakk³

et al. 2020

J Family Med Prim Care

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“…The findings in our study are in consonance with the findings of the study conducted by Mohrana et al [10] in a tertiary level health facility of Orissa, India, which showed that 91.4% of the cases belonged to economically productive age group of 15-59 years. [10] A study conducted by Chand et al [11] at Chest and TB hospital, Amritsar, Punjab, India, showed that, among total 200 TB patients under study, 120 (60%) were male and 80 (40%) were female patients. [11] A review of studies by WHO, Stop TB Department, Geneva, Switzerland, showed a log-linear inverse relationship between TB incidence and BMI.…”

Section: Discussionmentioning

confidence: 99%

“…[10] A study conducted by Chand et al [11] at Chest and TB hospital, Amritsar, Punjab, India, showed that, among total 200 TB patients under study, 120 (60%) were male and 80 (40%) were female patients. [11] A review of studies by WHO, Stop TB Department, Geneva, Switzerland, showed a log-linear inverse relationship between TB incidence and BMI. In other words, across all these studies, TB incidence increased exponentially as BMI decreased.…”

Section: Discussionmentioning

confidence: 99%

A study on nutritional status and change in body mass index with treatment outcome in smear-positive pulmonary TB patients on DOTS in Amritsar city

Nagpal¹,

Devgun²,

Chawla³

2015

Int J Med Sci Public Health

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burden of poverty and undernutrition among both adults and children. [2] TB has been called "phthisis" owing to profound wasting. In a book published in 1949, which reviewed the epidemiological risk factors for TB at a global level, Dr. JB McDougall of the WHO stated: "The nutrition of the individual using the term in its widest sense, is the most vital factor in the prevention of tuberculous disease." [3] Malnutrition can predispose pulmonary tuberculosis (PTB). Conversely, PTB can result in malnutrition. Undernutrition selectively compromises cell-mediated immunity, which is the principal defense against Mycobacterium tuberculosis and, thereby, increases the risk of reactivation of latent infection to disease. [4] Moreover, poor nutritional status is associated with risk of TB relapse and mortality. [5] Background: The association between tuberculosis (TB) and malnutrition has been recognized for a long time. A body mass index (BMI) below 18.5 increases the risk of TB by 2-3 times. Conversely, an increase in body weight lowers the risk. Objective: To assess the nutritional status and change of patients' bodyweight over time depending on TB treatment outcome. Materials and Methods: The study was conducted on newly identified smear-positive patients registered under DOTS in two treatment units present in Amritsar city, Punjab, India. BMI of every patient was calculated from the weight and height measurements at the time of registration and again on completion of treatment. Nutritional requirement of the subjects was calculated using the Harris-Benedict equation. Data management and analysis was done by using Microsoft excel and SPSS software, version 17.00. Results: Of 250 patients, 149 (59.6%) were men and 101 (40.4%) women. Male preponderance, with male to female ratio of 1.5:1 was seen; 97.3% of the total men and all of the women were taking diet deficient in calories. It was observed that, in the beginning, 69.2% patients were underweight among which 34% are severely underweight having BMI < 16 kg/m 2 ; 29.6% cases were having normal BMI, while only 1.2% cases were preobese. At the end of treatment, it was evident that 62.8% of the cases were still underweight, 34.9% of the cases showed normal BMI, and 2.3% were in the preobese category. Conclusion: In this study, it was observed that that mean BMI in cured cases at the end of treatment was higher when compared with cases with outcome as failure. The results were found to be statistically significant. So, it was concluded that poor nutritional status is associated with unfavorable outcome in TB.

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“…Two other studies in India found that about 10% of children with TB or with affected family members dropped out of school or could not afford books. 9,10…”

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confidence: 99%

World Tuberculosis Day: Time to Translate New Clinical Findings in Pediatric Tuberculosis in Routine Practice

Buonsenso

2023

Pediatric Infectious Disease Journal

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P ediatric tuberculosis (TB) has been historically defined a neglected-understudied-condition, despite its major impact on child health globally. In 2021, TB still affects >1 million children every year, according to the latest World Health Organization (WHO) report, and about 14% of the estimated 1.6 million deaths due to TB in 2021 involved children. 1 The reason why pediatric TB has been understudied for decades is mostly due to the paucibacillary nature of the disease, making the microbiological confirmation of the disease challenging in every setting, and specifically in lowto-middle income countries where the burden of TB is the highest. However, during the last years, more efforts have been made in studying TB in children, from diagnostics to treatments and long-term outcomes. In this commentary, the author summarizes the major results achieved in the clinical field of pediatric TB highlighting changes in practice that should be implemented immediately to improve care of these children, and other scenarios that will likely be available for implementation in the short term.Recent findings that should lead to immediate implementation of new approaches in routine clinical care are as follows:

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A Study Of Socio -Economic Impact Of Tuberculosis On Patients And Their Family

Cited by 4 publications

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Unmasking the human face of TB- The impact of tuberculosis on the families of patients

Unmasking the human face of TB- The impact of tuberculosis on the families of patients

A study on nutritional status and change in body mass index with treatment outcome in smear-positive pulmonary TB patients on DOTS in Amritsar city

World Tuberculosis Day: Time to Translate New Clinical Findings in Pediatric Tuberculosis in Routine Practice

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