Assessment of socio-clinical profile of paediatric TB cases admitted to tertiary health care centre, Odisha, India

Abstract

Background: Tuberculosis is continued to be a major killer of mankind. Childhood tuberculosis contributes to high mortality due to diagnostic difficulty. Different social factors are responsible for its causation. The objective of the study was to assess the socio clinical factors prevalent among paediatric TB cases admitted to MKCG Medical College.Methods: It was a cross sectional study carried out in the indoor paediatric ward of MKCG medical college. Duration of the study was from August 2016 to July 2017. Study participants were all admitted paediatric cases of age group less than 14 years. Data collected through scientifically designed pretested questionnaires.Results: Total 103 patients were admitted during study period of whom, 54% were male. Their median age was 8 years. They were mostly Hindu by religion (98%) and from lower socioeconomic classes (77%). Majority (60%) were from nuclear family (59%) and families of BPL card holder. Most of their parents had low educational status. Physical overcrowding, inadequate ventilation in the house and smoking were main epidemiological factors observed.Conclusions: It was concluded from the above study group, socioeconomic and environmental risk factors were widely prevalent among them. So, control of these factors are the priority issues to be addressed and improvement of these conditions are recommended for effectiveness of the curative measures.

Changing trends in the clinical profile of childhood in tuberculosis patients -at a tertiary centre

“…The median age was 7 years. The findings of the present study are comparable with the studies by Parsuram Jena et al [5] and Dr Kalpana Nenavath et al [6], in which the median age was 8 years and 7.9 years, respectively. The study done by Muley et al [7] showed that children above 10 years accounted for 38 %, while it accounted for 39 % in our study.…”

“…In studies conducted by Muley et al [7] and Sultana AT et al [8], the common age group were <6 years and <5 years, respectively. In the present study, the gender distribution was almost equal, with male to female ratio being 1:1.02, which was comparable with the cross-sectional studies done by Parsuram Jena et al [5] and Ashok Garg et al [9], in which males accounted for 54 % and 52 %, respectively. The studies done by Muley et al [5], Sultana AT et al [8] and Anmol Goyal [10] showed that there was male preponderance.…”

“…As per modified BG Prasad socioeconomic classification, 36 % study population belongs to the lower class, whereas middle class, lower middle class and upper middle class account for 33.33 %, 20 % and 10.66 %, respectively, which is comparable to the cross-sectional study carried out in the indoor pediatric ward of MKCG medical college by Parsuram Jena et al [5], which showed lower socioeconomic class accounted to 77 %.…”

“…In a cross-sectional study carried out in the indoor pediatric ward of MKCG medical college by Parsuram Jena et al [5], 17.5 % were pulmonary TB, and 82.5 % were extrapulmonary cases. A study done by Muley [7] showed that the most common form of TB was extrapulmonary TB (60.56 %, n = 43), followed by pulmonary TB (39.43 %, n = 28).…”

“…The findings of the present study are compared with the following studies. In a cross-sectional study carried out in the indoor pediatric ward of MKCG medical college by Parsuram Jena et al [5], TB meningitis was a predominant type (32.0 %) of extrapulmonary tuberculosis. Disseminated TB 15 (14.6 %), TB abdomen 11 (10.7 %), pleural effusion 8 (7.8 %), TB lymph node 7 (6.8 %), milliary TB 3 (2.9 %), empyema thoracis 2 (1.9 %), pericardial effusion 2 (1.9 %) and TB spine 2 (1.9 %) of each were the other types observed in the study.…”