Risk Factors of Drug Resistance among Tuberculosis Patients of Prakasam District, Andhra Pradesh, India
Introduction: India is leading in the burden of Tuberculosis (TB) according to the new report of the World Health Organisation (WHO) on the disease. Multi-Drug Resistant TB (MDR-TB) cases have been increasing in India. About half of the world’s MDR-TB cases are present in India. Aim: To assess the i...
Ausführliche Beschreibung
Autor*in: |
P SUDHA KUMARI [verfasserIn] M SIVA DURGA PRASAD NAYAK [verfasserIn] USHA DEVI [verfasserIn] SUSMITA [verfasserIn] S SUSHMA [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2020 |
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Übergeordnetes Werk: |
In: Journal of Clinical and Diagnostic Research - JCDR Research and Publications Private Limited, 2009, 14(2020), 12, Seite LC25-LC30 |
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Übergeordnetes Werk: |
volume:14 ; year:2020 ; number:12 ; pages:LC25-LC30 |
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Link aufrufen |
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DOI / URN: |
10.7860/JCDR/2020/45508.14386 |
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Katalog-ID: |
DOAJ06279616X |
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520 | |a Introduction: India is leading in the burden of Tuberculosis (TB) according to the new report of the World Health Organisation (WHO) on the disease. Multi-Drug Resistant TB (MDR-TB) cases have been increasing in India. About half of the world’s MDR-TB cases are present in India. Aim: To assess the incidence of drug resistant TB in Prakasam district, Andhra Pradesh, India, in the second quarter of the year 2019 and to determine the risk factors that are responsible to develop drug resistance to anti-tubercular drugs in the study population. Materials and Methods: A Community based cross-sectional study was conducted from April 1st to June 30th in Prakasam district, Andhra Pradesh. All the registered drug resistant TB cases in Prakasam district who gave consent during the study period were taken as sample. The diagnosed drug resistant TB patients were interviewed and proportions of different variables were calculated and chi-square test was used to test significance of results. Results: Out of 209 TB patients, 88 patients were having drug resistant TB in Prakasam district. Prevalence of Drug resistant TB in Prakasam district was calculated as 5.64 per one lac population. In the second quarter of the year 2019-2020, i.e., from April 1st to June 30th, 88 new cases were identified. Incidence of Drug resistant TB in Prakasam district was calculated as 2.38 per one lac population. Male persons (76%), having the age 20-40 years (42%), 40-60 (38.7%) belonging to middle class (45.5%) and migrating for work (85%) are at more risk of developing drug resistant TB. Most of the patients are developing drug resistant TB directly (70.5%) which is an alarming signal. The rifampicin resistant patients were also developing psychological complications (22). Drug toxicity was observed in 55% of the cases. Conclusion: Incidence of drug resistant TB was more in male persons, above 20 years of age, belonging to middle class socio-economic status and migrating for work. Most of the patients developed drug resistant TB directly without previous history of TB. Drug toxicity was observed in half of the cases. Psychological complications were observed in rifampicin resistant patients. Surveillance activity should be addressed properly to combat the risk factors. | ||
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10.7860/JCDR/2020/45508.14386 doi (DE-627)DOAJ06279616X (DE-599)DOAJe11e6a03d4eb441b86d70a96b60640f0 DE-627 ger DE-627 rakwb eng P SUDHA KUMARI verfasserin aut Risk Factors of Drug Resistance among Tuberculosis Patients of Prakasam District, Andhra Pradesh, India 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: India is leading in the burden of Tuberculosis (TB) according to the new report of the World Health Organisation (WHO) on the disease. Multi-Drug Resistant TB (MDR-TB) cases have been increasing in India. About half of the world’s MDR-TB cases are present in India. Aim: To assess the incidence of drug resistant TB in Prakasam district, Andhra Pradesh, India, in the second quarter of the year 2019 and to determine the risk factors that are responsible to develop drug resistance to anti-tubercular drugs in the study population. Materials and Methods: A Community based cross-sectional study was conducted from April 1st to June 30th in Prakasam district, Andhra Pradesh. All the registered drug resistant TB cases in Prakasam district who gave consent during the study period were taken as sample. The diagnosed drug resistant TB patients were interviewed and proportions of different variables were calculated and chi-square test was used to test significance of results. Results: Out of 209 TB patients, 88 patients were having drug resistant TB in Prakasam district. Prevalence of Drug resistant TB in Prakasam district was calculated as 5.64 per one lac population. In the second quarter of the year 2019-2020, i.e., from April 1st to June 30th, 88 new cases were identified. Incidence of Drug resistant TB in Prakasam district was calculated as 2.38 per one lac population. Male persons (76%), having the age 20-40 years (42%), 40-60 (38.7%) belonging to middle class (45.5%) and migrating for work (85%) are at more risk of developing drug resistant TB. Most of the patients are developing drug resistant TB directly (70.5%) which is an alarming signal. The rifampicin resistant patients were also developing psychological complications (22). Drug toxicity was observed in 55% of the cases. Conclusion: Incidence of drug resistant TB was more in male persons, above 20 years of age, belonging to middle class socio-economic status and migrating for work. Most of the patients developed drug resistant TB directly without previous history of TB. Drug toxicity was observed in half of the cases. Psychological complications were observed in rifampicin resistant patients. Surveillance activity should be addressed properly to combat the risk factors. mycobacterium tuberculosis revised national tuberculosis control programme rifampicin resistance tuberculosis burden Medicine R M SIVA DURGA PRASAD NAYAK verfasserin aut USHA DEVI verfasserin aut SUSMITA verfasserin aut S SUSHMA verfasserin aut In Journal of Clinical and Diagnostic Research JCDR Research and Publications Private Limited, 2009 14(2020), 12, Seite LC25-LC30 (DE-627)789478048 (DE-600)2775283-5 0973709X nnns volume:14 year:2020 number:12 pages:LC25-LC30 https://doi.org/10.7860/JCDR/2020/45508.14386 kostenfrei https://doaj.org/article/e11e6a03d4eb441b86d70a96b60640f0 kostenfrei https://jcdr.net/articles/PDF/14386/45508_CE(Ra1)_P(AK)_PF1(ShG_SL)_PN(SL).pdf kostenfrei https://doaj.org/toc/2249-782X Journal toc kostenfrei https://doaj.org/toc/0973-709X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2020 12 LC25-LC30 |
spelling |
10.7860/JCDR/2020/45508.14386 doi (DE-627)DOAJ06279616X (DE-599)DOAJe11e6a03d4eb441b86d70a96b60640f0 DE-627 ger DE-627 rakwb eng P SUDHA KUMARI verfasserin aut Risk Factors of Drug Resistance among Tuberculosis Patients of Prakasam District, Andhra Pradesh, India 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: India is leading in the burden of Tuberculosis (TB) according to the new report of the World Health Organisation (WHO) on the disease. Multi-Drug Resistant TB (MDR-TB) cases have been increasing in India. About half of the world’s MDR-TB cases are present in India. Aim: To assess the incidence of drug resistant TB in Prakasam district, Andhra Pradesh, India, in the second quarter of the year 2019 and to determine the risk factors that are responsible to develop drug resistance to anti-tubercular drugs in the study population. Materials and Methods: A Community based cross-sectional study was conducted from April 1st to June 30th in Prakasam district, Andhra Pradesh. All the registered drug resistant TB cases in Prakasam district who gave consent during the study period were taken as sample. The diagnosed drug resistant TB patients were interviewed and proportions of different variables were calculated and chi-square test was used to test significance of results. Results: Out of 209 TB patients, 88 patients were having drug resistant TB in Prakasam district. Prevalence of Drug resistant TB in Prakasam district was calculated as 5.64 per one lac population. In the second quarter of the year 2019-2020, i.e., from April 1st to June 30th, 88 new cases were identified. Incidence of Drug resistant TB in Prakasam district was calculated as 2.38 per one lac population. Male persons (76%), having the age 20-40 years (42%), 40-60 (38.7%) belonging to middle class (45.5%) and migrating for work (85%) are at more risk of developing drug resistant TB. Most of the patients are developing drug resistant TB directly (70.5%) which is an alarming signal. The rifampicin resistant patients were also developing psychological complications (22). Drug toxicity was observed in 55% of the cases. Conclusion: Incidence of drug resistant TB was more in male persons, above 20 years of age, belonging to middle class socio-economic status and migrating for work. Most of the patients developed drug resistant TB directly without previous history of TB. Drug toxicity was observed in half of the cases. Psychological complications were observed in rifampicin resistant patients. Surveillance activity should be addressed properly to combat the risk factors. mycobacterium tuberculosis revised national tuberculosis control programme rifampicin resistance tuberculosis burden Medicine R M SIVA DURGA PRASAD NAYAK verfasserin aut USHA DEVI verfasserin aut SUSMITA verfasserin aut S SUSHMA verfasserin aut In Journal of Clinical and Diagnostic Research JCDR Research and Publications Private Limited, 2009 14(2020), 12, Seite LC25-LC30 (DE-627)789478048 (DE-600)2775283-5 0973709X nnns volume:14 year:2020 number:12 pages:LC25-LC30 https://doi.org/10.7860/JCDR/2020/45508.14386 kostenfrei https://doaj.org/article/e11e6a03d4eb441b86d70a96b60640f0 kostenfrei https://jcdr.net/articles/PDF/14386/45508_CE(Ra1)_P(AK)_PF1(ShG_SL)_PN(SL).pdf kostenfrei https://doaj.org/toc/2249-782X Journal toc kostenfrei https://doaj.org/toc/0973-709X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2020 12 LC25-LC30 |
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10.7860/JCDR/2020/45508.14386 doi (DE-627)DOAJ06279616X (DE-599)DOAJe11e6a03d4eb441b86d70a96b60640f0 DE-627 ger DE-627 rakwb eng P SUDHA KUMARI verfasserin aut Risk Factors of Drug Resistance among Tuberculosis Patients of Prakasam District, Andhra Pradesh, India 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: India is leading in the burden of Tuberculosis (TB) according to the new report of the World Health Organisation (WHO) on the disease. Multi-Drug Resistant TB (MDR-TB) cases have been increasing in India. About half of the world’s MDR-TB cases are present in India. Aim: To assess the incidence of drug resistant TB in Prakasam district, Andhra Pradesh, India, in the second quarter of the year 2019 and to determine the risk factors that are responsible to develop drug resistance to anti-tubercular drugs in the study population. Materials and Methods: A Community based cross-sectional study was conducted from April 1st to June 30th in Prakasam district, Andhra Pradesh. All the registered drug resistant TB cases in Prakasam district who gave consent during the study period were taken as sample. The diagnosed drug resistant TB patients were interviewed and proportions of different variables were calculated and chi-square test was used to test significance of results. Results: Out of 209 TB patients, 88 patients were having drug resistant TB in Prakasam district. Prevalence of Drug resistant TB in Prakasam district was calculated as 5.64 per one lac population. In the second quarter of the year 2019-2020, i.e., from April 1st to June 30th, 88 new cases were identified. Incidence of Drug resistant TB in Prakasam district was calculated as 2.38 per one lac population. Male persons (76%), having the age 20-40 years (42%), 40-60 (38.7%) belonging to middle class (45.5%) and migrating for work (85%) are at more risk of developing drug resistant TB. Most of the patients are developing drug resistant TB directly (70.5%) which is an alarming signal. The rifampicin resistant patients were also developing psychological complications (22). Drug toxicity was observed in 55% of the cases. Conclusion: Incidence of drug resistant TB was more in male persons, above 20 years of age, belonging to middle class socio-economic status and migrating for work. Most of the patients developed drug resistant TB directly without previous history of TB. Drug toxicity was observed in half of the cases. Psychological complications were observed in rifampicin resistant patients. Surveillance activity should be addressed properly to combat the risk factors. mycobacterium tuberculosis revised national tuberculosis control programme rifampicin resistance tuberculosis burden Medicine R M SIVA DURGA PRASAD NAYAK verfasserin aut USHA DEVI verfasserin aut SUSMITA verfasserin aut S SUSHMA verfasserin aut In Journal of Clinical and Diagnostic Research JCDR Research and Publications Private Limited, 2009 14(2020), 12, Seite LC25-LC30 (DE-627)789478048 (DE-600)2775283-5 0973709X nnns volume:14 year:2020 number:12 pages:LC25-LC30 https://doi.org/10.7860/JCDR/2020/45508.14386 kostenfrei https://doaj.org/article/e11e6a03d4eb441b86d70a96b60640f0 kostenfrei https://jcdr.net/articles/PDF/14386/45508_CE(Ra1)_P(AK)_PF1(ShG_SL)_PN(SL).pdf kostenfrei https://doaj.org/toc/2249-782X Journal toc kostenfrei https://doaj.org/toc/0973-709X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2020 12 LC25-LC30 |
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10.7860/JCDR/2020/45508.14386 doi (DE-627)DOAJ06279616X (DE-599)DOAJe11e6a03d4eb441b86d70a96b60640f0 DE-627 ger DE-627 rakwb eng P SUDHA KUMARI verfasserin aut Risk Factors of Drug Resistance among Tuberculosis Patients of Prakasam District, Andhra Pradesh, India 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: India is leading in the burden of Tuberculosis (TB) according to the new report of the World Health Organisation (WHO) on the disease. Multi-Drug Resistant TB (MDR-TB) cases have been increasing in India. About half of the world’s MDR-TB cases are present in India. Aim: To assess the incidence of drug resistant TB in Prakasam district, Andhra Pradesh, India, in the second quarter of the year 2019 and to determine the risk factors that are responsible to develop drug resistance to anti-tubercular drugs in the study population. Materials and Methods: A Community based cross-sectional study was conducted from April 1st to June 30th in Prakasam district, Andhra Pradesh. All the registered drug resistant TB cases in Prakasam district who gave consent during the study period were taken as sample. The diagnosed drug resistant TB patients were interviewed and proportions of different variables were calculated and chi-square test was used to test significance of results. Results: Out of 209 TB patients, 88 patients were having drug resistant TB in Prakasam district. Prevalence of Drug resistant TB in Prakasam district was calculated as 5.64 per one lac population. In the second quarter of the year 2019-2020, i.e., from April 1st to June 30th, 88 new cases were identified. Incidence of Drug resistant TB in Prakasam district was calculated as 2.38 per one lac population. Male persons (76%), having the age 20-40 years (42%), 40-60 (38.7%) belonging to middle class (45.5%) and migrating for work (85%) are at more risk of developing drug resistant TB. Most of the patients are developing drug resistant TB directly (70.5%) which is an alarming signal. The rifampicin resistant patients were also developing psychological complications (22). Drug toxicity was observed in 55% of the cases. Conclusion: Incidence of drug resistant TB was more in male persons, above 20 years of age, belonging to middle class socio-economic status and migrating for work. Most of the patients developed drug resistant TB directly without previous history of TB. Drug toxicity was observed in half of the cases. Psychological complications were observed in rifampicin resistant patients. Surveillance activity should be addressed properly to combat the risk factors. mycobacterium tuberculosis revised national tuberculosis control programme rifampicin resistance tuberculosis burden Medicine R M SIVA DURGA PRASAD NAYAK verfasserin aut USHA DEVI verfasserin aut SUSMITA verfasserin aut S SUSHMA verfasserin aut In Journal of Clinical and Diagnostic Research JCDR Research and Publications Private Limited, 2009 14(2020), 12, Seite LC25-LC30 (DE-627)789478048 (DE-600)2775283-5 0973709X nnns volume:14 year:2020 number:12 pages:LC25-LC30 https://doi.org/10.7860/JCDR/2020/45508.14386 kostenfrei https://doaj.org/article/e11e6a03d4eb441b86d70a96b60640f0 kostenfrei https://jcdr.net/articles/PDF/14386/45508_CE(Ra1)_P(AK)_PF1(ShG_SL)_PN(SL).pdf kostenfrei https://doaj.org/toc/2249-782X Journal toc kostenfrei https://doaj.org/toc/0973-709X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2020 12 LC25-LC30 |
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Risk Factors of Drug Resistance among Tuberculosis Patients of Prakasam District, Andhra Pradesh, India |
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Introduction: India is leading in the burden of Tuberculosis (TB) according to the new report of the World Health Organisation (WHO) on the disease. Multi-Drug Resistant TB (MDR-TB) cases have been increasing in India. About half of the world’s MDR-TB cases are present in India. Aim: To assess the incidence of drug resistant TB in Prakasam district, Andhra Pradesh, India, in the second quarter of the year 2019 and to determine the risk factors that are responsible to develop drug resistance to anti-tubercular drugs in the study population. Materials and Methods: A Community based cross-sectional study was conducted from April 1st to June 30th in Prakasam district, Andhra Pradesh. All the registered drug resistant TB cases in Prakasam district who gave consent during the study period were taken as sample. The diagnosed drug resistant TB patients were interviewed and proportions of different variables were calculated and chi-square test was used to test significance of results. Results: Out of 209 TB patients, 88 patients were having drug resistant TB in Prakasam district. Prevalence of Drug resistant TB in Prakasam district was calculated as 5.64 per one lac population. In the second quarter of the year 2019-2020, i.e., from April 1st to June 30th, 88 new cases were identified. Incidence of Drug resistant TB in Prakasam district was calculated as 2.38 per one lac population. Male persons (76%), having the age 20-40 years (42%), 40-60 (38.7%) belonging to middle class (45.5%) and migrating for work (85%) are at more risk of developing drug resistant TB. Most of the patients are developing drug resistant TB directly (70.5%) which is an alarming signal. The rifampicin resistant patients were also developing psychological complications (22). Drug toxicity was observed in 55% of the cases. Conclusion: Incidence of drug resistant TB was more in male persons, above 20 years of age, belonging to middle class socio-economic status and migrating for work. Most of the patients developed drug resistant TB directly without previous history of TB. Drug toxicity was observed in half of the cases. Psychological complications were observed in rifampicin resistant patients. Surveillance activity should be addressed properly to combat the risk factors. |
abstractGer |
Introduction: India is leading in the burden of Tuberculosis (TB) according to the new report of the World Health Organisation (WHO) on the disease. Multi-Drug Resistant TB (MDR-TB) cases have been increasing in India. About half of the world’s MDR-TB cases are present in India. Aim: To assess the incidence of drug resistant TB in Prakasam district, Andhra Pradesh, India, in the second quarter of the year 2019 and to determine the risk factors that are responsible to develop drug resistance to anti-tubercular drugs in the study population. Materials and Methods: A Community based cross-sectional study was conducted from April 1st to June 30th in Prakasam district, Andhra Pradesh. All the registered drug resistant TB cases in Prakasam district who gave consent during the study period were taken as sample. The diagnosed drug resistant TB patients were interviewed and proportions of different variables were calculated and chi-square test was used to test significance of results. Results: Out of 209 TB patients, 88 patients were having drug resistant TB in Prakasam district. Prevalence of Drug resistant TB in Prakasam district was calculated as 5.64 per one lac population. In the second quarter of the year 2019-2020, i.e., from April 1st to June 30th, 88 new cases were identified. Incidence of Drug resistant TB in Prakasam district was calculated as 2.38 per one lac population. Male persons (76%), having the age 20-40 years (42%), 40-60 (38.7%) belonging to middle class (45.5%) and migrating for work (85%) are at more risk of developing drug resistant TB. Most of the patients are developing drug resistant TB directly (70.5%) which is an alarming signal. The rifampicin resistant patients were also developing psychological complications (22). Drug toxicity was observed in 55% of the cases. Conclusion: Incidence of drug resistant TB was more in male persons, above 20 years of age, belonging to middle class socio-economic status and migrating for work. Most of the patients developed drug resistant TB directly without previous history of TB. Drug toxicity was observed in half of the cases. Psychological complications were observed in rifampicin resistant patients. Surveillance activity should be addressed properly to combat the risk factors. |
abstract_unstemmed |
Introduction: India is leading in the burden of Tuberculosis (TB) according to the new report of the World Health Organisation (WHO) on the disease. Multi-Drug Resistant TB (MDR-TB) cases have been increasing in India. About half of the world’s MDR-TB cases are present in India. Aim: To assess the incidence of drug resistant TB in Prakasam district, Andhra Pradesh, India, in the second quarter of the year 2019 and to determine the risk factors that are responsible to develop drug resistance to anti-tubercular drugs in the study population. Materials and Methods: A Community based cross-sectional study was conducted from April 1st to June 30th in Prakasam district, Andhra Pradesh. All the registered drug resistant TB cases in Prakasam district who gave consent during the study period were taken as sample. The diagnosed drug resistant TB patients were interviewed and proportions of different variables were calculated and chi-square test was used to test significance of results. Results: Out of 209 TB patients, 88 patients were having drug resistant TB in Prakasam district. Prevalence of Drug resistant TB in Prakasam district was calculated as 5.64 per one lac population. In the second quarter of the year 2019-2020, i.e., from April 1st to June 30th, 88 new cases were identified. Incidence of Drug resistant TB in Prakasam district was calculated as 2.38 per one lac population. Male persons (76%), having the age 20-40 years (42%), 40-60 (38.7%) belonging to middle class (45.5%) and migrating for work (85%) are at more risk of developing drug resistant TB. Most of the patients are developing drug resistant TB directly (70.5%) which is an alarming signal. The rifampicin resistant patients were also developing psychological complications (22). Drug toxicity was observed in 55% of the cases. Conclusion: Incidence of drug resistant TB was more in male persons, above 20 years of age, belonging to middle class socio-economic status and migrating for work. Most of the patients developed drug resistant TB directly without previous history of TB. Drug toxicity was observed in half of the cases. Psychological complications were observed in rifampicin resistant patients. Surveillance activity should be addressed properly to combat the risk factors. |
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title_short |
Risk Factors of Drug Resistance among Tuberculosis Patients of Prakasam District, Andhra Pradesh, India |
url |
https://doi.org/10.7860/JCDR/2020/45508.14386 https://doaj.org/article/e11e6a03d4eb441b86d70a96b60640f0 https://jcdr.net/articles/PDF/14386/45508_CE(Ra1)_P(AK)_PF1(ShG_SL)_PN(SL).pdf https://doaj.org/toc/2249-782X https://doaj.org/toc/0973-709X |
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up_date |
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