The Indian Journal of Tuberculosis - LRS Institute of Tuberculosis ...
The Indian Journal of Tuberculosis - LRS Institute of Tuberculosis ... The Indian Journal of Tuberculosis - LRS Institute of Tuberculosis ...
172 SUMMARIES OF PAPERS granuloma suggestive of tuberculosis in all. Two patients had post-bronchoscopic sputum AFB +ve. All were started on category I, ATT and showing good clinical response. One showed significant bronchial stricture and others were followed up. Further details with X-rays video clippings and HPR slides were presented. Seasonality in Tuberculosis: Three years’ observation under DOTS V.K. Dhingra, S. Rajpal, Nishi Agarwal and Anshu Mittal . Introduction: Many diseases are known to have seasonal variations e.g. bronchial asthma, influenza, viral fevers, measles, chicken pox, gastro-enteritis, hepatitis, etc. Cases of tuberculosis although seen throughout the year seem to have a seasonal variation as well. An attempt was made to find out seasonality in reporting pattern of chest symptomatics and registration of tuberculosis cases, if any, in the domiciliary area of New Delhi Tuberculosis Centre. Aims and Objectives: 1. To study the seasonal trend in the reporting of chest symptomatics and sputum positivity among those presenting at DOT Centres of New Delhi Tuberculosis Centre. 2. To study the relation of sex, type of tuberculosis with seasonality in the registration pattern. Material and Methods: Patients with chest symptoms presenting to New Delhi Tuberculosis Centre from January 2002 to December 2004 were examined for Acid Fast Bacilli by direct smear examination using Z.N. Staining technique. The record was reviewed and compared for summer (April to September) and winter months (October to March) of each year using the Chi square test. The pattern of reporting and the yield of positive disease diagnosed was assessed with a view to study seasonal variation. Results: Out of total 6,850 chest symptomatics examined, 1,089 (15.9%) were positive for AFB. During summer, the attendance of chest symptomatics and the number of patients diagnosed and treated was significantly higher than during winter. While sputum positive patients were more likely to be males (P
SUMMARIES OF PAPERS 173 of referrals made from VCTC to DMC/DOT Centre. Results: Between 1 st January, 2005 to 30 th June 2005, 2,209 VCTC clients were identified as TB suspects, out of which 560 (25%) were diagnosed as TB cases. 396 (71%) patients were put on DOTS. VCTCs contributed 0.75% of the total TB cases registered during the study period in Maharashtra. Out of 1,108 HIV-positive patients, suspected to have TB, which were referred from VCTC to DMC, 143 patients were diagnosed as smear positive TB, 98 as smear negative TB and 35 as extra-pulmonary TB. Amongst 1,101 HIV-negative patients referred as TB suspects, 178 were diagnosed as smear positive TB, 88 as smear negative TB and 28 as extra-pulmonary TB. Conclusions: The referral linkage between VCTC and DMC has enhanced TB case detection amongst clients attending VCTC, and shows a sustainable framework to improve TB control. Tuberculosis presenting as Osteolytic soft tissue swellings of skull in HIV positive patient: A case report. A.K. Tripathy, N. Gupta, M. Khanna, R. Ahmad and P. Tripathi Tuberculosis of bone may evade diagnosis for a long time, as it usually remains silent till either involvement of a neighboring joint or development of a soft tissue swelling due to cold abscess formation. The osteolytic lesions of tuberculosis may closely mimic those due to multiple myeloma or secondary malignant deposits. Tuberculosis of flat bones of the skull vault is relatively a rate disease. The skull lesions are usually secondary but primary disease have also been reported though uncommonly. Osteolytic lesions of the skull are an unusual complication in patients with AIDS. Other important causes are multiple myeloma, secondary metastasis and bacterial osteomyelitis. A case of tuberculosis presenting with osteolytic soft tissue swelling of skull in middle aged HIV positive male is reported. This was a clinical case discussion of a 40 year old HIV positive male patient presenting with fever, cough and expectoration and osteolytic, cystic, multiple soft tissue swellings of skull (aspirate showing AFB+++). Time lapse between onset of illness and visit to DOT-cum-Microscopy Centre Meera Dhuria, Nandini Sharma, K.K. Chopra, R. Saha and G.K. Ingle. Background: Delay in the diagnosis of tuberculosis may worsen the disease, increase the risk of death and enhance tuberculosis transmission in the community. This study aims to determine the time lapse between the onset of symptoms and patient’s visit to DOT cum microscopy centre. Methods: A cross sectional survey that included two DOT centres was conducted in New Delhi from March to May 2005. Patients were interviewed using structured questionnaire. Results: Hundred TB patients were studied. The median time lapse in reporting was two months amongst the study subjects. Fourth per cent of the patients reported to a DOT-cum-microscopy centre within two months of onset of symptoms. One fifty (20%) of the patients reported to a DOT cum microscopy centre eight months after the onset of symptoms. Patients of Cat I reported significantly earlier to a DOT-cum-microscopy centre as compared to Cat II and Cat III. Private practitioners emerged as a first source of treatment among majority of patients. Significantly more literate patients reported earlier than illiterates. However, there was no significant difference in relation to age, sex and socio-economic status. Conclusions: There is a need of generating awareness among people for early care seeking (self perceived) rather than visiting other sources. The private practitioners and doctors of other systems of medicine should be sensitized to the importance of early reporting. A new measurable indicator for Tuberculosis (TB) case detection in Revised National TB Control Programme (RNTCP) P.G. Gopi Introduction: RNTCP recommends a case detection Indian Journal of Tuberculosis
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- Page 7 and 8: PERFORMANCE OF DOTS PROGRAMME 127 c
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- Page 13 and 14: PERFORMANCE OF DOTS PROGRAMME 133 h
- Page 15 and 16: Original Article ROLE OF LOW LEVEL
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- Page 21 and 22: Original Article INFLUENCE OF DRUG
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- Page 29 and 30: Original Article PRIVATE SECTOR INV
- Page 31 and 32: PRIVATE SECTOR INVOLVEMENT IN TUBER
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- Page 35 and 36: Table: Performance of RNTCP Case De
- Page 37 and 38: Case Report ACUTE RESPIRATORY DISTR
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- Page 45 and 46: SUMMARIES OF PAPERS 165 Conclusion:
- Page 47 and 48: SUMMARIES OF PAPERS 167 in our stud
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- Page 57 and 58: ABSTRACTS 177 disease) under nation
- Page 59 and 60: ABSTRACTS 179 the treatment of mild
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172<br />
SUMMARIES OF PAPERS<br />
granuloma suggestive <strong>of</strong> tuberculosis in all. Two<br />
patients had post-bronchoscopic sputum AFB +ve.<br />
All were started on category I, ATT and<br />
showing good clinical response. One showed<br />
significant bronchial stricture and others were<br />
followed up. Further details with X-rays video<br />
clippings and HPR slides were presented.<br />
Seasonality in <strong>Tuberculosis</strong>: Three years’<br />
observation under DOTS<br />
V.K. Dhingra, S. Rajpal, Nishi Agarwal and<br />
Anshu Mittal<br />
.<br />
Introduction: Many diseases are known to have<br />
seasonal variations e.g. bronchial asthma, influenza,<br />
viral fevers, measles, chicken pox, gastro-enteritis,<br />
hepatitis, etc. Cases <strong>of</strong> tuberculosis although seen<br />
throughout the year seem to have a seasonal variation<br />
as well. An attempt was made to find out seasonality<br />
in reporting pattern <strong>of</strong> chest symptomatics and<br />
registration <strong>of</strong> tuberculosis cases, if any, in the<br />
domiciliary area <strong>of</strong> New Delhi <strong>Tuberculosis</strong> Centre.<br />
Aims and Objectives:<br />
1. To study the seasonal trend in the reporting<br />
<strong>of</strong> chest symptomatics and sputum<br />
positivity among those presenting at DOT<br />
Centres <strong>of</strong> New Delhi <strong>Tuberculosis</strong> Centre.<br />
2. To study the relation <strong>of</strong> sex, type <strong>of</strong><br />
tuberculosis with seasonality in the<br />
registration pattern.<br />
Material and Methods: Patients with chest<br />
symptoms presenting to New Delhi <strong>Tuberculosis</strong><br />
Centre from January 2002 to December 2004 were<br />
examined for Acid Fast Bacilli by direct smear<br />
examination using Z.N. Staining technique. <strong>The</strong><br />
record was reviewed and compared for summer<br />
(April to September) and winter months (October<br />
to March) <strong>of</strong> each year using the Chi square test.<br />
<strong>The</strong> pattern <strong>of</strong> reporting and the yield <strong>of</strong> positive<br />
disease diagnosed was assessed with a view to study<br />
seasonal variation.<br />
Results: Out <strong>of</strong> total 6,850 chest symptomatics<br />
examined, 1,089 (15.9%) were positive for AFB.<br />
During summer, the attendance <strong>of</strong> chest<br />
symptomatics and the number <strong>of</strong> patients diagnosed<br />
and treated was significantly higher than during<br />
winter. While sputum positive patients were more<br />
likely to be males (P
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