International Journal of Medical Science and Public Health | 2016 | Vol 5 | Issue 12 (Online First) 1
Access this article online
Website: http://www.ijmsph.com
Quick Response Code:
DOI: 10.5455/ijmsph.2016.19052016507
Research Article
Death and defaulted trends among registered TB cases
at Jagdalpur TU in Bastar district of Chattisgarh, India
Kishor Parashramji Brahmapurkar
1
, Qamrul H Khan
1
, Sanjay Zodpey
2
, Manisha M Ruikar
3
,
Vaishali K Brahmapurkar
4
1
Department of Community Medicine, Late SBRM Government Medical College, Dimrapal, Jagdalpur, Bastar, Chhattisgarh, India.
2
Public Health Foundation India (PHFI), New Delhi, India.
3
Department of Community and Family Medicine, All India Institute of Medical Sciences-Raipur, Raipur, Chhattisgarh, India.
4
Department of Community Medicine, LBRKM Government Medical College, Jagdalpur, Bastar, Chhattisgarh, India.
Correspondence to: Kishor Parashramji Brahmapurkar, E-mail: kishor_brahmapurkar@rediffmail.com
Received May 19, 2016. Accepted June 6, 2016
one-fourth of global TB cases. India and Nigeria accounted for
about one-third of global TB deaths.
[1]
Globally, the TB mortality rate in 2015 was 47% smaller
than in 1990: the target of a 50% decrease was almost
accomplished with a decreasing trend.
[1]
To tackle TB burden in India, Revised National Tuberculosis
Control Programme (RNTCP) founded on the DOTS (Directly
Observed Treatment-Short course) strategy has been made
accessible in the entire country in March 2006.
[2]
Under RNTCP, the death rate and default rate had been
showing steady trend of 4% and 6%, respectively, in new
smear positive (NSP) cases from 2010 onwards.
[2–5]
But such
steady trend of death and defaulted was not observed at state
level in Chhattisgarh.
[2–5]
From 2010 onwards, a steady trend
Introduction
Tuberculosis (TB) is a foremost global health problem.
In 2014, 9.6 million new TB cases were predicted and 1.5 million
deaths were reported from TB worldwide.
[1]
India had around
Background: Tuberculosis (TB) is a foremost global health problem. In 2014, 1.5 million deaths were reported from TB
worldwide. In the period of 2010–2014, there was a steady trend of died and defaulted among TB cases with 4% and 6%,
respectively, in India. There were few studies regarding trends among died and defaulted in Bastar region and hence the
study was planned to assess died and defaulted trends among registered TB patients from the year 2010 to 2014 at TU,
Maharani Hospital, Jagdalpur, District Bastar of State Chhattisgarh.
Objective: The present study was conducted with an attempt to assess trends among registered TB cases at Jagdalpur
TU in Bastar during 5-year period, i.e., 2010–2014.
Material and Methods: It was record based analysis of registered TB cases from year 2010 to 2014, data from
TU Jagdalpur, District Bastar, of Chhattisgarh, India, registered from year 2010 to 2014. Collected secondary data were
analyzed with the help of STAT/SE 14.1.
Results: Overall percentages of died and defaulted among total of 2533 TB patients were 3.7% and 18.7%, respectively.
Signiicant decline was found in died (P = 0.004) and defaulted (P = 0.000) from 2011 onwards. The mortality was highest
in retreatment cases, 7.6%, followed by new smear positive (NSP), 4.9%. New smear negative (NSN) cases had the
lowest mortality, 1.4%, and highest default rate, 19.9%. Both death and default rates were 14.8% among the HIV positives.
Conclusions: There was signiicant decline in died and defaulted because of the treatment outcome in total registered
TB cases, from year 2010 to 2014. While the death rate was low, the default rate was highest in NSN cases. The mortality
was high among HIV-positive TB patients.
KEY WORDS: Trend, died, defaulted, tuberculosis, Bastar
Abstract
International Journal of Medical Science and Public Health Online 2016. © 2016 Kishor Parashramji Brahmapurkar. This is an Open Access article distributed under the terms
of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), allowing third parties to copy and redistribute the material in any
medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.