Publication:

A study on clinical profile of indoor patients receiving anti-tuberculosis treatment at KPC Medical College and Hospital, Kolkata, India

Background India is the biggest contributor of TB cases globally. About 2.5million prevalent cases and 0.22 million deaths from the disease were reported in India in 2015. The objective of this study was to assess the socio-demographic and clinical profile of the indoor patients receiving treatment from the DOTS centre of KPC Medical College and Hospital, Kolkata, India.

Methods An observational, descriptive, record based study was conducted on TB patients admitted in indoor wards under various departments of KPC Medical College and Hospital. Data were analyzed using IBM SPSS (version 20).

Results Of 80 study subjects, 73.8% were male and 25% belonged to 20-30 years age group. Records reflected 41.3% subjects had pulmonary TB, 51.2% had extrapulmonary TB and the rest had both pulmonary and extrapulmonary TB. New cases comprised 91.3% subjects and previously treated cases were 8.7% subjects. HIV status was negative in 67.5% subjects and records were unavailable in 32.5% subjects. Diabetes was present in 27.5% subjects, negative in 67.5% and information was unavailable in 5% cases. Among the patients with known Diabetes status, the result of association between TB-Diabetes and gender of the subjects was found to be statistically significant.

Conclusions Information regarding occupation, investigations other than sputum test, HIV and Diabetes status were not mentioned in some treatment cards; hence emphasis should be given on proper record maintenance. Awareness generation and proper counseling on TB-HIV co-infection among all the patients should be focused on so that all the patient’s turn up for HIV testing.