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Chest Infections |

Bidirectional Screening of Tuberculosis Patients for Diabetes Mellitus and Diabetes Patients for Tuberculosis

Vinay Mahishale, MD
Author and Funding Information

J N Medical College, Belgaum, India, Belgaum, India


Chest. 2013;144(4_MeetingAbstracts):265A. doi:10.1378/chest.1704464
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Abstract

SESSION TITLE: Respiratory Infections Posters

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 30, 2013 at 01:30 PM - 02:30 PM

PURPOSE: To assess the feasibility and results of screening diabetes patients for tuberculosis (TB) and TB patients for diabetes mellitus (DM) within the routine health care setting

METHODS: Prospective observational study carried out within the diabetes Centre and Pulmonary Medicine Department from Feb 2012 to Sept 2012. The screening for active TB in DM patients is followed as per the guidelines of the Revised National TB Control Programme (RNTCP). The screening for DM in TB patients followed the guidelines stipulated by the National Programme for prevention and control of Cancer, Diabetes, Cardiovascular Diseases and Stoke (NPCDCS) in India.

RESULTS: Total of 307 patients diagnosed with TB during the study period. Among the TB patients 9.77 % were smokers, 19.54 % were known cases diabetes and 15.96 % were newly diagnosed cases of diabetes. Total of 4118 Diabetes patients were screened for TB in which 111 patients found to have TB.

CONCLUSIONS: It is feasible to screen DM patients for TB resulting in high rates of TB detection. It is also feasible and important to screen TB patients for DM in the routine setting, resulting in a high proportion of patients with known and newly diagnosed DM.

CLINICAL IMPLICATIONS: The strengths of this study are that we implemented screening within the routine health system; there was no special budget for the implementation of this activity. India is a country with high burden of both TB and DM. Hence it becomes essential to screen diabetes patients for tuberculosis and vice versa which would have early detection and good clinical outcome.

DISCLOSURE: The following authors have nothing to disclose: Vinay Mahishale

No Product/Research Disclosure Information


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