Pre-existing chronic medical illnesses and follow up status among active pulmonary tuberculosis cases in a district population

The knowledge of pre-existing medical illnesses and their follow up status among active pulmonary tuberculosis (PTB) subjects can help in tuberculosis (TB) control programme. The aims of our study were to examine: the prevalence of pre-existing chronic medical illnesses, the follow up status of know...

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Bibliographic Details
Published in:	Medical journal of Malaysia Vol. 75; no. 3; pp. 204 - 208
Main Authors:	Thai, L T, Li, Y L, Kig, T Y, Muhammad Afiq, R, Shoen, C C, Sing, H C, Hafizah, M H, Min, T D
Format:	Journal Article
Language:	English
Published:	Malaysia 01-05-2020
Subjects:	Adult Chronic Disease - epidemiology Comorbidity Female Follow-Up Studies Humans Malaysia - epidemiology Male Medical Records Middle Aged Prevalence Retrospective Studies Tuberculosis, Pulmonary Malaysia
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Summary:	The knowledge of pre-existing medical illnesses and their follow up status among active pulmonary tuberculosis (PTB) subjects can help in tuberculosis (TB) control programme. The aims of our study were to examine: the prevalence of pre-existing chronic medical illnesses, the follow up status of known pre-existing co-morbid and to distinguish between diagnosed and undiagnosed preexisting tuberculosis related chronic medical illnesses among our active PTB subjects. We conducted a retrospective review of demographic and clinical data of active PTB subjects that were diagnosed between January 2015 and June 2017 in the district of Manjung, Perak, Malaysia. Among the 302 TB clinical notes reviewed, 253 patients were included. Subjects below the age of 18 years and whose follow up centres for their medical illnesses that were located outside of Manjung were excluded. Demographic and clinical data were collected using pre-tested data collection form by trained investigators. The data was analysed using SPSS Version 20.0. We identified diabetes mellitus as the most prevalent pre-existing co-morbid (77 cases) and almost 90% (68 cases) of these diabetic subjects were diagnosed prior to active PTB diagnosis. This was followed by Human Immunodeficiency Virus and Hepatitis C infection which accounted for 12.0% (30 cases) of the study populations. Among 132 subjects who had pre-existing chronic medical illnesses, only 74 subjects (29%) were under regular follow up at healthcare facilities in Manjung prior to PTB diagnosis. Overall, our research provides evidence on the existence of wide variation of clinical background among active PTB subjects.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0300-5283