DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20151196

Socio demographic profile of pediatric tuberculosis patients of north Gujarat region, India: a cross sectional study

Yagnavalkya Jani, Ankur N. Sarvaiya, Nilesh Thakor

Abstract


Background: Tuberculosis continues to be one of the most important public health problems worldwide. It infects one third of the world’s population at any point of time. Children are especially vulnerable to the effects of tuberculosis, which is often difficult to diagnose and therefore difficult to treat effectively. Pediatric TB results from failure of TB control in adults. The objective of the study was to study socio demographic profile of pediatric tuberculosis patients.

Methods: This cross sectional observational, descriptive epidemiological study was conducted at GMERS medical college and hospital Dharpur-Patan located in north Gujarat during January 2015 to June 2015. The study was conducted among all the 151 pediatric TB patients who were currently under treatment at selected Hospital. Parents of the patient were informed about the purpose of the study and their informed written consent was taken. By interviewing them on the basis of pre-designed and pre tested proforma, socio demographic information was collected. The collected data was analyzed using statistical package for social science (SPSS 17 Trial version).

Results: Out of 151 pediatric patients 87 (57.6%) were male. Age range of the children was 1 to 14 years. In our study mean age of children was 8.41±2.86 years. 68 (45.0%) patients were adolescents. 127 (84.1%) patients were from rural area. 63 (41.7%) heads of the family of patients were illiterate. 116 (76.8%) of the patients lived in joint family. 89 (58.9%) patients had kuccha house. Overcrowding was present in 86.7% of the patients. Family history of TB was present in only 23.2 % of the patients. 76.8% of the patients belonged to social IV and V according to modified Prasad’s classification. 105 (69.5%) patients had extra pulmonary TB. Category-1 constituted 125 (82.7%) cases. 3 % patients had HIV infection.

Conclusions: Apart from pharmacological treatment, poor housing condition and illiteracy of the parents of these patients need to be addressed.

 


Keywords


TB, Pediatric TB, Tuberculosis, Socio demographic profile, Extra pulmonary TB

Full Text:

PDF

References


Kishore J. RNTCP: DOTS strategy including DOTS plus. In, National Health Programme of India, 8th edition, New Delhi, Century Publications. 2009;191-230.

Govt. of India (2013), TB India 2013, RNTCP Status Report, Central TB Division, Ministry of Health and Family Welfare, New Delhi. Available from: http://www.tbcindia.org.

WHO (2013), India Tuberculosis Profile, WHO report 2013. Available from: http://www.who.int/tb/data.

Park K. Tuberculosis. In, Textbook of Preventive and Social Medicine, 20th edition, Jabalpur, Bhanot Publishers.2009;159-176.

Thakor N, Prajapati D. Health and socio-demographic profile of paediatric tuberculosis patients on DOTS therapy in Ahmedabad city. Int J Med Sci Public Health. 2014;3:1123-6.

Kabra SK, Lodha R, Sheth V. Category based Treatment of Tuberculosis in Children, Indian Paediatrics 2004;41:927-37.

Arora VK, Agarwal SP. Pediatric Tuberculosis: An Experience from LRS Institute of Tuberculosis and Respiratory Diseases. In, Tuberculosis Control, Central TB Division, Ministry of Health and Family Welfare, New Delhi.

Swaminathan S, Rekha B. Pediatric Tuberculosis: Global Overview and Challenges Clin Infect Dis. 2010;3:184-94.

Madhi F, Fuhrman C, Monnet I, Atassi K, Poirier C, Housset B, et al. Transmission of TB from adults to children in a Paris suburb. Pediatr Pulmonol. 2002;34(3):159-63.

Joshi SM, Lahiri KR. Seropositivity rate for HIV infection in hospitalized children on selective screening. Indian Paediatr. 2001;38:267-71.

Lahiri S, Shahab T, Malik A, Alam S. HIV seropositivity in hospitalized children with high likelihood of AIDS. Indian Paediatr. 2002;39:372-5.

Shahab T, Zoha MS, Malik MA, Malik A, Afzal K. Prevalence of Human Immunodeficiency Virus Infection in Children with TB. Indian Paediatr. 2004;41:595-9.