Active screening of patients with diabetes mellitus for pulmonary tuberculosis in a tertiary care hospital in Sri Lanka.
End TB strategy by the WHO suggest active screening of high-risk populations for tuberculosis (TB) to improve case detection. Present study generates evidence for the effectiveness of screening patients with diabetes mellitus (DM) for Pulmonary TB (PTB). A study was conducted among 4548 systematical...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2021-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0249787&type=printable |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850134523663089664 |
|---|---|
| author | Sumudu Hewage Noel Somasundaram Vithiya Ratnasamy Ishara Ranathunga Amitha Fernando Indika Perera Udara Perera Dhammika Vidanagama Mizaya Cader Poorna Fernando Nirupa Pallewatte Lakmal Rathnayaka Dushani Jayawardhana Manjula Danansuriya Nalika Gunawardena |
| author_facet | Sumudu Hewage Noel Somasundaram Vithiya Ratnasamy Ishara Ranathunga Amitha Fernando Indika Perera Udara Perera Dhammika Vidanagama Mizaya Cader Poorna Fernando Nirupa Pallewatte Lakmal Rathnayaka Dushani Jayawardhana Manjula Danansuriya Nalika Gunawardena |
| author_sort | Sumudu Hewage |
| collection | DOAJ |
| description | End TB strategy by the WHO suggest active screening of high-risk populations for tuberculosis (TB) to improve case detection. Present study generates evidence for the effectiveness of screening patients with diabetes mellitus (DM) for Pulmonary TB (PTB). A study was conducted among 4548 systematically recruited patients over 45 years attending DM clinic at the National Hospital of Sri Lanka. The study units followed an algorithm specifying TB symptom and risk factor screening for all, followed by investigations and clinical assessments for those indicated. Bacteriologically confirmed or clinically diagnosed PTB were presented as proportions with 95% CI. Mean (SD) age was 62·5 (29·1) years. Among patients who completed all indicated steps of algorithm, 3500 (76·9%) were investigated and 127 (2·8%) underwent clinical assessment. Proportion of bacteriologically confirmed PTB patients was 0·1% (n = 6,95%CI = 0·0-0·3%). None were detected clinically. Analysis revealed PTB detection rates among males aged ≥60 years with HbA1c ≥ 8 to be 0·4% (n = 2, 95%CI = 0·0-1·4%). The study concludes that active screening for PTB among all DM patients at clinic settings in Sri Lanka, to be non-effective measure to enhance TB case finding. However, the sub-category of diabetic males with uncontrolled diabetics who are over 60 years of age is recommended as an option to consider for active screening for PTB. |
| format | Article |
| id | doaj-art-bbd3f3319ecc4f10b2bb5bd27bdb914c |
| institution | OA Journals |
| issn | 1932-6203 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-bbd3f3319ecc4f10b2bb5bd27bdb914c2025-08-20T02:31:42ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01164e024978710.1371/journal.pone.0249787Active screening of patients with diabetes mellitus for pulmonary tuberculosis in a tertiary care hospital in Sri Lanka.Sumudu HewageNoel SomasundaramVithiya RatnasamyIshara RanathungaAmitha FernandoIndika PereraUdara PereraDhammika VidanagamaMizaya CaderPoorna FernandoNirupa PallewatteLakmal RathnayakaDushani JayawardhanaManjula DanansuriyaNalika GunawardenaEnd TB strategy by the WHO suggest active screening of high-risk populations for tuberculosis (TB) to improve case detection. Present study generates evidence for the effectiveness of screening patients with diabetes mellitus (DM) for Pulmonary TB (PTB). A study was conducted among 4548 systematically recruited patients over 45 years attending DM clinic at the National Hospital of Sri Lanka. The study units followed an algorithm specifying TB symptom and risk factor screening for all, followed by investigations and clinical assessments for those indicated. Bacteriologically confirmed or clinically diagnosed PTB were presented as proportions with 95% CI. Mean (SD) age was 62·5 (29·1) years. Among patients who completed all indicated steps of algorithm, 3500 (76·9%) were investigated and 127 (2·8%) underwent clinical assessment. Proportion of bacteriologically confirmed PTB patients was 0·1% (n = 6,95%CI = 0·0-0·3%). None were detected clinically. Analysis revealed PTB detection rates among males aged ≥60 years with HbA1c ≥ 8 to be 0·4% (n = 2, 95%CI = 0·0-1·4%). The study concludes that active screening for PTB among all DM patients at clinic settings in Sri Lanka, to be non-effective measure to enhance TB case finding. However, the sub-category of diabetic males with uncontrolled diabetics who are over 60 years of age is recommended as an option to consider for active screening for PTB.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0249787&type=printable |
| spellingShingle | Sumudu Hewage Noel Somasundaram Vithiya Ratnasamy Ishara Ranathunga Amitha Fernando Indika Perera Udara Perera Dhammika Vidanagama Mizaya Cader Poorna Fernando Nirupa Pallewatte Lakmal Rathnayaka Dushani Jayawardhana Manjula Danansuriya Nalika Gunawardena Active screening of patients with diabetes mellitus for pulmonary tuberculosis in a tertiary care hospital in Sri Lanka. PLoS ONE |
| title | Active screening of patients with diabetes mellitus for pulmonary tuberculosis in a tertiary care hospital in Sri Lanka. |
| title_full | Active screening of patients with diabetes mellitus for pulmonary tuberculosis in a tertiary care hospital in Sri Lanka. |
| title_fullStr | Active screening of patients with diabetes mellitus for pulmonary tuberculosis in a tertiary care hospital in Sri Lanka. |
| title_full_unstemmed | Active screening of patients with diabetes mellitus for pulmonary tuberculosis in a tertiary care hospital in Sri Lanka. |
| title_short | Active screening of patients with diabetes mellitus for pulmonary tuberculosis in a tertiary care hospital in Sri Lanka. |
| title_sort | active screening of patients with diabetes mellitus for pulmonary tuberculosis in a tertiary care hospital in sri lanka |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0249787&type=printable |
| work_keys_str_mv | AT sumuduhewage activescreeningofpatientswithdiabetesmellitusforpulmonarytuberculosisinatertiarycarehospitalinsrilanka AT noelsomasundaram activescreeningofpatientswithdiabetesmellitusforpulmonarytuberculosisinatertiarycarehospitalinsrilanka AT vithiyaratnasamy activescreeningofpatientswithdiabetesmellitusforpulmonarytuberculosisinatertiarycarehospitalinsrilanka AT ishararanathunga activescreeningofpatientswithdiabetesmellitusforpulmonarytuberculosisinatertiarycarehospitalinsrilanka AT amithafernando activescreeningofpatientswithdiabetesmellitusforpulmonarytuberculosisinatertiarycarehospitalinsrilanka AT indikaperera activescreeningofpatientswithdiabetesmellitusforpulmonarytuberculosisinatertiarycarehospitalinsrilanka AT udaraperera activescreeningofpatientswithdiabetesmellitusforpulmonarytuberculosisinatertiarycarehospitalinsrilanka AT dhammikavidanagama activescreeningofpatientswithdiabetesmellitusforpulmonarytuberculosisinatertiarycarehospitalinsrilanka AT mizayacader activescreeningofpatientswithdiabetesmellitusforpulmonarytuberculosisinatertiarycarehospitalinsrilanka AT poornafernando activescreeningofpatientswithdiabetesmellitusforpulmonarytuberculosisinatertiarycarehospitalinsrilanka AT nirupapallewatte activescreeningofpatientswithdiabetesmellitusforpulmonarytuberculosisinatertiarycarehospitalinsrilanka AT lakmalrathnayaka activescreeningofpatientswithdiabetesmellitusforpulmonarytuberculosisinatertiarycarehospitalinsrilanka AT dushanijayawardhana activescreeningofpatientswithdiabetesmellitusforpulmonarytuberculosisinatertiarycarehospitalinsrilanka AT manjuladanansuriya activescreeningofpatientswithdiabetesmellitusforpulmonarytuberculosisinatertiarycarehospitalinsrilanka AT nalikagunawardena activescreeningofpatientswithdiabetesmellitusforpulmonarytuberculosisinatertiarycarehospitalinsrilanka |