Prevalence and characteristics among diabetic patients with pulmonary tuberculosis in Thammasat University Hospital
Keywords:
Prevalence, Diabetes Mellitus, Pulmonary TuberculosisAbstract
Background: Diabetes mellitus (DM) is a chronic disease that often correlates with the development of other diseases. DM patients are at risk of developing pulmonary tuberculosis.
Objective: The purpose of this research was to explore prevalence and characteristics among diabetic patients with pulmonary tuberculosis in Thammasat University Hospital.
Material and methods: This research is the cross-sectional study, and the data was collected by interviewing diabetic patients with pulmonary tuberculosis. The retrospective data was obtained from the patients’ medical records from 1 October 2016 to 1 September 2019. The sample used by a simple randomization. Ninety-two subjects were DM patients with pulmonary tuberculosis registered at tuberculosis clinic, TUH. The tool is a structured interview. Statistical analysis were frequencies, percentages, average and standard deviation.
Result: The findings revealed that 115 out of the 12,470 patients with diabetes at TUH were pulmonary tuberculosis which represented the prevalence of pulmonary tuberculosis among patients with diabetes was 9.0 cases per 1,000 diabetic population.The majority of subjects were 58.70% male; the mean age was 68.38 years (SD=10.60), body mass index (BMI) averaged 25.30 kg./m2 and they had been diabetes for average 12.44 years. Most of them had no any comorbidity other than diabetes (68.48%), and 83.7% of them found that their average blood sugar (HbA1c) level over a period of one year before diagnosis of pulmonary tuberculosis was over 7%. Of these subjects, 1.09% had HIV infection and 16.30% lived in the same household with TB patient.
Conclusion: Diabetes patients should be screened for tuberculosis annually. Activities of health promotion should be done, including education to diabetes patients to adjust their behaviors for controlling blood sugar level met therapeutic target.
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