Results
Title

Recurrence of pulmonary tuberculosis in India: Findings from the 2019–2021 nationwide community-based TB prevalence survey.

Authors

Giridharan, Prathiksha; Selvaraju, Sriram; Rao, Raghuram; Rade, Kiran; Thiruvengadam, Kannan; Asthana, Smita; Balachandar, Rakesh; Dipak Bangar, Sampada; Bansal, Avi Kumar; Bhat, Jyothi; Chakraborty, Debjit; Chopra, Vishal; Das, Dasarathi; Dutta, Shanta; Rekha Devi, Kangjam; Kumar, Sunil; Laxmaiah, Avula; Madhukar, Major; Mahapatra, Amarendra; Mohanty, Suman Sundar

Abstract

Recurrent Tuberculosis patients contribute to a significant proportion of TB burden in India. A nationwide survey was conducted during 2019–2021 across India among adults to estimate the prevalence of TB. A total of 322480 individuals were screened and 1402 were having TB. Of this, 381 (27.1%) had recurrent TB. The crude prevalence (95% CI) of recurrent TB was 118 (107–131) per 100,000 population. The median duration between episodes of TB was 24 months. The proportion of drug resistant TB was 11.3% and 3.6% in the recurrent group and new TB patients respectively. Higher prevalence of recurrent TB was observed in elderly, males, malnourished, known diabetics, smokers, and alcohol users. (p<0.001). To prevent TB recurrence, all treated tuberculosis patients must be followed at least for 24 months, with screening for Chest X-ray, liquid culture every 6 months, smoking cessation, alcohol cessation, nutritional interventions and good diabetic management.

Subjects

INDIA; TUBERCULOSIS; TEMPERANCE; TUBERCULOSIS patients; SMOKING cessation; MEDICAL screening

Publication

PLoS ONE, 2023, Vol 18, Issue 12, p1

ISSN

1932-6203

Publication type

Academic Journal

DOI

10.1371/journal.pone.0294254