SPUTUM SMEAR POSITIVITY AMONG PATIENTS PRESENTING TO THE DOTS CLINIC WITH CHRONIC COUGH
Background: Cough is one of the cardinal features of Pulmonary Tuberculosis (PTB). However, even in communities with high prevalenceof TB, lung diseases other than TB appear to account for this symptom. Objective: To estimate the prevalence of sputum smear positivity among patients with TB who prese...
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| Format: | Article |
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Ntec Specialist
2017-01-01
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| Series: | Kanem Journal of Medical Sciences |
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| Online Access: | https://kjmsmedicaljournal.com/wp-content/uploads/2019/09/6_Kida-IM-et-al-KJMS_Vol11_Issue2.pdf |
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| author | Kida IM Goni BW Ummate I Garbati MA Bakki B Hammangabdo A Yusuph H |
| author_facet | Kida IM Goni BW Ummate I Garbati MA Bakki B Hammangabdo A Yusuph H |
| author_sort | Kida IM |
| collection | DOAJ |
| description | Background: Cough is one of the cardinal features of Pulmonary Tuberculosis (PTB). However,
even in communities with high prevalenceof TB, lung diseases other than TB appear to account
for this symptom. Objective: To estimate the prevalence of sputum smear positivity among
patients with TB who presented with complaints of chronic cough to the Directly Observed
Therapy Short Course (DOTS) clinic at the University of Maiduguri Teaching Hospital, North
Eastern Nigeria. Methodology: A cross sectional study was conducted at the University of
Maiduguri Teaching Hospital (UMTH) Borno state, Northeastern Nigeria between September
2014 and January 2017. All patients (new or previously treated) who presented to the DOTS clinic
of the UMTH with complaints of chronic cough and had screening for pulmonary TB using
sputum smear microscopy were reviewed. Data were entered into a computer database and
analyzed with SPSS version 20.0 statistical software. Results: The minimum and the maximum
ages were 1 year and 85 years, respectively, and the mean age was 36.0 (SD=14.0) years. The mean
age did not differ among the male and female patients (i.e.37.3 ± 14.4 vs 34.1 ± 13.2, p=0.78). The
overall prevalence of sputum smear positivity for TB was 26.5%. Although majority of patients
who were sputum smear positive for TB fell within the age groups 30-39 and 20-29 thus
accounting for 42.6% and 28.7% respectively, however, there was no significant association
between age of those with chronic cough and sputum smear positivity TB (p=0.80). Among those
who were sputum smear positive, 24.3% were new cases and 2.2% were previously treated.
Conclusions: This study showed a high prevalence of sputum smear positivity among suspected
TB patients with complaints of chronic cough. This could be explained by the fact that the DOTS
strategy has improved the case detection of PTB in this community. All patients with chronic
cough should be evaluated for PTB. |
| first_indexed | 2024-12-13T22:50:40Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2006-4772 2714-2426 |
| language | English |
| last_indexed | 2024-12-13T22:50:40Z |
| publishDate | 2017-01-01 |
| publisher | Ntec Specialist |
| record_format | Article |
| series | Kanem Journal of Medical Sciences |
| spelling | doaj.art-f53a05d81bb14afa80e96e386eae9ec92022-12-21T23:28:38ZengNtec SpecialistKanem Journal of Medical Sciences2006-47722714-24262017-01-01112949820172SPUTUM SMEAR POSITIVITY AMONG PATIENTS PRESENTING TO THE DOTS CLINIC WITH CHRONIC COUGHKida IM0Goni BW1Ummate I2Garbati MA3Bakki B4Hammangabdo A5Yusuph H6Department of Medicine, Collage of Medical Sciences, University of Maiduguri, Maiduguri, Borno StateDepartment of Medicine, Collage of Medical Sciences, University of Maiduguri, Maiduguri, Borno StateDepartment of Medicine, Collage of Medical Sciences, University of Maiduguri, Maiduguri, Borno StateDepartment of Medicine, Collage of Medical Sciences, University of Maiduguri, Maiduguri, Borno StateDepartment of Medicine, Collage of Medical Sciences, University of Maiduguri, Maiduguri, Borno StateDepartment of Medicine, Collage of Medical Sciences, University of Maiduguri, Maiduguri, Borno StateDepartment of Medicine, Collage of Medical Sciences, University of Maiduguri, Maiduguri, Borno StateBackground: Cough is one of the cardinal features of Pulmonary Tuberculosis (PTB). However, even in communities with high prevalenceof TB, lung diseases other than TB appear to account for this symptom. Objective: To estimate the prevalence of sputum smear positivity among patients with TB who presented with complaints of chronic cough to the Directly Observed Therapy Short Course (DOTS) clinic at the University of Maiduguri Teaching Hospital, North Eastern Nigeria. Methodology: A cross sectional study was conducted at the University of Maiduguri Teaching Hospital (UMTH) Borno state, Northeastern Nigeria between September 2014 and January 2017. All patients (new or previously treated) who presented to the DOTS clinic of the UMTH with complaints of chronic cough and had screening for pulmonary TB using sputum smear microscopy were reviewed. Data were entered into a computer database and analyzed with SPSS version 20.0 statistical software. Results: The minimum and the maximum ages were 1 year and 85 years, respectively, and the mean age was 36.0 (SD=14.0) years. The mean age did not differ among the male and female patients (i.e.37.3 ± 14.4 vs 34.1 ± 13.2, p=0.78). The overall prevalence of sputum smear positivity for TB was 26.5%. Although majority of patients who were sputum smear positive for TB fell within the age groups 30-39 and 20-29 thus accounting for 42.6% and 28.7% respectively, however, there was no significant association between age of those with chronic cough and sputum smear positivity TB (p=0.80). Among those who were sputum smear positive, 24.3% were new cases and 2.2% were previously treated. Conclusions: This study showed a high prevalence of sputum smear positivity among suspected TB patients with complaints of chronic cough. This could be explained by the fact that the DOTS strategy has improved the case detection of PTB in this community. All patients with chronic cough should be evaluated for PTB.https://kjmsmedicaljournal.com/wp-content/uploads/2019/09/6_Kida-IM-et-al-KJMS_Vol11_Issue2.pdfdirectly observed therapy short course prevalencesputum smeartuberculosis |
| spellingShingle | Kida IM Goni BW Ummate I Garbati MA Bakki B Hammangabdo A Yusuph H SPUTUM SMEAR POSITIVITY AMONG PATIENTS PRESENTING TO THE DOTS CLINIC WITH CHRONIC COUGH Kanem Journal of Medical Sciences directly observed therapy short course prevalence sputum smear tuberculosis |
| title | SPUTUM SMEAR POSITIVITY AMONG PATIENTS PRESENTING TO THE DOTS CLINIC WITH CHRONIC COUGH |
| title_full | SPUTUM SMEAR POSITIVITY AMONG PATIENTS PRESENTING TO THE DOTS CLINIC WITH CHRONIC COUGH |
| title_fullStr | SPUTUM SMEAR POSITIVITY AMONG PATIENTS PRESENTING TO THE DOTS CLINIC WITH CHRONIC COUGH |
| title_full_unstemmed | SPUTUM SMEAR POSITIVITY AMONG PATIENTS PRESENTING TO THE DOTS CLINIC WITH CHRONIC COUGH |
| title_short | SPUTUM SMEAR POSITIVITY AMONG PATIENTS PRESENTING TO THE DOTS CLINIC WITH CHRONIC COUGH |
| title_sort | sputum smear positivity among patients presenting to the dots clinic with chronic cough |
| topic | directly observed therapy short course prevalence sputum smear tuberculosis |
| url | https://kjmsmedicaljournal.com/wp-content/uploads/2019/09/6_Kida-IM-et-al-KJMS_Vol11_Issue2.pdf |
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