Risk factors of tuberculosis among diabetes mellitus patients in Hospital Sultanah Bahiyah, Alor Setar 2015-2016

Introduction: Tuberculosis (TB) and diabetes mellitus (DM) is a double-burden disease where person with diabetes have triple risk of developing tuberculosis later in their life in view of their weak immune system. In view of both TB and DM is one of the major global health problem, combating both di...

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Main Author: Fauzi, Farah Fatin
Format: Thesis
Language:English
Published: 2017
Subjects:
Online Access:http://psasir.upm.edu.my/id/eprint/71043/1/FPSK%28M%29%202017%2024%20-%20IR.pdf
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author Fauzi, Farah Fatin
author_facet Fauzi, Farah Fatin
author_sort Fauzi, Farah Fatin
collection UPM
description Introduction: Tuberculosis (TB) and diabetes mellitus (DM) is a double-burden disease where person with diabetes have triple risk of developing tuberculosis later in their life in view of their weak immune system. In view of both TB and DM is one of the major global health problem, combating both diseases will indirectly reduce its burden. Objective: The aim of this study is to determine risk factors of tuberculosis (TB) among diabetes mellitus (DM) patients in Chest Clinic of Hospital Sultanah Bahiyah, Alor Setar. Methodology: This study was conducted in Chest Clinic, Respiratory Unit of Medical Department, Hospital Sultanah Bahiyah, Alor Setar Kedah. It is an unmatched hospital based case-control study design where the study population consist of records of patients from the chest clinic HSB and diabetic clinic registry of primary care settings for both case and control. Simple random sampling method were used for this study. The case and control were randomly selected from the list of e-Respiratory registry of Hospital Sultanah Bahiyah. Result: The final model has a good fit (p>0.05). Male patients who have diabetes mellitus (DM) were two times at risk of having tuberculosis as compared to female patients with DM (aOR=2.25, 95% CI=1.18, 4.30). Non-malays ethnicity who have diabetes mellitus (DM) were three times at risk of having tuberculosis as compared to Malay ethnic patients with DM (aOR=3.35, 95% CI=1.43, 7.86). Patients age of more than 50 years old at DM diagnosis two times more likely to have tuberculosis compared to patients age of less than 50 years old at DM diagnosis (aOR=2.21, 95% CI=1.18, 4.16). DM patients who smokes cigarette were two times more likely to develop TB as compared to non-smokers DM patient (aOR=2.22, 95% CI=1.19, 4.14). DM patients who have history of contact with TB patients have 11 times odds of developing TB as compared with those who never have history of contact with TB patients (aOR=11.07, 95% CI=5.47, 22.40). Conclusion: The important risk factors associated with tuberculosis among diabetics are gender, ethnicity, age at DM diagnosis, smoking status and history of contact with TB patient.
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spelling upm.eprints-710432019-09-10T06:10:22Z http://psasir.upm.edu.my/id/eprint/71043/ Risk factors of tuberculosis among diabetes mellitus patients in Hospital Sultanah Bahiyah, Alor Setar 2015-2016 Fauzi, Farah Fatin Introduction: Tuberculosis (TB) and diabetes mellitus (DM) is a double-burden disease where person with diabetes have triple risk of developing tuberculosis later in their life in view of their weak immune system. In view of both TB and DM is one of the major global health problem, combating both diseases will indirectly reduce its burden. Objective: The aim of this study is to determine risk factors of tuberculosis (TB) among diabetes mellitus (DM) patients in Chest Clinic of Hospital Sultanah Bahiyah, Alor Setar. Methodology: This study was conducted in Chest Clinic, Respiratory Unit of Medical Department, Hospital Sultanah Bahiyah, Alor Setar Kedah. It is an unmatched hospital based case-control study design where the study population consist of records of patients from the chest clinic HSB and diabetic clinic registry of primary care settings for both case and control. Simple random sampling method were used for this study. The case and control were randomly selected from the list of e-Respiratory registry of Hospital Sultanah Bahiyah. Result: The final model has a good fit (p>0.05). Male patients who have diabetes mellitus (DM) were two times at risk of having tuberculosis as compared to female patients with DM (aOR=2.25, 95% CI=1.18, 4.30). Non-malays ethnicity who have diabetes mellitus (DM) were three times at risk of having tuberculosis as compared to Malay ethnic patients with DM (aOR=3.35, 95% CI=1.43, 7.86). Patients age of more than 50 years old at DM diagnosis two times more likely to have tuberculosis compared to patients age of less than 50 years old at DM diagnosis (aOR=2.21, 95% CI=1.18, 4.16). DM patients who smokes cigarette were two times more likely to develop TB as compared to non-smokers DM patient (aOR=2.22, 95% CI=1.19, 4.14). DM patients who have history of contact with TB patients have 11 times odds of developing TB as compared with those who never have history of contact with TB patients (aOR=11.07, 95% CI=5.47, 22.40). Conclusion: The important risk factors associated with tuberculosis among diabetics are gender, ethnicity, age at DM diagnosis, smoking status and history of contact with TB patient. 2017-08 Thesis NonPeerReviewed text en http://psasir.upm.edu.my/id/eprint/71043/1/FPSK%28M%29%202017%2024%20-%20IR.pdf Fauzi, Farah Fatin (2017) Risk factors of tuberculosis among diabetes mellitus patients in Hospital Sultanah Bahiyah, Alor Setar 2015-2016. Masters thesis, Universiti Putra Malaysia. Tuberculosis - diagnosis Diabetes - Complications - Diagnosis
spellingShingle Tuberculosis - diagnosis
Diabetes - Complications - Diagnosis
Fauzi, Farah Fatin
Risk factors of tuberculosis among diabetes mellitus patients in Hospital Sultanah Bahiyah, Alor Setar 2015-2016
title Risk factors of tuberculosis among diabetes mellitus patients in Hospital Sultanah Bahiyah, Alor Setar 2015-2016
title_full Risk factors of tuberculosis among diabetes mellitus patients in Hospital Sultanah Bahiyah, Alor Setar 2015-2016
title_fullStr Risk factors of tuberculosis among diabetes mellitus patients in Hospital Sultanah Bahiyah, Alor Setar 2015-2016
title_full_unstemmed Risk factors of tuberculosis among diabetes mellitus patients in Hospital Sultanah Bahiyah, Alor Setar 2015-2016
title_short Risk factors of tuberculosis among diabetes mellitus patients in Hospital Sultanah Bahiyah, Alor Setar 2015-2016
title_sort risk factors of tuberculosis among diabetes mellitus patients in hospital sultanah bahiyah alor setar 2015 2016
topic Tuberculosis - diagnosis
Diabetes - Complications - Diagnosis
url http://psasir.upm.edu.my/id/eprint/71043/1/FPSK%28M%29%202017%2024%20-%20IR.pdf
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