Nutritional effect, care and support for patients with tuberculosis among diabetes: a study from Warangal district

Sireesha Tanniru, Syed Asha, Lavanya Poonem, Divya Murahari, Malathi jojula, Suman T.

Abstract


Objective: Tuberculosis is one of the important infections among the diabetes as per our study and survey reports. Diabetes mellitus has been reported to modify the presenting features of pulmonary tuberculosis, but there are varying data, particularly regarding the association with lower lung field involvement. In our study we would like to determine whether diabetes mellitus alters the clinical and radiographic manifestations of tuberculosis in hosts and to define the determinants of lower lung field involvement due to effect of nutrition supply.

Methods: A total of 500 diabetes were identified from both rural and urban population and were confirmed the diabetic status based on questioner and consent of patients. Off 500 patients 200 suspects with bronchial infections was tested for other bacterial and Tuberculosis infections by Grams staining, and culture on Nutrient and blood Agar for bacterial infections based on the staining and culture they were identified to be grams positive or Grams negative bacterial infections.

Results: We had conducted a survey and study in Warangal and adjoing districts of Telangana state during 2014- 2017 period, in the study we had counseled approximately 1000 -2000 populations off which 500 were suspects for early diabetes based on the symptoms and clinical investigations off 500 were able to found 200 diabetic type 2 causes.  Off 200 55 were positive for tuberculosis all the suspects were counseled for their nutritional status and other prevailing side effects with treatment.

Conclusions: Based on this study we had tried to evaluate the effect, care and support of nutritional among diabetic TB patients.


Keywords


Tuberculosis infection, diagnosis, Nutrition, Diabetes

Full Text:

PDF HTML XML

References


Odone A, Houben RMGJ, White RG, Lönnroth K. The effect of diabetes and undernutrition trends on reaching 2035 global tuberculosis targets. The Lancet Diabetes & Endocrinology. 2014;2:754-64.

Restrepo BI, Schlesinger LS. Impact of diabetes on the natural history of tuberculosis. Diabetes Res Clin Pract. 2014;106:191-9.

Skowronski M, et al. Tuberculosis and diabetes mellitus - an underappreciated association. Arch Med Sci. 2014;10:1019-27.

Chiang CY, et al. Glycemic control and radiographic manifestations of tuberculosis in diabetic patients. PLoS One. 2014;9:e93397.

Kang YA. Tuberculosis treatment in patients with comorbidities. Tuberc Respir Dis (Seoul). 2014;76:257-60.

Lee PH, et al. Diabetes and risk of tuberculosis relapse: nationwide nested case-control study. PLoS One. 2014;9:e92623.

PAHO. The Dual Threat of Diabetes and Tuberculosis in the Americas, 2013.

a. World [7PAHO, "The Dual Threat of Diabetes and Tuberculosis in the Americas," 2013.

Apathakis P, Piwoz E. Nutrition and tuberculosis: a review of the literature and considerations for TB control programs. USAID/Africa’s Health for 2010. Washington DC: Agency for International Development; 2008http://pdf.usaid.gov/pdf_docs/PNADL992.pdf, accessed 3 September 2013.

Syed Suleiman A, et al. Role of diabetes in the prognosis and therapeutic outcome of 22S tuberculosis. Int J Endocrinol. 2012;2012:645362.

World Health Organization. Global Tuberculosis Report (http://apps.who. int/iris/ bitstreamd /1.

Rawal LB, et al. Prevention of type 2 diabetes and its complications in developing countries: a review. Int J Behav Med. 2012;19:121-33.

Goldhaber-Fiebert JD, Cohen T, et al. Diabetes mellitus and tuberculosis in countries with high tuberculosis burdens: individual risks and social determinants. 2011;40.

Jeon CY, Baker MA, et al. Bi-directional screening for tuberculosis and diabetes: a systematic review. 2010;15.

Lönnroth K et al. Tuberculosis control and elimination 2010–50: cure, care, and social development. Lancet. 2010;375:1814–29.

Patterson CC, Dahlquist GG, Gyürüs E, Green A, Soltész A. Incidence trends for childhood type 1 diabetes in Europe during 1989-2003 and predicted new cases 2005-20: a multicentre prospective registration study. Lancet. 2009;373(9680):2027-33.

Tatar D, et al. Tuberculosis in diabetics: features in an endemic area. Jpn J Infect Dis. 2009;62:423-7.

Zhang Q, et al. Tuberculosis complicated by diabetes mellitus at shanghai pulmonary hospital, china. Jpn J Infect Dis. 2009;62:390-1.

Jeon CY, Murray MB. Diabetes mellitus increases the risk of active tuberculosis: a systematic review of 13 observational studies. PLoS Med. 2008;5(7):e152.

Fisher-Hoch SP, et al. Type 2 diabetes and multidrug-resistant tuberculosis. Scand J Infect Dis. 2008;40:888-93.

Stevenson CR, Forouhi NG, Roglic G, Williams BG, Lauer JA, Dye C, et al., Diabetes and tuberculosis: the impact of the diabetes epidemic on tuberculosis incidence. BMC Public Health. 2007;7:234.

Cegielski JP, McMurray DN. The relationship between malnutrition and tuberculosis: evidence from studies in humans and experimental animals. Int J Tuberc Lung Dis. 2004;8:286–98.

Sireesha T, Asha S, Malathi J, Raghu Ram Reddy A, Mounika A, Mamatha P. A study on diabetic type 2 prevalence among urban population compared with rural population of Warangal and Adjoining Districts of Telangana. World J Pharm Sci. 2015;3(7):1375–80.




DOI: http://dx.doi.org/10.26510/2394-0859.pbe.2017.09

Refbacks

  • There are currently no refbacks.




Copyright (c) 2017 Pharmaceutical and Biological Evaluations

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.



Creative Commons License

 

© Copyright 2018 - Pharmaceutical and Biological Evaluations