Tuberculosis-diabetes mellitus bidirectional screening at a tertiary care centre, South India

B C Prakash1, K S Ravish2, B Prabhakar1

  • 1Bowring and Lady Curzon Hospital, Bangalore, India ; Bangalore Medical College & Research Institute, Bangalore, India.

Public Health Action
|September 23, 2015
PubMed

Insights

Bidirectional screening for tuberculosis (TB) and diabetes mellitus (DM) is feasible and effective for identifying diabetes in TB patients. Further research is needed to improve TB detection in diabetes patients.

Area of Science:

  • Public Health
  • Infectious Diseases
  • Endocrinology

Background:

  • Diabetes mellitus (DM) and tuberculosis (TB) are significant global health challenges.
  • Co-infection with DM and TB complicates diagnosis and treatment.
  • Effective screening strategies are crucial for managing these co-existing conditions.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of a bidirectional screening program for TB and DM.
  • To determine the prevalence of DM among TB patients and vice versa.
  • To assess the effectiveness of integrated care pathways.

Main Methods:

  • A descriptive study was conducted at a tertiary care center in Bangalore, India.
  • TB patients were screened for DM, and DM patients were screened for TB.
  • Diagnostic criteria included fasting blood glucose levels for DM and clinical assessment for TB.

Main Results:

  • Of 510 TB patients, 6.3% had pre-existing DM. Screening identified an additional 2.9% with pre-diabetes and 2.9% newly diagnosed with DM.
  • Higher DM prevalence was observed in TB patients aged ≥40, those with pulmonary TB, and smokers.
  • Screening of 1670 DM patients identified 45 with active TB, and further screening of those with TB symptoms yielded 2 new TB cases.

Conclusions:

  • Bidirectional screening for TB and DM is feasible and highly effective for detecting DM in TB patients.
  • The yield for detecting TB among DM patients was low, suggesting a need for improved diagnostic tools.
  • Integrated screening programs can enhance patient management for co-existing TB and DM.
Abstract

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