在尼泊尔加德满都一家三级保健医院DOTS诊所就诊的结核病患者的BMI和社会人口特征

Supri Raj Shrestha, Niraj Shrestha, Nishchal Dhakal
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引用次数: 0

摘要

结核病是一种由结核分枝杆菌引起的传染病,是低收入和中等收入国家的严重公共卫生威胁。在结核病方面,社会人口因素在增加感染易感性方面发挥着重要作用。目前的研究旨在研究在加德满都三级医院DOTS诊所就诊的结核病患者的BMI和社会人口特征。采用人口普查抽样方法,对尼泊尔医学院教学医院社区医学门诊就诊的170例结核病患者进行观察性描述性横断面研究。这些信息是通过从研究人群中自编的结构化问卷获得的。收集了患者的社会经济特征、病史和家族史、结核病的类型和临床表现以及人体测量数据。170例肺结核患者中93例合并肺结核,71例合并肺外结核,6例合并肺外结核和肺外结核。不同结核类型与被调查者职业、家庭类型、社会经济地位、家庭规模、卡介苗疤痕和结核前社会习惯有关。体重减轻和咳嗽是参与者中最常见的临床表现,而淋巴结和胃肠道是肺外结核最常见的部位。根据身体质量指数,16.5%的研究对象体重过轻。因此,本研究为社会人口因素与结核病和结核病患者营养状况之间的关系提供了有价值的信息。
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BMI and sociodemographic characteristic among patients with tuberculosis attending a DOTS clinic at a tertiary care hospital in Kathmandu, Nepal
Tuberculosis (TB), an infectious disease caused by Mycobacterium tuberculosis is a serious public health threat in low- and middle-income countries. In tuberculosis, the sociodemographic aspects play a significant role in increasing the susceptibility to infection. The current study aimed to study the BMI and sociodemographic characteristic among patients with tuberculosis attending a DOTS clinic at a tertiary care hospital of Kathmandu. An observational descriptive cross sectional study using census sampling technique was conducted among 170 persons with tuberculosis coming for ATT drugs in Community Medicine OPD of Nepal Medical College Teaching Hospital. The information was obtained using self-constructed structured questionnaire from the study population. The information regarding socioeconomic characteristics, medical and family history, type and clinical presentation of tuberculosis and anthropometric measurement were taken. Out of 170 tuberculosis patient 93 had pulmonary tuberculosis, 71 had extrapulmonary tuberculosis and 6 had both. The different types of tuberculosis showed the association with occupation of respondents, family types, socioeconomic status, family size, BCG scar and social habits before tuberculosis. Weight loss and cough were most common clinical presentation among the participants whereas lymphnode and gastrointestinal tract were most common sites for extrapulmonary tuberculosis. According to BMI, 16.5% of the study population were underweight. Thus, the present study provides valuable information regarding association of sociodemographic factors with tuberculosis and nutritional status of persons with tuberculosis.
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