Annals of Tropical Medicine and Public Health

ORIGINAL ARTICLE
Year
: 2013  |  Volume : 6  |  Issue : 2  |  Page : 192--196

Is diagnostic protocol a cause of overestimation of extra-pulmonary tuberculosis in Himachal Pradesh? A report from a high-prevalence tuberculosis unit


Vishav Chander1, SK Raina1, AK Bhardwaj1, S Kashyap2, Anmol K Gupta3, Abhilash Sood1 
1 Department of Community Medicine, Dr. R.P. Government Medical College, Tanda, Himachal Pradesh, India
2 Department of Pulmonary Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
3 Department of Community Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India

Correspondence Address:
S K Raina
Department of Community Medicine, Dr. R.P. Government Medical College, Tanda, Himachal Pradesh
India

Aims and Objectives: To study the diagnostic practices for diagnosis of extra-pulmonary tuberculosis (EPTB) in a high-prevalence tuberculosis unit (TU). Material and Methods: It was a cross-sectional study using a pre-designed and pre-tested structured questionnaire. The information was collected from new EPTB cases registered in Rampur TU between 1 July 2007 and 31 March 2008. Diagnostic practices of the medical practitioners for establishing the diagnosis of different types of EPTB were studied. Results: For the diagnosis of pleural TB the main tools used were X-ray chest (37 cases; 100.0%) and aspiration of pleural fluid (pleural tap) for color of pleural fluid (35 cases; 94.6%). For establishing the diagnosis of lymph node TB, eight (66.6%) cases were subjected to fine needle aspiration cytology (FNAC) examination of involved lymph nodes. Excision biopsy of lymph nodes was undertaken in the remaining four (33.3%) cases. The diagnosis of abdominal TB was primarily established on the basis of X-ray (six cases; 85.7%) and ultrasonography (USG) of abdomen for the presence of ascites in five (71.4%) cases. The patients of tubercular meningitis were diagnosed predominantly on clinical grounds whereas in bone and genitourinary TB, all appropriate investigations were performed for confirmation of EPTB of these organs. Conclusions: Except for lymph node TB and the patients in whom the diagnosis had been established in tertiary care institutions of the state, patients were being diagnosed on clinical grounds.


How to cite this article:
Chander V, Raina S K, Bhardwaj A K, Kashyap S, Gupta AK, Sood A. Is diagnostic protocol a cause of overestimation of extra-pulmonary tuberculosis in Himachal Pradesh? A report from a high-prevalence tuberculosis unit.Ann Trop Med Public Health 2013;6:192-196


How to cite this URL:
Chander V, Raina S K, Bhardwaj A K, Kashyap S, Gupta AK, Sood A. Is diagnostic protocol a cause of overestimation of extra-pulmonary tuberculosis in Himachal Pradesh? A report from a high-prevalence tuberculosis unit. Ann Trop Med Public Health [serial online] 2013 [cited 2019 Dec 6 ];6:192-196
Available from: http://www.atmph.org/article.asp?issn=1755-6783;year=2013;volume=6;issue=2;spage=192;epage=196;aulast=Chander;type=0