Mortality among registered tuberculosis patients in Pune Municipal Corporation area, India

Autor: Gothankar, Jayashree, Pokale, Aarati, Doke, Purwa, Sule, Shilpa, Chouhan, Swati, Patil, Prajakta, Bothe, Prashant, Doke, Prakash
Zdroj: Indian Journal of Tuberculosis; 20240101, Issue: Preprints
Abstrakt: Deaths among tuberculosis patients due to varied causes are frequently reported. Usually, the death rate is high during the first six to eight months, i.e., the intensive phase of treatment. The healthcare personnel working under National Tuberculosis Elimination Program are reluctant to ascribe death to tuberculosis and may prefer to attribute the death to other causes. On the other hand, in hospitals, most death are attributed to tuberculosis without careful death audits and reasonable investigations. Comorbidities like diabetes, HIV, drug resistance, and drug-induced toxicity consequent to administering secondary lines of drugs need due consideration while ascertaining the cause of death. The study aimed to measure mortality within one year and a maximum of two years after registration. We also determined the cause of death by conducting a verbal autopsy by medico-social workers using the WHO modified autopsy tool. Two pairs of physicians ascertained cause of death by reviewing the collected information. We obtained the consensus opinion of a pair of physicians. In case of disputed opinion, opinion of senior physician from the other group was considered final.
Databáze: Supplemental Index