Diabetes screening among active tuberculosis patients in Western Australia Tuberculosis Control Program using HbA1c
| Autor: | Ruad Perera, Justin Waring, Cheng L. Lu, Hussein Farrah |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Blood Glucose Male medicine.medical_specialty Tuberculosis Adolescent Disease 030204 cardiovascular system & hematology 03 medical and health sciences Young Adult 0302 clinical medicine Internal medicine Diabetes mellitus Internal Medicine medicine Diabetes Mellitus Humans Mass Screening 030212 general & internal medicine Family history Risk factor Aged Glycated Hemoglobin Infection Control business.industry Western Australia Middle Aged medicine.disease Diabetes screening Female Tuberculosis control business Body mass index Biomarkers |
| Zdroj: | Internal medicine journal. 49(5) |
| ISSN: | 1445-5994 |
| Popis: | Background Diabetes mellitus is an important risk factor for tuberculosis (TB), and studies in high TB burden countries have shown diabetes screening to be both feasible and to have a high yield. However, scarce information is available for low TB burden countries. Diabetes screening was previously not part of our routine practice. Aim To screen and determine the prevalence of diabetes in the Western Australian Tuberculosis Control Program. Methods We measured HbA1c and random plasma glucose in patients with active TB. We also collected details on their demographics, TB and diabetes. Results A total of 105 patients was recruited over a year. Of those, 17 (16.2%) had diabetes. Seven cases (6.7%) were newly diagnosed diabetics. Age, cavitating disease and family history of diabetes were found to be significantly associated with diabetes. Multilobar disease, gender, body mass index, smear and culture positivity were not significantly different between groups. Conclusion Our study showed high prevalence of diabetes among active TB patients. Diabetes screening at diagnosis of active TB presents as a good opportunity to detect diabetes even in low prevalence country and has become part of our standard care. |
| Databáze: | OpenAIRE |
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