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India tuberculosis

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https://www.readbyqxmd.com/read/28090176/updates-on-knowledge-attitude-and-preventive-practices-on-tuberculosis-among-healthcare-workers
#1
REVIEW
Farhanah Abd Wahab, Sarimah Abdullah, Jafri Malin Abdullah, Hasnan Jaafar, Siti Suraiya Md Noor, Wan Mohd Zahiruddin Wan Mohammad, Abdul Aziz Mohamed Yusoff, John Tharakan, Shalini Bhaskar, Muthuraju Sangu, Mohd Shah Mahmood, Fauziah Kassim, Md Hanip Rafia, Mohammed Safari Mohammed Haspani, Azmi Alias, Rogelio Hern√°ndez Pando
Ranking as the most communicable disease killer worldwide, tuberculosis, has accounted with a total of 9.6 million new tuberculosis cases with 1.5 million tuberculosis-related deaths reported globally in 2014. Tuberculosis has remain as an occupational hazard for healthcare workers since 1920s and due to several tuberculosis outbreaks in healthcare settings in the early 1990s, the concern about the transmission to both patients and healthcare workers has been raised. Healthcare workers have two to three folds greater the risk of active tuberculosis than the general population...
November 2016: Malaysian Journal of Medical Sciences: MJMS
https://www.readbyqxmd.com/read/28079850/challenges-in-diagnosing-sarcoidosis-in-tuberculosis-endemic-regions-clinical-scenario-in-india
#2
Randeep Guleria, Ashok Mahashur, Aloke Gopal Ghoshal, Prasanna Kumar Thomas, Ganesh Raghu, Robert P Baughman
 Sarcoidosis is a chronic, systemic disease of unknown etiology that affects multiple organs. The disease was considered rare in developing countries like India. More recently sarcoidosis is being increasingly diagnosed in countries where tuberculosis continues to be endemic. There is a general perception among physicians that the prevalence of sarcoidosis has increased over the last two decades in countries like India. This may be true but could also be related to better awareness of the condition, availability of improved diagnostic facilities and the increased ability of physicians to differentiate it from tuberculosis...
December 23, 2016: Sarcoidosis, Vasculitis, and Diffuse Lung Diseases: Official Journal of WASOG
https://www.readbyqxmd.com/read/28053915/frequency-of-mutations-in-rifampicin-and-isoniazid-resistant-isolates-of-m-tuberculosis-an-analysis-from-central-india
#3
Prabha Desikan, Atul Kharate, Nikita Panwalkar, Jyoti Khurana, Shaina Beg Mirza, Aparna Chaturvedi, Reeta Varathe, Manju Chourey, Pradeep Kumar, Nitin Doshi, Manoj Pandey
BACKGROUND: The spread of drug-resistant tuberculosis has challenged tuberculosis control strategies globally. The present study aims to analyze the frequency of mutations in rpoB, katG and inhA genes in strains of M. tuberculosis complex (MTBC) circulating in Central India. It is anticipated that the findings may provide a starting point to understand the evolutionary success of drug-resistant strains of MTBC in this region. METHODS: Line probe assay was carried out on 720 consecutive sputum samples of MDR suspects from June 2012 to May 2013...
December 2016: Germs
https://www.readbyqxmd.com/read/28050418/physician-related-delays-in-the-diagnosis-of-lung-cancer-in-india
#4
Krishnappriya Ramachandran, Balamugesh Thankagunam, Reka Karuppusami, D J Christopher
INTRODUCTION: Lung cancer is associated with a poor prognosis, if detected late in the disease course. Delay in seeking health care, wrong diagnosis and delay in specialist referral can contribute to delay in diagnosis. AIM: This study was done to assess physician related delays in the diagnosis of lung cancer and the treatments given before presenting to our center. MATERIALS AND METHODS: A total of 96 consecutive patients diagnosed with lung cancer were enrolled in this study...
November 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28050363/first-line-anti-tb-drug-resistance-in-an-urban-area-of-odisha-india
#5
Dasarathi Das, Prakasini Satapathy, Biswanath Murmu
INTRODUCTION: Drug resistance is a major cause for increasing the global burden of Tuberculosis (TB). However in countries with larger geographical areas and different climatic conditions like India the prevalence of drug resistance varies from place to place. Information on anti-TB drug resistance patterns particularly among newly diagnosed cases is crucial for planning an effective TB control program. AIM: To determine the prevalence of resistance against first line anti-TB drugs and Multi Drug Resistance (MDR) in Mycobacterium tuberculosis isolates...
November 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28045934/priority-setting-for-novel-drug-regimens-to-treat-tuberculosis-an-epidemiologic-model
#6
Emily A Kendall, Sourya Shrestha, Ted Cohen, Eric Nuermberger, Kelly E Dooley, Lice Gonzalez-Angulo, Gavin J Churchyard, Payam Nahid, Michael L Rich, Cathy Bansbach, Thomas Forissier, Christian Lienhardt, David W Dowdy
BACKGROUND: Novel drug regimens are needed for tuberculosis (TB) treatment. New regimens aim to improve on characteristics such as duration, efficacy, and safety profile, but no single regimen is likely to be ideal in all respects. By linking these regimen characteristics to a novel regimen's ability to reduce TB incidence and mortality, we sought to prioritize regimen characteristics from a population-level perspective. METHODS AND FINDINGS: We developed a dynamic transmission model of multi-strain TB epidemics in hypothetical populations reflective of the epidemiological situations in India (primary analysis), South Africa, the Philippines, and Brazil...
January 2017: PLoS Medicine
https://www.readbyqxmd.com/read/28043550/predominance-of-beijing-lineage-among-pre-extensively-drug-resistant-and-extensively-drug-resistant-strains-of-mycobacterium-tuberculosis-a-tertiary-care-center-experience
#7
Syed Beenish Rufai, Manimuthu Mani Sankar, Jitendra Singh, Sarman Singh
OBJECTIVE/BACKGROUND: Increasing resistance to various first-line and second-line drugs has become a major concern in India. However, it is not known if some genotypes are more associated with second-line drug resistance. Thus, the main aim of this study was to find out the predominant genotype associated with second-line drug resistance. METHODS: During the study, a total of 234 multidrug resistant (MDR) strains of Mycobacterium tuberculosis, isolated between 2008 and 2015, were randomly selected and screened for pre-extensively drug-resistant (XDR) and XDR patterns using second-drug susceptibility testing with BACTEC MGIT 960...
December 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/28043539/invasive-forms-of-candida-and-aspergillus-in-sputum-samples-of-pulmonary-tuberculosis-patients-attending-the-tuberculosis-reference-laboratory-in-ghaemshahr-northern-iran-an-analysis-of-samples-collected-during-the-past-10years
#8
Mohammad Reza Jabbari Amiri, Seyed Reza Aghili, Tahereh Shokohi, Mohammad Taghi Hedayati, Mahdi Abastabar, Masoud Aliyali, Masoumeh Jabbari Amiri, Hamid Hasanpour
OBJECTIVE/BACKGROUND: Tuberculosis (TB) continues to be a major public health problem worldwide. This is especially true in Northern Iran, which has high TB prevalence. The chronic nature of this disease is further exacerbated if it is accompanied by fungal infection, which usually remains undiagnosed and thus untreated. Thus, mycotic infections add fatal dimensions to pulmonary TB. Our objective was to determine the prevalence of invasive forms of fungal elements in sputum samples collected from patients with pulmonary TB at a reference laboratory in Ghaemshahr, Northern Iran, during the past 10years...
December 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/28043538/murine-model-of-tb-meningitis
#9
Umesh Datta Gupta, Ali Abbas, Raj Pal Singh Kashyap, Pushpa Gupta
BACKGROUND: Central nervous system (CNS) infections caused by Mycobacterium tuberculosis (MTB) are the most severe forms of extrapulmonary TB (EPTB) due to high levels of mortality and neurological morbidity. Limited studies are available on CNS-TB animal-model development, despite the steady rise in cerebral-TB cases in India over the past decade. This study describes the development of a murine model of CNS-TB using a clinical strain (C3) isolated from the cerebrospinal fluid (CSF) of CNS-TB patients...
December 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/28043537/usefulness-of-is6110-based-restriction-fragment-length-polymorphism-analysis-in-fingerprinting-of-mycobacterium-tuberculosis-isolates-in-north-india
#10
Jitendra Prasad Mathuria, Shampa Anupurba
OBJECTIVE/BACKGROUND: World Health Organization estimates that approximately one-third of the global community is infected with Mycobatcerium tuberculosis (MTB). Various molecular epidemiology methods were developed and found very promising for assessing the genetic diversity among MTB complex strain. The two major tools restriction fragment length polymorphism (RFLP) and spoligotyping were commonly used in various studies. Some Indian studies raise the question about the utility of IS6110-RFLP in India due to the presence of zero and low copy number of IS6110 element in MTB isolates...
December 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/28043536/assessing-genetic-diversity-of-mycobacterium-tuberculosis-by-spoligotyping-and-is6110-based-restriction-fragment-length-polymorphism-in-north-india
#11
Jitendra Prasad Mathuria, Pragya Sharma, Pradyot Prakash, Jai Kumar Samaria, Vishwa Mohan Katoch, Shampa Anupurba
OBJECTIVE/BACKGROUND: Molecular epidemiology methods are very useful for differentiating between strains, assessing their diversity, and measuring the prevalence of the most circulating strain in an area. Various molecular typing methods using different molecular markers have been utilized worldwide, such as restriction fragment length polymorphism (RFLP), spoligotyping, Mycobacterial Interspersed Repetitive Unit - Variable Number of Tandem Repeat (MIRU-VNTR), and Double repetitive element-PCR (DRE-PCR) typing, for simultaneous detection and epidemiologic typing of Mycobacterium tuberculosis...
December 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/28043535/delay-in-diagnosis-among-pulmonary-tuberculosis-patients-of-rayagada-district-odisha-india
#12
Dasarathi Das, Bhagirathi Dwibedi
BACKGROUND: India accounts for more than one-fifth of the world's tuberculosis (TB) burden. In spite of efforts taken by the Revised National Tuberculosis Control Programme, tribal areas of the state of Odisha report a high TB incidence over the years. One of the reasons could be delay in reporting to health facilities by the symptomatic patients. During such delays an active case may infect numerous susceptible people thereby contributing to the perpetuation of the infection. The delay in diagnosis may be as long as 2-3months and even more in hard-to-reach areas...
December 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/28043503/isoniazid-resistance-among-rifampicin-susceptible-mycobacterium-tuberculosis-isolates-from-tuberculosis-patients
#13
Jyoti Arora, Ritu Singhal, Ajoy Kumar Verma, Gavish Kumar, Manpreet Bhalla, Rohit Sarin, Vithal Prasad Myneedu
OBJECTIVE/BACKGROUND: With the introduction of novel molecular techniques that rely on rifampicin (RIF) susceptibility, resistance to isoniazid (INH) or other first-line drugs remains undetected. Such patients are prescribed first-line antituberculosis therapy and are on RIF monodrug therapy during the continuation phase, which may lead to therapeutic failure and emergence of multidrug resistance. We aimed to study INH resistance among RIF-susceptible Mycobacterium tuberculosis (MTB) isolates from retreatment patients...
December 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/28043502/genotypic-analysis-of-multidrug-resistant-tuberculosis-isolates-from-extra-pulmonary-tuberculosis-cases-in-tertiary-care-centers-in-northern-india
#14
Anand K Maurya, Vijaya L Nag, Surya Kant, Ramawadh S Kushwaha, Tapan N Dhole
OBJECTIVE/BACKGROUND: Multidrug-resistant tuberculosis (MDR-TB) is a major public health problem. The diagnosis of MDR-TB is of paramount importance in establishing appropriate clinical management and infection control measures. Rapid detection of MDR-TB allows the establishment of an effective treatment regimen, minimizes the risk of further resistance, and limits the spread of drug-resistant strains. The aim of this study is to determine the genotypic characterization of MDR-TB isolates from extra pulmonary tuberculosis (EPTB) cases in tertiary care centers in Northern India...
December 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/28043501/comparative-proteomic-analysis-of-sequential-isolates-of-mycobacterium-tuberculosis-sensitive-and-resistant-beijing-type-from-a-patient-with-pulmonary-tuberculosis
#15
Amit Singh, Anil Kumar Gupta, Krishnamoorthy Gopinath, Divakar Sharma, Prashant Sharma, Deepa Bisht, Pawan Sharma, Sarman Singh
AIM & OBJECTIVE: In India, tuberculosis (TB) is a foremost health problem, and the emergence of multidrug-resistant (MDR) and extensively drug resistant (XDR) strains of Mycobacterium tuberculosis (M. tuberculosis) has further complicated the situation. Although various mechanisms have been proposed to elucidate the emergence of resistance, our knowledge remains insufficient. The formation of a very complex network and drugs of proteins are countered by their efflux/modification or target over-expression/modification...
December 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/28042591/relationship-between-nutritional-support-and-tuberculosis-treatment-outcomes-in-west-bengal-india
#16
Blesson Samuel, Tyson Volkmann, Sushma Cornelius, Sugata Mukhopadhay, MejoJose, Kaushik Mitra, Ajay M V Kumar, John E Oeltmann, Sidhajyoti Parija, Aslesh Ottapura Prabhakaran, Patrick K Moonan, Vineet K Chadha
INTRODUCTION: Poverty and poor nutrition are associated with the risk of developing tuberculosis (TB). Socioeconomic factors may interfere with anti-tuberculosis treatment compliance and its outcome. We examined whether providing nutritional support (monthly supply of rice and lentil beans) to TB patients who live below the poverty line was associated with TB treatment outcome. METHODS: This was a retrospective cohort study of sputum smear-positive pulmonary TB patients living below the poverty line (income of <$1...
December 2016: Journal of Tuberculosis Research
https://www.readbyqxmd.com/read/28011331/multi-drug-resistant-female-genital-tuberculosis-a-preliminary-report
#17
J B Sharma, Alka Kriplani, Eshani Sharma, Sangeeta Sharma, Sona Dharmendra, Sunesh Kumar, P Vanamail, S K Sharma
OBJECTIVE: Evaluation of 6 patients presenting with tubo-ovarian mass or infertility with multi drug resistant (MDR) female genital tuberculosis (FGTB). STUDY DESIGN: It was an observational study in a tertiary referral centre, India on subjects with MDR FGTB on clinical examination and investigations. All patients were given category IV drugs using kanamycin (intramuscular), levofloxacin, pyrazinamide, cycloserine, ethionamide and ethambutol (or para aminosalicylic acid [PAS] for ethambutol resistant cases) for 6 months intensive phase followed by oral levofloxacin, cycloserine, ethionamide and ethambutol (or PAS for ethambutol resistant cases) for 18 months continuation phase...
December 12, 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/28003904/a-case-of-deep-vein-thrombosis-and-intracranial-sinus-thrombosis-possible-rare-complications-of-childhood-abdominal-tuberculosis
#18
Geeta Gathwala, Poonam Dalal, Virender Gehlawat, Jasbir Singh, Vandana Arya
Severe pulmonary tuberculosis (TB) complicated by deep vein thrombosis (DVT) in adults has been reported previously in the medical literature; however, childhood extrapulmonary TB complicated by DVT is rare. We report a 13-year-old girl who presented to the Department of Pediatrics at the Postgraduate Institute of Medical Sciences in Rohtak, India, in 2012 with abdominal TB complicated by DVT and intracranial sinus thrombosis. She was treated with a course of four antitubercular drugs and short-term anticoagulation therapy with a positive outcome over the next six months...
November 2016: Sultan Qaboos University Medical Journal
https://www.readbyqxmd.com/read/27998500/tubercular-sialadenitis-of-parotid-gland-an-extremely-rare-case-series
#19
Anand Agrawal, Chandermani, Monika Gathwal, Amrita Duhan
Tuberculosis is a potentially fatal infectious disease caused by Mycobacterium Tuberculosis. It most commonly involves the lungs (Pulmonary Tuberculosis), although it can involve any organ system in the body. However even in a country like India which has high burden of this disease, the tubercular invasion of parotid gland is extremely rare. Here we describe two such cases. Both patients were immune competent and presented with fever and swelling in the parotid region. They were diagnosed as tuberculosis of parotid gland by ultrasound guided fine needle aspiration and confirmed bacteriologically...
October 2016: Indian Journal of Tuberculosis
https://www.readbyqxmd.com/read/27998498/tb-management-by-private-practitioners-is-it-bad-everywhere
#20
P S Rakesh, Shibu Balakrishnan, S Jayasankar, R V Asokan
INTRODUCTION: Poor prescribing practice is alleged to be one of the major factors fuelling the drug-resistant tuberculosis (DR TB) emergence. A study in Mumbai revealed the extent of inappropriate tuberculosis (TB) management practices of private practitioners and discussed that with the context of high DR TB. Kerala is rated among the well performing States in India as far as TB control is concerned with evidences for a lower level of TB transmission and DR TB. The current study was done in Kerala State to assess the prescribing practices of private sector doctors in the treatment of TB...
October 2016: Indian Journal of Tuberculosis
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