Abstract
BACKGROUND & OBJECTIVE: The present study was undertaken to know the epidemiological trend of sputum positive Pulmonary Tuberculosis in Garhwal region of Uttarakhand which may be useful for programme planners to plan the resource requirement and for monitoring the RNTCP. MATERIAL & METHOD: Socio demographic profiles of all patients coming to medical OPD between Jan 2008 to Dec. 2011 with cough more than three weeks and from Oct 2010 Patients with cough for more than 2 weeks were recorded. Data from DOTS centre and medical OPD were collected and trend as well as proportion of sputum positive PTB (pulmonary Tuberculosis) in patients coming from different districts of Garhwal region coming to Tertiary care hospital was studied. RESULT: The proportion of sputum positive pulmonary tuberculosis in tertiary care hospital was six cases per thousand in adult patients in 2008, in next three year it was 4 cases per thousand. The sputum positivity in pulmonary suspect varies from 11.91% (2010) to 14.06% (2008). If we compare district wise, sputum positivity was maximum in patients coming from Tehri district (14.37%) and least in Pauri (12.50%) district. The number of PTB suspect required for detection of each sputum positive pulmonary tuberculosis patients was 7.10 in 2008, 8.18 in 2009, 8.36 in 2010 and 7.36 in 2012. CONCLUSION: The proportion of sputum positive PTB was high in patients coming from Garhwal region of Uttarakhand .The sputum positivity rate and number of Pulmonary Tuberculosis suspect required for detection of one sputum positive Pulmonary tuberculosis in patients coming from different district of Garhwali varies in different district in different year.
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