Abstract
Background: Despite improvements in prevention, diagnosis and treatment, tuberculosis continues to be a leading cause of death globally. Since extra pulmonary tuberculosis does not contribute significantly to the transmission of the disease, it is not given priority in public health agenda. But it contributes significantly to tuberculosis related morbidity and mortality.Objectives: To identify the various presentations of extra pulmonary tuberculosis in Matara district, Sri Lanka and to evaluate the response to anti tuberculosis treatment.Methods: A descriptive study was conducted among the patients registered in District Chest Clinic, Matara. Data analysis were done by using SPSS version 25. Chi-square test was used to assess the association between variables.Results: Among 147 patients 50.3% were female (mean age = 44years). 93.2% were Sinhalese. 11.6% of the study population were from Matara municipal council MOH area. 32.7% of the sample was diagnosed to have pleural effusion. 9.5% were current smokers. 9.5% were diagnosed with diabetes.98% of patients had completed treatment.Conclusions: There was high prevalence of pleural tuberculosis. The diagnosis of lymphatic tuberculosis was lower. Prevalence of extra pulmonary tuberculosis was high in MOH areas with high population density. Significantly high treatment completion rate than the national target was noted at district chest clinic Matara.
Highlights
Tuberculosis is an infectious disease, which is air born and caused by the bacillus Mycobacterium tuberculosis. (Occasionally by Mycobacterium bovis and Mycobacterium africanum).1Tuberculosis can involve any part of the human body other than nails, teeth and hair, with lung being the most common
We studied the patients who were registered and treated as extra pulmonary tuberculosis in District Chest Clinic Matara
Patients who were diagnosed as extra pulmonary tuberculosis and commenced treatment at other district chest clinics and transferred to complete treatment at District Chest Clinic Matara and ppatients who died of tuberculosis or its complications while on treatment irrespective of the period of treatment given were included in this study
Summary
Tuberculosis is an infectious disease, which is air born and caused by the bacillus Mycobacterium tuberculosis. (Occasionally by Mycobacterium bovis and Mycobacterium africanum).1Tuberculosis can involve any part of the human body other than nails, teeth and hair, with lung being the most common. 2. Medical Officer, District Chest Clinic, Matara. Diagnosis and treatment, tuberculosis continues to be a leading cause of death globally. Since extra pulmonary tuberculosis does not contribute significantly to the transmission of the disease, it is not given priority in public health agenda. Objectives: To identify the various presentations of extra pulmonary tuberculosis in Matara district, Sri Lanka and to evaluate the response to anti tuberculosis treatment. Methods: A descriptive study was conducted among the patients registered in District Chest Clinic, Matara. 9.5% were diagnosed with diabetes.98% of patients had completed treatment. Conclusions: There was high prevalence of pleural tuberculosis. Prevalence of extra pulmonary tuberculosis was high in MOH areas with high population density. High treatment completion rate than the national target was noted at district chest clinic Matara
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