Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

AN AUDIT OF TUBERCULOSIS CASES WITH SEVERE CHEST X-RAY FINDINGS

Author

Paranthaman V 1 , Davinder S 2 , Junaidi I 1 , Noridah O 1 , Deva rajah N 1

Institution

1. Kinta Health Office, Perak
2. UniKL Royal College of Medicine, Perak

Abstract

Objectives : To look at remediable factors leading to late diagnosis of sputum positive PTB.

Methods: All cases of TB with severe CXR findings in Kinta district from January to June 2011 were audited.

Results: Out of a total of 79 cases of sputum positive TB seen, twelve were diagnosed with severe CXR findings. There were 5 Chinese followed by 3 Malays and Indians and one was from an indigenous group. The ratio of males to females diagnosed with severe CXR was 5 to 1. Two thirds of the cases were in the main productive age group ranging from 26 to 45 years old. Six of the cases had co-morbid conditions such as alcoholism, drug abuse, diabetes and HIV. Causes of late detection of TB were due to delay in seeking treatment (58%), delay in diagnosis (17%) and those due to both factors were 25%.

Conclusion: Late detection of TB is a concern due to poor outcome and high mortality rates. It is important to reduce the time between the onset of symptoms and diagnosis to curb the spread of TB. Strengthening TB education and screening of high risk patients should be promoted