Prevalence of pulmonary tuberculosis in Wardha district of Maharashtra, Central India.
A house based survey was conducted during 2007-2009 in a representative sample of population in Wardha district implementing Directly Observed Treatment Short Course strategy for tuberculosis (TB) control since 2001. The objective was to estimate prevalence of bacillary pulmonary TB (PTB) in individuals aged 15 years or above, and to estimate trends in prevalence when compared to a previous survey carried out in mid 1980's. Two sputum samples (one spot, one early morning) collected from individuals having symptoms suggestive of PTB, history of previous anti-TB treatment (ATT) or abnormal pulmonary shadow on Mass Miniature Radiography (MMR) consistent with possibly or probably active tuberculosis were subjected to Ziehl-Neelsen microscopy and culture on Lowenstein-Jensen medium. Of 55,096 individuals registered into the survey, 50,332 (91.4%) were screened by interview for symptoms and history of ATT and/or by MMR. Of them, 4805 were eligible for sputum collection; both specimens were collected in 4285 (89.2%) and only one specimen in 27 (0.6%). A total of 86 bacillary cases were detected during the survey. Prevalence of bacillary PTB was estimated at 188.7 (140.3-236.9) per 100,000 populations. There was a decline of 61% in the prevalence of PTB over a period of 22 years.
Department of Microbiology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India.
Pratibha
P
Narang
Department of Microbiology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India.
Deepak K
DK
Mendiratta
Department of Demography & Statistics, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India.
Naresh K
NK
Tyagi
Department of Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India.
Ullhas N
UN
Jajoo
Department of Radio-diagnosis, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, India.
Atul T
AT
Tayade
Department of Radio-diagnosis, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, India.
Pratapsingh H
PH
Parihar
Department of Microbiology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India.
Rahul
R
Narang
Department of Microbiology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India.
Pranav S
PS
Mishra
Epidemiology and Research Division, National Tuberculosis Institute, Bangalore, Karnataka, India.
Sharda M
SM
Anjinappa
Epidemiology and Research Division, National Tuberculosis Institute, Bangalore, Karnataka, India. Electronic address: vineet2.chadha@gmail.com.
Vineet K
VK
Chadha
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006306:Health Surveys; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D015995:Prevalence; D012424:Rural Population / Q000706:statistics & numerical data; D013183:Sputum / Q000382:microbiology; D014397:Tuberculosis, Pulmonary / Q000453:epidemiology*; D014505:Urban Population / Q000706:statistics & numerical data; D055815:Young Adult
Adults; India; Individual level analysis; Prevalence; Pulmonary tuberculosis; Survey