Tuberculosis screening among pregnant women attending a tertiary care hospital in Puducherry, South India: is it worth the effort?

Global Health Action
Mathavaswami VijayageethaPalanivel Chinnakali

Abstract

The national tuberculosis (TB) programme in India recommends screening all pregnant women for TB, but this is rarely implemented. We carried out systematic TB screening among women attending the antenatal clinic of a tertiary care hospital in Puducherry, South India, during February to April 2018. To assess the number screened and number (proportion) with presumptive and active TB, and understand potential implementation from the healthcare providers' perspective. We conducted a mixed-methods study. The quantitative phase was a cross-sectional study including 4203 pregnant women. Data were captured using a structured proforma. Any of the following symptoms constituted 'presumptive TB': any cough, haemoptysis, fever, weight loss, night sweats, neck swellings, joint pains, neck stiffness and disorientation. Those screening positive were referred for investigations and evaluation by a chest physician. The qualitative phase involved seven one-to-one interviews with healthcare providers. Manual thematic analysis was performed to generate themes. Among 4203 women (two HIV-positive) screened, 77 (1.8%) had presumptive TB. Cough was the predominant symptom (n = 75). Only 12 women could produce a sputum sample, of whom one (0.02%) was d...Continue Reading

References

Aug 26, 1999·The New England Journal of Medicine·N JanaK Ghosh
Sep 18, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Allison TongJonathan Craig
Mar 26, 2011·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Celine R GounderNeil A Martinson
Sep 24, 2011·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Amita GuptaUNKNOWN Byramjee Jeejeebhoy Medical College–Johns Hopkins University Study Group
Sep 4, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Jyoti S Mathad, Amita Gupta
Aug 12, 2014·The Lancet Global Health·Lale SayLeontine Alkema
Nov 20, 2014·BMC Infectious Diseases·Hang Thanh NguyenMaurizio Bonati
Dec 1, 2014·The Lancet Global Health·Jordan SugarmanOlivia Oxlade
Dec 18, 2014·The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·N KancheyaS E Reid
Jun 29, 2015·The Indian Journal of Tuberculosis·Mukund Uplekar
Sep 4, 2015·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Sylvia M LaCourseDavid J Horne
Mar 21, 2017·International Journal of Mycobacteriology·Dawit GebreegziabiherMarkos Abebe

❮ Previous
Next ❯

Citations

Jun 5, 2021·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Rozina Feroz AliSubhash Chandir

❮ Previous
Next ❯

Software Mentioned

OpenEpi
JIPMER
GeneXpert
EpiData

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
Amita GuptaByramjee Jeejeebhoy Medical College–Johns Hopkins University Study Group
The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease
A MohammedG Maartens
© 2022 Meta ULC. All rights reserved