Comparative study of medical information in adult patients with tuberculosis patients, Chiang Saen Hospital, Chiang Rai Province
Keywords:
Tuberculosis , Adult , Elderly , Chiang Saen, Chiang Rai ProvinceAbstract
The World Health Organization (WHO) has reported the elderly are at increased risk of tuberculosis infection due to several factors, such as underlying medical conditions, the use of immunosuppressive drugs, chronic alcohol consumption, smoking, and cancer. This study is a comparative study of medical data, clinical data and laboratory results from tuberculosis patients at Chiang Saen Hospital, Chiang Rai Province. A retrospective analytical study was conducted from October 2017 to September 2022 in the Medical Laboratory at Chiang Saen Hospital. The study included a group of 240 individuals with confirmed or probable tuberculosis, consisting of 126 cases under 60 years of age and 114 cases aged 60 years and older. Factor analysis of clinical health data was performed to compare the two sample groups using the Chi-square statistic (p-value < 0.05) and the relationship between various factors in the two samples was analyzed using the odds ratio (OR). In individuals younger than 60 years, risk factors included smoking (OR = 1.89, p = 0.018), alcohol use (OR = 3.36, p=<0.001) and HIV infection (OR = 10.57, p = 0.001). Therefore, it is necessary to implement the strategy of behavior modification in Chiang Saen district to reduce the likelihood of comorbidities and mitigate severe symptoms, particularly among tuberculosis patients under 60 years of age.
References
Bureau of Tuberculosis, Department of Disease Control, Ministry of Public Health. Thailand Tuberculosis Report 2016-2020. 2021;1:14-29. (in Thai).
World Health Organization. TB data. World Health Organization [Internet]. 2021 [cited 2022 Sep 6]. Available from: https://www.who.int/tb/dat
Ministry of Social Development and Human Security. Measures to Implement National Agenda on Aged Society; 2021. (in Thai).
Bureau of Tuberculosis, Department of Disease Control, Ministry of Public Health. National Tuberculosis Control Programme Guidelines, Thailand, 2018. Nonthaburi: Bureau of Tuberculosis; 2018. (in Thai).
Nunemo MH, Woticha EW, Lemu YK. Predictors of tuberculosis and non-communicable disease comorbidities among newly enrolled tuberculosis patients, Southern Ethiopia. Integrated Blood Pressure Control. 2023;16:95-109.
Adegbite BR, Edoa JR, Agbo AAJ, Epola M, Mevyann C, Dejon-Agobe JC, et al. Non-communicable disease co-morbidity and associated factors in tuberculosis patients: A cross-sectional study in Gabon. EClinicalMedicine. 2022;45:1-13
Mphande-Nyasulu FA, Puengpipattrakul P, Praipruksaphan M, Keeree A, Ruanngean K. Prevalence of tuberculosis (TB), including multi-drug-resistant and extensively-drug-resistant TB, and association with occupation in adults at Sirindhorn Hospital, Bangkok. IJID Region. 2022;2:141-8.
Dejsaeng P. Factors Associated with Mortality in Smear Positive Pulmonary Tuberculosis, Huaiyot Hospital, Trang Province. Journal of Health Science. 2018;27(5):908-19.
Division of Tuberculosis. National Tuberculosis Control Programme Guideline, Thailand 2021. Bangkok: Division of Tuberculosis; 2021. (in Thai).
Li SJ, Li YF, Song WM, Zhang QY, Liu SQ, Xu TT, et al. Population aging and trends of pulmonary tuberculosis incidence in the elderly. BMC Infectious Diseases. 2021;21(1):302.
JM, Aguillon-Dura GP, Ayala D, Cerrillo PQ, Rodriguez-Reyna E, Mora-Guzm F, et al. A prospective cross-sectional study of tuberculosis in elderly Hispanics reveals that BCG vaccination at birth is protective whereas diabetes is not a risk factor. PLoS One. 2021;16(7):1-9.
Murali S, Krishnamoorthy Y, Knudsen S, Roy G, Ellner J, Horsburgh CR, et al. Comparison of profile and treatment outcomes between elderly and non-elderly tuberculosis patients in Puducherry and Tamil Nadu, South India. PLoS One. 2021;16(8):1-15
Pediatric Infectious Disease Society Thailand. Thailand [Internet]. 2021 [cited 2022 Sep. 6]. Available from: https://www.pidst.or.th/A370.html
Parivakkam MA, Shanmugapriya K, Deepak KK, Yadav S. Assessment of Lipid Profile in Patients with Pulmonary Tuberculosis: An Observational Study. Cureus. 2023;15(5):1-4.
Cegielski JP, McMurray DN. The relationship between malnutrition and tuberculosis: evidence from studies in humans and experimental animals. The International Journal of Tuberculosis and Lung Disease. 2004;3:286-98.
Shinnaboot K. Virologic–Immunologic Failure and Discordance in HIV–infected Adults on Antiretroviral Therapy in Sakon Nakhon Hospital. Journal of Sakon Nakhon Hospital. 2020;23(1):108-16. (in Thai).
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Journal of Disease and Health Risk DPC.3

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright notice
Article published in the Journal of Disease and Health Risk DPC.3 Nakhon Sawan. It is considered a work of academic research and analysis as well as the personal opinion of the author. It is not the opinion of the Office of Disease Prevention and Control 3, Nakhon Sawan. Or the editorial team in any way Authors are responsible for their articles.
Privacy Policy
Name, address and e-mail address specified in the Journal of Disease and Health Risk DPC.3 Nakhon Sawan. It is used for identification purposes of the journal. And will not be used for any other purpose. Or to another person.


