Factors Associated with Pulmonary Tuberculosis among Diabetes Mellitus Patients In Nonghan Hospital, Udon Thani

Abstract

Purpose: To investigate factors associated with pulmonary tuberculosis among diabetes mellitus patients who come to registered at  Nonghan Hospital.

Design:  Cross-sectional study

Materials  and  Methods: Investigate the data of pulmonary tuberculosis among diabetes mellitus patients were admitted in Nong Han Hospital, financial year, 2016 to 2018 (1 October, 2016 to 30 September, 2019).The cases were 91 pulmonary tuberculosis among diabetes mellitus patients among patients registered at Nonghan Hospital who were treated during the period 1 January 2016 to 30 December 2019. The data were collected by using from patient’s medical records 506 and 507.  Descriptive statistics was applied to identify the values of: mean, standard deviation, frequency and percentage. Thereafter, the factors associated with values of single variables were determined through univariate analyses: the Chi-square test. Statistical significance was set at p-value .05.

Main findings: There were 91patients registered at Nonghan hospital in Udon Thani province. Most of patients were  men, 47(52.7%) age >60 years old 50(54.9%) mean age  52 years (SD. = 11.53) no smoke 74 (81.%) HbA1c level ≥ 7 mg% 61(67.0%) sputum exam 29 (68.1%) no cavitary lesion 67(73.1%) no sputum exam after 2 months 88(96.7%). Notwithstanding, no significant (p-value>0.05) were gender, age, and sputum exam after 2 months, respectively, but the univariate analysis showed that the associated with pulmonary tuberculosis among diabetes mellitus patients with a significant (p-value =.034) ware having a level of hemoglobin A1c (HbA1c) ≥ 7.0 mg% and no significant (p-value > 0.05) were cavitary lesion and sputum exam after 2 months.

Conclusion and recommendations: From the results of this study indicate that the annual tuberculosis screening of DM patients should do in every year, especially in having a level of hemoglobin A1c (HbA1c) exceeding 7.0 had household living in the same house with TB patient. We should be instructive more about preventing disease and appropriate health care. There should be a system of surveillance and screening for new TB cases so that those with the disease can be registered for treatment and the spread of TB within the community reduced.