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TITLE:

REASONS OF HIGH MORTALITY AMONG PATIENTS SUFFERING FROM TUBERCULOSIS

AUTHORS:

Dr Anam Ilyas, Dr Shaista Naseem, Dr Nayab Nasim Rana

ABSTRACT:

Abstract: Objective: The aim of this study is to evaluate the reasons of mortality among the patients suffering from tuberculosis. Methodology: This is a cross sectional research work conducted in Allied / DHQ Hospital Faisalabad, from 2014 to 2018. We reviewed the medical records of patients suffering from TB for the complete five years and analysis of the data of death carried out. Patients suffering from TB and fulfilling the diagnosis standard of national TB program were the part of this research work. SPSS V. 11.5 was in use for the analysis of the collected information. Results: Total 3.15% (n: 125) deaths with an average age of 48.96 ± 10.03 years’ age of patients. The rate of diabetes mellitus, smoking, chronic kidney failure, infection of HIV, imprisonment, and utilization of the drugs through injections MDR- tuberculosis 16.0%, 31.2%, 6.40%, 13.60%, 22.40% &22.40% correspondingly. Total 67.20% (n: 84) deaths were direct attribution to TB, amongst them overwhelming tuberculosis disease, hemoptysis & MDR-TB were responsible for reasons of death in 77.40%, 13.10%, 9.50% and 6.40% correspondingly. Total 32,80% (n: 41) were because of medical abnormalities as heart diseases, AIDS, infection of bacterial super, and cancers as 21.90%, 19.50%, 17.10% and 12.20% correspondingly. Conclusions: This research work displayed that overwhelming disease of tuberculosis, hemoptysis, diseases of heart, infection of bacterial super and various cancers are the important reasons of deaths. Cigarette smoking, imprisonment, usage of drugs through injections and diabetes mellitus are the common risk factors for the high mortality rate among the patients suffering from tuberculosis. Keywords: Mortality, Bacterial, TB, Hemoptysis, Cancer, Heart, Tuberculosis, Imprisonment.

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