Dr Samavia Rauf, Dr Sofia Noreen, Dr Muhammad Tehseen Ahmad
Introduction: Tuberculosis is a major health problem in Brazil. It is estimated that only 75% of all cases are detected, and that 76% of them are cured. Objectives: The main objective of the study is to analyse the missed pulmonary tuberculosis in the general medical inpatient wards. Material and methods: This cross sectional study was conducted in Rawalpindi Medical University Rawalpindi during June 2019 to March 2020. Using a standard chart, we recorded the patient identification, place of origin, lasting of symptoms, reason for admission, previous pulmonary Tb records, HIV serum testing, location of Tb and way of diagnosing, side effects presented to the antituberculosis therapy during hospitalization, need to be transferred to the ICU or the respiratory isolation ward, hospitalization time. Results: The data was collected from 120 patients of pulmonary TB. The mean duration of symptoms upon admission was 2.9 months. Previous Tb was reported by 32 patients (23%), 37.5% of which had been discharged, 34.4% had abandoned Tb treatment, 15.6% were under treatment upon admission, and 12.5% were admitted due to multi-resistant Tb (MRTB). Serum testing for HIV was positive in 42% of the studied patients. HIV-positive patients presented a higher occurrence of extrapulmonary Tb. Conclusion: It is concluded that TB cases are being “missed” in the general medical inpatient wards in hospitals in Pakistan.