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Rajapakshe W, Isaakidis P, Sagili KD, et al. Screening patients with tuberculosis for diabetes mellitus in Ampara, Sri Lanka. Public Health Action. 2015;5(2):150-2doi: 10.5588/pha.15.0006.
Rajapakshe, W., Isaakidis, P., Sagili, K. D., Kumar, A. M., Samaraweera, S., Pallewatta, N., Jayakody, W., & Nissanka, A. (2015). Screening patients with tuberculosis for diabetes mellitus in Ampara, Sri Lanka. Public health action, 5(2), 150-2. https://doi.org/10.5588/pha.15.0006
Rajapakshe, W, et al. "Screening patients with tuberculosis for diabetes mellitus in Ampara, Sri Lanka." Public health action vol. 5,2 (2015): 150-2. doi: https://doi.org/10.5588/pha.15.0006
Rajapakshe W, Isaakidis P, Sagili KD, Kumar AM, Samaraweera S, Pallewatta N, Jayakody W, Nissanka A. Screening patients with tuberculosis for diabetes mellitus in Ampara, Sri Lanka. Public Health Action. 2015 Jun 21;5(2):150-2. doi: 10.5588/pha.15.0006. PMID: 26400388; PMCID: PMC4487478.
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Public Health Action. 2015 Jun 21;5(2):150-2. doi: 10.5588/pha.15.0006.

Screening patients with tuberculosis for diabetes mellitus in Ampara, Sri Lanka.

Public health action

W Rajapakshe, P Isaakidis, K D Sagili, A M V Kumar, S Samaraweera, N Pallewatta, W Jayakody, A Nissanka

Affiliations

  1. District Chest Clinic, Ampara, Sri Lanka.
  2. Médecins Sans Frontières, Operational Research Unit, Operational Centre Brussels, Luxembourg.
  3. International Union Against Tuberculosis and Lung Disease, South-East Asia Regional Office, New Delhi, India.
  4. National Programme for Tuberculosis Control and Chest Diseases, Colombo, Sri Lanka.

PMID: 26400388 PMCID: PMC4487478 DOI: 10.5588/pha.15.0006

Abstract

Given the well-known linkage between diabetes mellitus (DM) and tuberculosis (TB), the World Health Organization recommends bidirectional screening. Here we report the first screening effort of its kind from a chest clinic in the Ampara district of Sri Lanka. Of 112 TB patients registered between January 2013 and October 2014, eight had pre-existing DM. Of those remaining, 83 (80%) underwent fasting plasma glucose testing, of whom two (2%) and 17 (20%) were found to have diabetes and impaired fasting glucose, respectively. All of these were enrolled in care. Screening TB patients for DM was found to be feasible at the district level. Further studies at the provincial/country level are required before making any decision to scale up bidirectional screening.

Keywords: diabetes mellitus; screening; tuberculosis

References

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