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Prasad P, Gounder S, Varman S, et al. Sputum smear conversion and treatment outcomes for tuberculosis patients with and without diabetes in Fiji. Public Health Action. 2014;4(3):159-63doi: 10.5588/pha.14.0023.
Prasad, P., Gounder, S., Varman, S., & Viney, K. (2014). Sputum smear conversion and treatment outcomes for tuberculosis patients with and without diabetes in Fiji. Public health action, 4(3), 159-63. https://doi.org/10.5588/pha.14.0023
Prasad, P, et al. "Sputum smear conversion and treatment outcomes for tuberculosis patients with and without diabetes in Fiji." Public health action vol. 4,3 (2014): 159-63. doi: https://doi.org/10.5588/pha.14.0023
Prasad P, Gounder S, Varman S, Viney K. Sputum smear conversion and treatment outcomes for tuberculosis patients with and without diabetes in Fiji. Public Health Action. 2014 Sep 21;4(3):159-63. doi: 10.5588/pha.14.0023. PMID: 26400803; PMCID: PMC4533811.
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Public Health Action. 2014 Sep 21;4(3):159-63. doi: 10.5588/pha.14.0023.

Sputum smear conversion and treatment outcomes for tuberculosis patients with and without diabetes in Fiji.

Public health action

P Prasad, S Gounder, S Varman, K Viney

Affiliations

  1. College of Medicine, Nursing and Health Sciences, Fiji National University, Suva, Fiji.
  2. National Tuberculosis Programme, Fiji Ministry of Health, Suva, Fiji.
  3. Public Health Division, Secretariat of the Pacific Community, Nouméa, New Caledonia ; National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT, Australia.

PMID: 26400803 PMCID: PMC4533811 DOI: 10.5588/pha.14.0023

Abstract

SETTINGS: Three tuberculosis (TB) treatment centres under the Fiji National Tuberculosis Programme.

OBJECTIVES: To determine the prevalence of diabetes mellitus (DM) among TB patients for the period 2010-2012, and to evaluate sputum smear conversion and anti-tuberculosis treatment outcomes, comparing patients with and without DM.

DESIGN: A retrospective descriptive study using routinely collected data from the TB register and in-patient folders.

RESULTS: Of 577 TB patients identified, information on DM was available for 567 (98%), of whom 68 (12%) had DM. Smear status at 2 months was available for 254 (82%) patients with sputum smear-positive pulmonary TB. The sputum smear conversion rate (from positive to negative) was equivalent in TB patients with and without DM (78% vs. 80%, P = 0.66). Anti-tuberculosis treatment outcome information was available for 462 patients; the difference in outcome comparing successfully treated patients with those unsuccessfully treated was not statistically significant (91% in TB patients with DM vs. 84% in TB patients without DM, P = 0.06).

CONCLUSION: DM is common among TB patients in Fiji. Sputum smear conversion rates were not different in TB patients with and without DM; no difference in treatment success between the two groups was observed.

Keywords: Fiji; diabetes mellitus; treatment outcomes; tuberculosis

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