Abstract

Background: Tuberculosis (TB) is a foremost global health problem. In 2014, 1.5 million deaths were reported from TB worldwide. In the period of 2010–2014, there was a steady trend of died and defaulted among TB cases with 4% and 6%, respectively, in India. There were few studies regarding trends among died and defaulted in Bastar region and hence the study was planned to assess died and defaulted trends among registered TB patients from the year 2010 to 2014 at TU, Maharani Hospital, Jagdalpur, District Bastar of State Chhattisgarh. Aims and
Objective: The present study was conducted with an attempt to assess trends among registered TB cases at Jagdalpur TU in Bastar during 5-year period, i.e., 2010–2014. Material and Methods: It was record based analysis of registered TB cases from year 2010 to 2014, data from TU Jagdalpur, District Bastar, of Chhattisgarh, India, registered from year 2010 to 2014. Collected secondary data were analyzed with the help of STAT/SE 14.1.
Results: Overall percentages of died and defaulted among total of 2533 TB patients were 3.7% and 18.7%, respectively. Significant decline was found in died ( P = 0.004) and defaulted (P = 0.000) from 2011 onwards. The mortality was highest in retreatment cases, 7.6%, followed by new smear positive (NSP), 4.9%. New smear negative (NSN) cases had the lowest mortality, 1.4%, and highest default rate, 19.9%. Both death and default rates were 14.8% among the HIV positives.
Conclusions: There was significant decline in died and defaulted because of the treatment outcome in total registered TB cases, from year 2010 to 2014. While the death rate was low, the default rate was highest in NSN cases. The mortality was high among HIV-positive TB patients.