Publication: Tuberculosis diagnosed / managed at NGMC, Teaching Hospital, Kohalpur: A joint private-public effort
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Date
2008
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Kathmandu University
Abstract
Abstract
Introduction: Medical colleges both in public and private sector in Nepal have been supporting national TB control
program (NTP) in its effort to control TB and its eventual elimination. Official collaboration between Nepalganj
Medical College (NGMC), a private sector medical college and NTP was developed in 2000; a joint private-public
initiative to contain TB.
Objectives: This study has been done with the objectives a) to review the TB cases diagnosed/managed at NGMC
Teaching Hospital (TH), Kohalpur, in Financial Year 2063/2064 (Shrawan 63 Asad 64) and b) to assess the
contribution of NGMC, TH, Kohalpur towards TB control.
Methodology: This is record based review of TB cases diagnosed, categorized, treated at NGMC TH, Kohalpur and
referred to respective health facilities in Financial Year 2063/2064 (Shrawan 63 Asad 64). And case detection with
respect to detected TB cases in Midwestern Region and entire country.
Results: Around 13% of detected TB cases for Mid Western Region and 1.5 % of detected TB cases at national
level were diagnosed at NGMC, TH, Kohalpur. 35% of cases were of pediatric TB; lymph node TB, pleural effusion
& abdominal TB were common form of extra pulmonary (EP) TB seen in children. 20.8%, 44.8% and 34.4% of
cases in adults were of sputum smear (SS) + pulmonary TB (PTB), SS- PTB & EPTB respectively; pleural effusion,
lymph node TB, Miliary & abdominal TB were common form of EPTB seen in adults.
Conclusion: Contribution of NGMC, TH, Kohalpur towards case detection seems to be significant. The role of
medical colleges in TB control can not be underestimated.
Keywords: TB Control, PP Mix, Medical Colleges, Nepalganj Medical College, Nepal
Description
Piryani RM¹, Kohli SC², Shrestha G³, Rawat T
¹Associate Professor, ²Professor, ³Professor & Head of Department, 2-3Department of Medicine, 4Sister In-charge DOTS Clinic 2-4Nepalganj Medical College, Teaching Hospital, Kohalpur / Nepalganj, Nepal, 1KIST Medical College, Lalitpur, Nepal (Formerly Associate Professor of Nepalganj Medical College, Teaching Hospital, Kohalpur/ Nepalganj, Nepal),