A five year retrospective study of paediatric tuberculosis patients registered in Nanded Municipal Corporation

Pralhad Sureshrao Potdar


Background: Tuberculosis (TB) is one of the most serious infections in the world contributing one third of the world’s population. Near about 11% of the childhood mortality and morbidity caused by tuberculosis worldwide, especially in developing countries. The aims and objectives of this study were to study retrospectively the clinical profile and treatment outcome of paediatric TB cases treated under RNTCP.

Methods: An observational record based study was conducted among paediatric patients registered under Revised National Tuberculosis Control Programme (RNTCP) in NANDED city to know their disease profile from 2011- 2015.

Results: In this study, the mean age of the study subjects was 10.58 years, most of them were in the 11-14 year age group (62.9%) followed by 6-10 years (25%) and 0-5 years (12.1%) respectively. with a female to male ratio of 6.1: 3.8. There were more cases of tuberculosis among female children with significantly more girls (61.4%) than boys (38.6%) {χ2=8.924, p< 0.01154 (S)} and 46.2% of them had extra pulmonary TB. Out of total (132), pulmonary TB cases were (53.8%) and among the extra pulmonary TB cases, tuberculous lymphadenitis (26.5%) was the commonest form for all ages followed by Abdominal Koch’s in 9.1%. Category I and II was started on 91.7% and 8.3% patients respectively. Overall, treatment completion rate was 82.5% and the default rate was 2.3% with a cure rate of 15.2%. More than one fourth of the study subjects gave a history of contact with tuberculosis patient.

Conclusions: The probable reason for more prevalence of TB among females may be due to, neglected female child’s nutrition and health status in society. Paediatric tuberculosis still continues to be a major problem in 1-5 years of age who are undernourished and belonging to lower socioeconomic status.


PHI-peripheral health institute, Revised national tuberculosis control programme

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Debnath D, Javadekar S. Tuberculosis in children of HIV-infected parents. Med J Dr DY Patil Univ. 2015;8(5):590.

Central TB division, TB division: Revised National TB control Programme Annual Status Report. New Delhi. Directorate General of Health services, Ministry of Health and Family Welfare, Government of India, New Delhi, 2011.

John TJ, Vashishtha VM, John SM. 50 years of tuberculosis control in India: progress, pitfalls and the way forward. Indian Pediatr. 2013;50:93–8.

WHO Report. Global Tuberculosis Control; 2011. Available at: global_report/2011/ gtbr11_full.pdf. Accessed on 17 October 2013.

World health Organisation (WHO). Global Tuberculosis Report; 2014. Available at: http:// Accessed on November 3, 2014.

World health Organization (WHO): WHO Global tuberculosis control report: Geneva, Switzerland. 2013. Available at publications/ factsheet_global.pdf. Accessed on November 3, 2014.

World Health Organization. A Research Agenda for Childhood Tuberculosis: Improving the Management of Childhood Tuberculosis within National Tuberculosis Programmes: Research Priorities Based on a Literature Review. Geneva: World Health Organization; 2007. Accessed on November 3, 2014.

Dolin PJ, Raviglione MC, Kochi A. Global tuberculosis incidence and mortality during 1990-2000. Bull World Health Organ. 1994:2:213-20.

Stop TB. Partnership childhood TB, subgroup world health organization: Guidance for national tuberculosis programmes on the management of tuberculosis in children. Chapter 1: Introduction and diagnosis of tuberculosis in children. Int J Tuberc Lung Dis. 2006;10:1091-7.

Nelson LJ, Wells CD. Global epidemiology of childhood tuberculosis. Int J Tuberc Lung Dis. 2004;8:636-47.

Sreeramareddy CT, Ramakrishnareddy N, Shah RK, Baniya R, Swain PK. Clinico-epidemiological profile and diagnostic procedures of pediatric. BMC Pediatr. 2010;10:57.

Chowdhury R, Mukherjee A, Singla R, Saha I, Dutta R, Das T. Comparison between childhood and adult tuberculosis in a rural tuberculosis unit of West Bengal: A retrospective study. Lung India. 2014;31(2):116.

Arora VK, Gupta R. Directly observed treatment for tuberculosis. Indian J of pediatr. 2003;70(11):885-9.

Sharma S, Sarin R, Khalid UK, Singla N, Sharma PP, Behera D. The DOTS strategy for treatment of paediatric pulmonary tuberculosis in South Delhi, India. Int J Tuberc Lung Dis. 2008;12:74-80.

SushamaBai S, Lekshmi Devi R. Clinical spectrum of tuberculosis in BCG vaccinated Children. Indian Pediatr. 2002;39:458-62.

Indumathi CK, Prasanna KK, Dinakar C, Shet A, Lewin S. Intermittent Short Course Therapy for Pediatric Tuberculosis. Indian Pediatr. 2010;(47):93-6.

Madhi F, Fuhrman C, Monnet I, Atassi K, Poirier C, Housset B, et al. Transmission of tuberculosis from adults to children in a Paris suburb. Pediatr Pulmonol. 2002;34(3):159-63.

Maltezou HC, Spyridis P, Kafetzis DA. Extra-pulmonary tuberculosis in children; Arch Dis Child. 2000;83:342-6.

Uysal G, Gursoy T, Guven A, Gunindi F, Cuhaci B. Clinical features of extra pulmonary tuberculosis in children. Saudi Med J. 2005;26(5):750-3.