bidirectional screening for tuberculosis in diabetes patient - Screening patients with TB for DM animal model diabetes also yielded high prevalences of DM ranging from 19 to 35 Two studies examining the role of TB preventive therapy in people with DM did not provide sufficient details for clear evidence of the effectiveness Conclusion Active screening leads to the detection of more TB and DM with varying yield In 2011 WHO and the International Union Against Tuberculosis and Lung Disease The Union launched a new Collaborative Framework for the care and control of Diabetes and Tuberculosis with one of the important activities being the routine implementation of bidirectional screening of the two diseases WHO IUATLD 2011 Clinical management of concurrent diabetes and tuberculosis The converging epidemics of noncommunicable disease like DM DM and an infectious disease like tuberculosis TB is a double burden DM is increasing in the same population that is at high risk for developing TB There is a twotofourfold higher risk of active TB in individuals with DM and up to 30 of individuals with TB are likely to have DM Immune deficiency either in absolute or Bidirectional screening of tuberculosis patients for diabetes Diabetes in tuberculosis patients An emerging public health Diabetes triples the risk for active tuberculosis thus the increasing burden of type 2 diabetes will help to sustain the present tuberculosis epidemic Recommendations have been made for bidirectional screening but evidence is scarce about the performance of specific tuberculosis tests in individuals with diabetes specific diabetes tests in patients with tuberculosis and screening and Introduction There are efforts in low and middleincome countries LMICs to integrate Tuberculosis TB and Diabetes mellitus DM healthcare services as encouraged by WHO and other international health organizations However evidence on actual effect of different integration measures on bidirectional screening coverages and or treatment outcomes for both diseases in LMICs is scarce The results of DM screening among TB patients are summarised in Table 1 The median interquartile range age of the TB patients was 35 2545 years Of 510 TB patients 32 63 had been previously diagnosed with DM Screening among the remaining 478 patients yielded 15 29 and 15 29 prediabetes and new DM cases respectively Results of the Implementation of a Pilot Model for the Effect of Tuberculosis TB and Diabetes mellitus DM Among the retrieved citations we examined the full texts of articles with abstracts that described or mentioned 1 the screening of people with DM for TB 2 the screening of patients with TB for DM or glucose intolerance 3 the effectiveness of preventive therapy in people with DM or 4 diabetes and tuberculosis but did not Total of 4118 diabetes patients were screened for TB in which 111 patients 52 new smear positive 29 new smear negative 30 new extrapulmonary The key findings of the study are nearly half of the TB patients had either diabetes or prediabetic status Following are the challenges in bidirectional screening of tuberculosis and diabetes Screening patients with Diabetes Mellitus for Tuberculosis in One study from Zimbabwe showed 57 increase in DM screening among TB patients in integrated care as compared to nonintegrated care 95 CI 541 598 Seven studies with beforeafter comparison groups reported increased screening coverage during implementation of integrated healthcare that ranged from 101 in Mexico to 991 in China Bidirectional screening for tuberculosis and diabetes a Das S et al Bidirectional screening of tuberculosis patients for type 2 diabetes mellitus and diabetes patients for tuberculosis in obat luka diabetes tradisional Bhubaneswar Odisha Int J Bidirectional screening and treatment outcomes of diabetes Objectives and methods Retrospective chart review analysis was conducted to determine effects of integrated care on bidirectional screening and treatment outcomes for both TB patients and people with DM PWD recruited in eight Malawian hospitals Data of 15 years old patients registered between 2016 to August 2019 were collected and analysed Bidirectional screening and treatment outcomes of diabetes Bidirectional Screening of Tuberculosis Patients for Diabetes Diabetes Mellitus and Tuberculosis Endotext NCBI Bookshelf In the latter review among TB patients diabetes prevalence ranged from 19 to as high as 35 after screening and the highest rates were among regions of the world with the highest diabetes prevalence Again an American study reported that the odds ratio of multidrugresistant MDR TB associated with diabetes patients is 21 Bidirectional screening for tuberculosis and diabetes a Jali MV Mahishale VK HM Bidirectional screening of tuberculosis patients for diabetes mellitus and diabetes patients for tuberculosis Chest 2013144412 PMC free article Google Scholar 53 Kumar A Gupta D Nagaraja SB et al Screening of patients with diabetes mellitus for tuberculosis in India Diabetes may adversely affect TB treatment outcomes and reduce the likelihood of a favorable outcome and increase drug resistance the risk of relapse and death1011121314 Screening for DM in TB patients provides an opportunity for early detection and timely intervention for better treatment outcomes1516 The importance of routine Bidirectional screening for tuberculosis and diabetes a Jali MV Mahishale VK Hiremathi MB Bidirectional screening of tuberculosis patients for diabetes mellitus and diabetes patients for tuberculosis Diabetes Metab J 2013 doi 104093dmj2013374291 Tuberculosisdiabetes mellitus bidirectional screening at a Jali MV Mahishale VK Hiremath MB 2013 Bidirectional screening of tuberculosis patients for diabetes mellitus and diabetes patients for tuberculosis Diabetes Metab J 37 291295 PMC free article Google Scholar 10 Lin Y Li L Mi F Du J Dong Y et al 2012 Screening patients with diabetes mellitus for tuberculosis in China Trop Effect of Tuberculosis TB and Diabetes mellitus DM Diabetes triples the risk for active tuberculosis thus the increasing burden of type 2 diabetes will help to sustain the present tuberculosis epidemic Recommendations have been made for bidirectional screening but evidence is scarce about the performance of specific tuberculosis tests in individu Bidirectional screening and treatment outcomes of diabetes Screening of TB patients for DM also leads to earlier detection of DM and better treatment and favourable outcome for TB as well as DM Hence we conclude Bidirectional screening of tuberculosis patients for diabetes and diabetes patients for tuberculosis is feasible and imperative in routine health care settings NOTES Diabetes among tuberculosis patients and its impact on The Bidirectional Relationship between Tuberculosis and Diabetes To assess the feasibility and results of screening diabetes mellitus DM patients for tuberculosis TB and TB patients for DM within the routine health care setting Prospective observational study carried out within the Diabetes Centre and Pulmonary Medicine Department from February 2012 to Septe Clinical management of concurrent diabetes and tuberculosis Bidirectional Screening of Tuberculosis Patients for Diabetes We conducted this systematic review to address three distinct aims 1 to assess the yield of screening people with DM for the detection of TB in various settings 2 to assess the yield of screening the patients with TB for the detection of DM in various settings and 3 to measure the effectiveness of TB preventive therapy cara menaikkan berat badan penderita diabetes in people with DM
american diabetes association gestational diabetes mellitus diabetes care 2004
cara membersihkan luka diabetes dengan cairan infus
