Tuberculosis and associated factors among type 2 diabetic patients in Perak: a case control study

This is a case-control study conducted with diabetic patients in Kinta, Kampar and Larut-Matang-Selama districts of Perak, Malaysia. We intended to determine the factors contributing to the development of active tuberculosis among diabetes patients. Cases were culture-proven and registered in the...

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Main Authors: Kui, Choon Yong, Noor Azimah Muhammad, Lim, Wei-Yin, Amar-Singh HSS
Format: Article
Language:English
Published: Penerbit Universiti Kebangsaan Malaysia 2020
Online Access:http://journalarticle.ukm.my/15398/
http://journalarticle.ukm.my/15398/1/12.pdf
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author Kui, Choon Yong
Noor Azimah Muhammad,
Lim, Wei-Yin
Amar-Singh HSS,
author_facet Kui, Choon Yong
Noor Azimah Muhammad,
Lim, Wei-Yin
Amar-Singh HSS,
author_sort Kui, Choon Yong
building UKM Institutional Repository
collection Online Access
description This is a case-control study conducted with diabetic patients in Kinta, Kampar and Larut-Matang-Selama districts of Perak, Malaysia. We intended to determine the factors contributing to the development of active tuberculosis among diabetes patients. Cases were culture-proven and registered in the Malaysian National Tuberculosis Surveillance Registry (MyTB) from 2012 to 2018. Controls were diabetes patients identified from the National Diabetes Registry and were matched with cases based on the clinic in which they were registered at a ratio of 1:1. 119 cases and 119 controls were included in this study. Multivariate analysis was used to identify clinical factors associated with tuberculosis. Patient had increased odds of having tuberculosis if they had higher glycaemic (HbA1c) levels (OR=1.41, 95% CI 0.22-0.96, p<0.001) or nephropathy (OR=8.91, 95% CI 2.31-34.05, p<0.001). The odds ratio was lower if they have diabetes for at or more than 5 years (OR=0.46, 95% CI 0.22-0.96, p=0.04) and older (OR=0.96, CI 0.92-0.99, p=0.02). In conclusion, this study suggests that routine screening for tuberculosis in patients with diabetes should consider the diabetic duration, glycemic control, presence of nephropathy, and age of the patient.
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spelling oai:generic.eprints.org:153982020-10-23T01:00:40Z http://journalarticle.ukm.my/15398/ Tuberculosis and associated factors among type 2 diabetic patients in Perak: a case control study Kui, Choon Yong Noor Azimah Muhammad, Lim, Wei-Yin Amar-Singh HSS, This is a case-control study conducted with diabetic patients in Kinta, Kampar and Larut-Matang-Selama districts of Perak, Malaysia. We intended to determine the factors contributing to the development of active tuberculosis among diabetes patients. Cases were culture-proven and registered in the Malaysian National Tuberculosis Surveillance Registry (MyTB) from 2012 to 2018. Controls were diabetes patients identified from the National Diabetes Registry and were matched with cases based on the clinic in which they were registered at a ratio of 1:1. 119 cases and 119 controls were included in this study. Multivariate analysis was used to identify clinical factors associated with tuberculosis. Patient had increased odds of having tuberculosis if they had higher glycaemic (HbA1c) levels (OR=1.41, 95% CI 0.22-0.96, p<0.001) or nephropathy (OR=8.91, 95% CI 2.31-34.05, p<0.001). The odds ratio was lower if they have diabetes for at or more than 5 years (OR=0.46, 95% CI 0.22-0.96, p=0.04) and older (OR=0.96, CI 0.92-0.99, p=0.02). In conclusion, this study suggests that routine screening for tuberculosis in patients with diabetes should consider the diabetic duration, glycemic control, presence of nephropathy, and age of the patient. Penerbit Universiti Kebangsaan Malaysia 2020-05 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/15398/1/12.pdf Kui, Choon Yong and Noor Azimah Muhammad, and Lim, Wei-Yin and Amar-Singh HSS, (2020) Tuberculosis and associated factors among type 2 diabetic patients in Perak: a case control study. Sains Malaysiana, 49 (5). pp. 1081-1088. ISSN 0126-6039 http://www.ukm.my/jsm/malay_journals/jilid49bil5_2020/KandunganJilid49Bil5_2020.html
spellingShingle Kui, Choon Yong
Noor Azimah Muhammad,
Lim, Wei-Yin
Amar-Singh HSS,
Tuberculosis and associated factors among type 2 diabetic patients in Perak: a case control study
title Tuberculosis and associated factors among type 2 diabetic patients in Perak: a case control study
title_full Tuberculosis and associated factors among type 2 diabetic patients in Perak: a case control study
title_fullStr Tuberculosis and associated factors among type 2 diabetic patients in Perak: a case control study
title_full_unstemmed Tuberculosis and associated factors among type 2 diabetic patients in Perak: a case control study
title_short Tuberculosis and associated factors among type 2 diabetic patients in Perak: a case control study
title_sort tuberculosis and associated factors among type 2 diabetic patients in perak: a case control study
url http://journalarticle.ukm.my/15398/
http://journalarticle.ukm.my/15398/
http://journalarticle.ukm.my/15398/1/12.pdf