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high diabetes prevalence among tuberculosis cases in kerala, india印度喀拉拉邦的结核病例中糖尿病患病率高.pdf

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high diabetes prevalence among tuberculosis cases in kerala, india印度喀拉拉邦的结核病例中糖尿病患病率高

High Diabetes Prevalence among Tuberculosis Cases in Kerala, India 1 2 3 4 Shibu Balakrishnan *, Shibu Vijayan , Sanjeev Nair , Jayasankar Subramoniapillai , 4 2 2 1 Sunilkumar Mrithyunjayan , Nevin Wilson , Srinath Satyanarayana , Puneet K. Dewan , 1 1 5 6,7 Ajay M. V. Kumar , Durai Karthickeyan , Matthew Willis , Anthony D. Harries , Sreenivas Achuthan Nair1 1 Department of Tuberculosis, Office of the WHO Representative to India, New Delhi, India, 2 International Union Against TB and Lung Diseases, South East Asia Regional Office, New Delhi, India, 3 Department of Respiratory Medicine, Government Medical College, Thiruvananthapuram, Kerala, India, 4 State TB Cell, Directorate of Health Services, Thiruvananthapuram, Kerala, India, 5 Epidemic Intelligence Service Centers for Disease Control and Prevention, Division of TB Elimination, Atlanta, Georgia, United States of America, 6 International Union Against Tuberculosis and Lung Disease, Paris, France, 7 London School of Hygiene and Tropical Medicine, London, United Kingdom Abstract Background: While diabetes mellitus (DM) is a known risk factor for tuberculosis, the prevalence among TB patients in India is unknown. Routine screening of TB patients for DM may be an opportunity for its early diagnosis and improved management and might improve TB treatment outcomes. We conducted a cross-sectional survey of TB patients registered from June–July 2011 in the state of Kerala, India, to determine the prevalence of DM.