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Clinical Presentation, Demographics and Outcomes of Cases of Tuberculosis at Princess Margaret Hospital, Nassau, The Bahamas 2014─2016

DOI: 
10.7727/wimj.2018.114
Pages: 

ABSTRACT

Objectives: To determine incidences of cases, demographics, clinical presentation, diagnostic methods and outcomes of cases of tuberculosis (TB) in The Bahamas, 2014─2016.

Methods: A retrospective chart review of cases of Tuberculosis diagnosed at the Princess Margaret Hospital, Nassau, The Bahamas. One hundred and eighty-nine cases of active tuberculosis diagnosed between 2014─2016 and all cases were evaluated for demographics, risk factors, clinical manifestation, method of diagnosis, symptoms and treatment outcomes

Results: Of the 189 cases of notified tuberculosis between 2014─2016, 46 cases were reported in 2014, 60 cases in 2015 and 83 cases in 2016. The mean age was 37.96 (± 18.20) years old. One hundred and sixty-four (86.8%) presented with symptoms, 19 (10.1%) were diagnosed by routine screening and 6 (3.2%) cases were diagnosed by contact tracing. One hundred and nine (59.9%) were HIV negative and 73 (40.1%) were HIV positive. One hundred and forty-four (76.2%) presented with cough, 84 (44.7%) weight-loss, 80 (42.3%) fever, 44 (23.3%) night sweats, 43 (22.8%) chills, 32 (16.9%) fatigue and 25 (13.2%) hemoptysis. One hundred and twenty-six (66.7%) completed the full course of antibiotic therapy, 29 (15.3%) patients expired before completing treatment and 18 (9.5%) of patients defaulted.

Conclusions: HIV is a major risk factor for Tuberculosis in The Bahamas and it is advised that all patients diagnosed with TB be tested for HIV. We also advise screening HIV positive patients for TB. Beneficially, screening other high risk groups such as migrant populations would also reduce the amount of latent TB cases which may progress to active TB.

 

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e-Published: 08 Mar, 2019

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