Published March 30, 2023 | Version http://impactfactor.org/PDF/IJTPR/13/IJTPR,Vol13,Issue3,Article40.pdf
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To Evaluate the Prognostic Value of Some Serum Protein Fractions as Early Index of Clinical Recovery in Pulmonary Tuberculosis Subjects

Authors/Creators

  • 1. Assistant Professor, Department of Pulmonary Medicine, Lord Buddha Koshi Medical College and Hospital, Saharsa, Bihar, India

Description

Aim: The aim of this study to evaluate the prognostic value of some serum protein fractions as early index of Clinical recovery in pulmonary tuberculosis subjects. Methods: This Interventional comparative study was done the Department of Pulmonary Medicine, Lord Buddha Koshi Medical College and Hospital, Saharsa ,Bihar, India for one year.A total of 100 subjects aged between 20 and 50 years were conveniently recruited for this study. 50 were clinically confirmed PTB subject with no HIV nor malaria co-infections. They were further sub-divided into TB subjects on ATT 25 and drug naive TB subjects 25. The remaining were 50 (25 females and 25 males) aged matched apparently healthy controls. Results: The results showed that BMI (kg/m2) in drug naive TB subjects (19.35 ± 2.75) and in the TB subjects on ATT (20.40 ± 2.90) was significantly lower when compared to control subjects (24.68 ± 3.15) (p=0.001). Similarly, waist and hip circumferences (cm) of the drug naive TB subjects (50.22 ± 1.44,70.68 ± 2.10) and the TB subjects on ATT (51.14 ± 2.98, 70.56 ± 2.75) were significantly lower when compared to control subjects (52.34 ± 4.56, 72.33 ± 3.54) (p=0.03 and 0.02). However, the mean value of WHR in drug naive TB subjects (0.72 ± 0.04) and in TB subjects on ATT (0.74 ± 0.05) were not statistically significant when compared to control subjects (0.73 ± 0.06) (p ¼ 0.27). In TB subjects on ATT, the mean (±SD) serum albumin (g/ dl) was (3.51 ± 1.57) and control subjects (3.83 ± 1.15) (p=0.108). In contrast, the drug naive TB subjects had a significantly lower mean serum albumin (2.88 ± 0.87) when compared with the control (3.83 ± 1.15) (p=0.001). Conclusion: We concluded that the BMI was found to be significantly lower in both drug naive PTB subjects and in PTB subjects on ATT when compared with the control subjects.

Abstract (English)

Aim: The aim of this study to evaluate the prognostic value of some serum protein fractions as early index of Clinical recovery in pulmonary tuberculosis subjects. Methods: This Interventional comparative study was done the Department of Pulmonary Medicine, Lord Buddha Koshi Medical College and Hospital, Saharsa ,Bihar, India for one year.A total of 100 subjects aged between 20 and 50 years were conveniently recruited for this study. 50 were clinically confirmed PTB subject with no HIV nor malaria co-infections. They were further sub-divided into TB subjects on ATT 25 and drug naive TB subjects 25. The remaining were 50 (25 females and 25 males) aged matched apparently healthy controls. Results: The results showed that BMI (kg/m2) in drug naive TB subjects (19.35 ± 2.75) and in the TB subjects on ATT (20.40 ± 2.90) was significantly lower when compared to control subjects (24.68 ± 3.15) (p=0.001). Similarly, waist and hip circumferences (cm) of the drug naive TB subjects (50.22 ± 1.44,70.68 ± 2.10) and the TB subjects on ATT (51.14 ± 2.98, 70.56 ± 2.75) were significantly lower when compared to control subjects (52.34 ± 4.56, 72.33 ± 3.54) (p=0.03 and 0.02). However, the mean value of WHR in drug naive TB subjects (0.72 ± 0.04) and in TB subjects on ATT (0.74 ± 0.05) were not statistically significant when compared to control subjects (0.73 ± 0.06) (p ¼ 0.27). In TB subjects on ATT, the mean (±SD) serum albumin (g/ dl) was (3.51 ± 1.57) and control subjects (3.83 ± 1.15) (p=0.108). In contrast, the drug naive TB subjects had a significantly lower mean serum albumin (2.88 ± 0.87) when compared with the control (3.83 ± 1.15) (p=0.001). Conclusion: We concluded that the BMI was found to be significantly lower in both drug naive PTB subjects and in PTB subjects on ATT when compared with the control subjects.

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Dates

Accepted
2022-10-25

References

  • 1. World Health Organization. Global Tuberculosis Report; 2014. Available online: http://www.who.int/tb/publications/glo bal report/en/. Accessed May 19, 2022. 2. Sinclair D, Abba K, Grobler L, Sudarsanam TD. Nutritional supplements for people being treated for active tuberculosis. Cochrane Database Sys Rev. 2011;9:CDC006086. 3. Cegielski JP, McMurray DN. The relationship between malnutrition and Tuberculosis: evidence from studies in humans and experimental animals. Int J Tuberc Lung Dis. 2004;8:286e298. 4. Larouze´ B, Sa´nchez A, Diuana V. Tuberculosis behind bars in developing countries: a hidden shame to public health. Trans Res Soc Trop Med Hyg. 2008;102:841e842. 5. World Health Organization. Global tuberculosis report 2015. 20th ed. World Health Organization; 2015. https://apps.who. int/iris/handle/10665/191102. 6. Lonroth K, Williams BG, Cegielski P, Dye C. A constant log-linear relationship between tuberculosis incidence and body mass index. Int J Epidemiol. 2010;39:149e155. 7. Chong TW, Nilmani S. Serum immunoglobulin and acute phase protein concentrations in pulmonary tuberculosis patients in Singapore. Tropical and Geographical medicine. 1989;41:218e221. 8. Shingdang J, Bot Y, Ojo O, et al. Serum Albumin/Globulin ratio in tuberculosis and HIV patients any Relationship? Mycobact Dis. 2016;6:199. 9. Zia HK, Shankar S. Effect of antituberculosis drugs on levels of serum proteins in pulmonary tuberculosis patients. Int J Pharm Res Allied Sci. 2012;1:94e100. 10. Narwadiya SC, Dhumne UL, Sahare KN, et al. Serum Protein Level Changes in Dots Administered Patients of Nagpur District: A Case Study. Nagpur: Department of Microbiology and Biochemistry, R. T M Nagpur University; 2012. 11. World Health Organisation. Treatment of Tuberculosis: Guidelines for National Programmes. World Health Organisation; 2003. 12. Dale CW. Domestic Science. vol. 229. Cambridge: Cambridge University Press; 1915. seria: Cambridge technical series. 13. Savory J, Hammond J. Measurement of proteins in biological fluids. In: Sonnenwirth AC, Jarett L, eds. Gradwohl's Clinical Laboratory Methods and Diagnosis. St Louis: CV. Mosby; 1980:256e270. 14. PrayGod G, Range N, Faurholt-Jepsen D, et al. Weight, body composition and handgrip strength among pulmonary tuberculosis patients: a matched crosssectional study in Mwanza, Tanzania. Trans Res Soc Trop Med Hyg. 2011; 105:140e147. 15. Umo AN, Umoh ON. Weight gain as tuberculosis treatment regimen progresses in patients receiving antituberculosis therapy. Asian J Med Health. 2016;1:1e5. 16. Schwenk A, Hodgson L, Wright A, Ward CL, Rayner CFG. Nutrient partitioning during treatment of tuberculosis: gain in body fat mass but not in protein mass. Am J Clin Nutr. 2004; 79:1006e1012. 17. Bekker LG, Martens G, Steyn L, Kapin G. Selective increase in plasma tumour necrosis factor-alpha and concomitant clinical deterioration after initiating therapy in patients with severe tuberculosis. JID (J Infect Dis). 1998;178:580e584. 18. Krapp F, Veliz JC, Cornejo E, Gotuzzo E, Seas C. Bodyweight gain to predict treatment outcome in patients with pulmonary tuberculosis in Peru. Int J Tuberc Lung Dis. 2008;12:1153e1159. 19. Karyadi E, Schultink W, Nelwan RH, et al. Poor micronutrients status of active pulmonary tuberculosis patients in Indonesia. J Nutr. 2000; 130: 2953- 2958. 20. Egah DZ, Banwat EB, Alanana JA, et al. Tuberculosis in Jos Nigeria: a 9-year Review of laboratory report at the Jos University Teaching Hospital. Niger Med Pract. 2004;46:33e35. 21. Damburam A, Garbati MA, Yusuph H. Serum proteins in health and in patients with pulmonary tuberculosis in Nigeria. J Infect Dis Immun. 2012;4:16e19. 22. Onwuameze JC. Specific protein pattern in adult healthy Nigerians. Afr J Med Med Sci. 1989;18:49e53. 23. Edozien JC. The development of serum protein pattern in Africa. J Clin Pathol. 1961;14:644e653. 24. Freigang B, Boyd RP, Elliott GB. Serum protein electrophoresis in tuberculosis. Can Med Assoc J. 1963;88:240e242. 25. Arinola OG, Igbi J. Serum immunoglobins and CICs in Nigerians with pulmonary tuberculosis and HIV. Trop J Med Res. 1998;2:41e48.