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. 2014 Jun 21;4(Suppl 1):S50-2.
doi: 10.5588/pha.13.0079.

Screening adult tuberculosis patients for diabetes mellitus in Ebeye, Republic of the Marshall Islands

J N Nasa  1 , R Brostrom  2 , S Ram  3 , A M V Kumar  4 , J Seremai  1 , M Hauma  1 , I A Paul  1 , J R Langidrik  5
Affiliations

Screening adult tuberculosis patients for diabetes mellitus in Ebeye, Republic of the Marshall Islands

J N Nasa et al. Public Health Action. .

Abstract
in English, French, Spanish

A retrospective cohort study was conducted to evaluate the screening of adult TB patients for diabetes (DM) using glycated haemoglobin (HbA1C) in Ebeye, Republic of the Marshall Islands. Of 62 patients registered between July 2010 and December 2012, 28 (45%) had DM. The only significant difference in baseline characteristics between those with and those without DM was higher age in those with DM. Two-month sputum smears and cultures were also not different between the two groups. Despite the limited sample size, this study shows that screening TB patients for DM in Ebeye is feasible and worthwhile and that it should be continued.

Une étude rétrospective de cohorte a été réalisée afin d'évaluer le dépistage du diabète (DM) chez des patients tuberculeux adultes grâce à l'hémoglobine glycosylée (HbAIC) à Ebeye, République des îles Marshall. Entre juillet 2010 et décembre 2012, 62 patients ont été enregistrés, parmi lesquels 28 (45%) avaient un DM. La seule différence significative dans les caractéristiques de départ entre les patients était un âge plus avancé pour les diabétiques. Les frottis et cultures de crachats à 2 mois étaient similaires. Malgré la taille limitée de l'échantillon, cette étude montre que le dépistage du DM chez les patients tuberculeux est faisable et utile et devrait être poursuivi.

Se llevó a cabo un estudio retrospectivo de cohortes con el fin de examinar la detección sistemática de la diabetes mellitus (DM) en los pacientes adultos con diagnóstico de tuberculosis (TB), mediante la determinación de la hemoglobina glucosilada (HbA1C) en Ebeye, en la República de las Islas Marshall. Se registraron 62 pacientes entre julio del 2010 y diciembre del 2012, de los cuales 28 eran diabéticos (45%). La única diferencia significativa en las características iniciales de los pacientes con y sin DM fue una edad mayor de los pacientes con DM. No se observó diferencia entre los grupos de los resultados de la baciloscopia ni el cultivo del esputo a los 2 meses. Pese al tamaño reducido de la muestra, el presente estudio pone en evidencia que la detección sistemática de la DM en los pacientes con diagnóstico de TB es factible, útil y que se debe continuar.

Keywords: DM screening; Pacific Islands; TB outcomes; TB standards.

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References

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