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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Overt diabetes mellitus among newly diagnosed Ugandan tuberculosis patients: A cross sectional study
BMC Infectious Diseases, Volume 13, No. 1, Article 122, Year 2013
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Description
Background: There is a documented increase of diabetes mellitus in Sub Saharan Africa, a region where tuberculosis is highly endemic. Currently, diabetes mellitus is one of the recognised risk factors of tuberculosis. No study has reported the magnitude of diabetes mellitus among tuberculosis patients in Uganda, one of the countries with a high burden of tuberculosis. Methods: This was a cross-sectional study conducted among 260 consenting adult patients with a confirmed diagnosis of tuberculosis admitted on the pulmonology wards of Mulago national referral and teaching hospital in Kampala, Uganda to determine the prevalence of diabetes mellitus and associated clinical factors. Laboratory findings as well as the socio-demographic and clinical data collected using a validated questionnaire was obtained. Point of care random blood sugar (RBS) testing was performed on all the patients prior to initiation of anti tuberculosis treatment. Diabetes mellitus was diagnosed if the RBS level was ≥ 200mg/dl in the presence of the classical symptoms of diabetes mellitus. Results: The prevalence of diabetes mellitus among the admitted patients with tuberculosis was 8.5%. Only 5 (1.9%) patients with TB had a known diagnosis of diabetes mellitus at enrolment. Majority of the study participants with TB-DM co-infection had type 2 diabetes mellitus (n=20, 90.9%). At bivariate analysis, raised mean ALT concentrations of ≥80 U/L were associated with DM (OR-6.1, 95% CI 1.4-26.36, p=0.032) and paradoxically, HIV co-infection was protective of DM (OR-0.32, 95% CI 0.13-0.79, P=0.016). The relationship between DM and HIV as well as that with ALT remained statistically significant at multivariate analysis (HIV: OR- 0.17 95%CI 0.06-0.51, p=0.002 and ALT: OR-11.42 95%CI 2.15-60.59, p=0.004).Conclusion: This study demonstrates that diabetes mellitus is common among hospitalized tuberculosis patients in Uganda. The significant clinical predictors associated with diabetes mellitus among tuberculosis patients were HIV co-infection and raised mean serum alanine transaminase concentrations. © 2013 Kibirige et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Kibirige, Davis
Uganda, Kampala
St. Francis Hospital Uganda
Ssekitoleko, Richard
Uganda, Kampala
Makerere University College of Health Sciences
Uganda, Kampala
Mulago National Referral and Teaching Hospital
Mutebi, Edrisa Ibrahim
Uganda, Kampala
Makerere University College of Health Sciences
Uganda, Kampala
Mulago National Referral and Teaching Hospital
Worodria, William O.
Uganda, Kampala
Makerere University College of Health Sciences
Uganda, Kampala
Mulago National Referral and Teaching Hospital
Statistics
Citations: 57
Authors: 4
Affiliations: 3
Identifiers
Doi:
10.1186/1471-2334-13-122
e-ISSN:
14712334
Research Areas
Health System And Policy
Infectious Diseases
Noncommunicable Diseases
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Uganda