This was a cross-sectional study involving a retrospective review of TB
registers and TB treatment cards.
The objectives were to determine: 1. the number and proportion of all TB
cases registered as extra-pulmonary TB (EPTB) from 2001 to 2010, 2. the
age and sex of the patients and the categories and types of EPTB
registered in 2010, and 3. their treatment outcomes.
The proportion of all TB cases registered as EPTB over a period of 10
years varied from 30% to 40%. In 2010, 505 patients were registered with
EPTB, of whom 50% were male, 21% were children, and 96% were new EPTB
cases. TB lymph node enlargement and pleural effusion were the two most
common types of EPTB, accounting for 67%, followed by abdominal TB and
spinal/bone/kidney disease. The overall treatment success rate was 90%,
and was generally similar with respect to sex, age and different types
Bhutan has a high proportion of patients registered as having EPTB, for
whom treatment outcomes are satisfactory. Further work is needed to
better understand how EPTB is diagnosed throughout the country.
Jamtsho, T.; Harries, AD.; Malhotra, S.; Wangchuk, D.; Dophu, U.; Dorji, T.; Dendup, T. The burden and treatment outcomes of extra-pulmonary tuberculosis in Bhutan. Public Health Action (2013) 3 (1) 38-42. [DOI: 10.5588/pha.12.0085]
The burden and treatment outcomes of extra-pulmonary tuberculosis in Bhutan.