The prevalence of tuberculosis infection in India: A systematic review and meta-analysis
The National Prevalence Survey of India (2019-2021) estimated 31 per cent tuberculosis infection (TBI) burden among individuals above 15 years of age. However, so far little is known about the TBI burden among the different risk groups in India. Thus, this systematic review and meta-analysis, aimed...
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Published in | Indian journal of medical research (New Delhi, India : 1994) Vol. 157; no. 2&3; pp. 135 - 151 |
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Main Authors | , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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India
Wolters Kluwer - Medknow
01.02.2023
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Abstract | The National Prevalence Survey of India (2019-2021) estimated 31 per cent tuberculosis infection (TBI) burden among individuals above 15 years of age. However, so far little is known about the TBI burden among the different risk groups in India. Thus, this systematic review and meta-analysis, aimed to estimate the prevalence of TBI in India based on geographies, sociodemographic profile, and risk groups.
To identify the prevalence of TBI in India, data sources such as MEDLINE, EMBASE, CINAHL, and Scopus were searched for articles reporting data between 2013-2022, irrespective of the language and study setting. TBI data were extracted from 77 publications and pooled prevalence was estimated from the 15 community-based cohort studies. Articles were reviewed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines and were sourced using a predefined search strategy from different databases.
Out of 10,521 records, 77 studies (46 cross-sectional and 31 cohort studies) were included. The pooled TBI prevalence for India based on the community-based cohort studies was estimated as 41 per cent [95% confidence interval (CI) 29.5-52.6%] irrespective of the risk of acquiring it, while the estimation was 36 per cent (95% CI 28-45%) prevalence observed among the general population excluding high-risk groups. Regions with high active TB burden were found to have a high TBI prevalence such as Delhi and Tamil Nadu. An increasing trend of TBI was observed with increasing age in India.
This review demonstrated a high prevalence of TBI in India. The burden of TBI was commensurate with active TB prevalence suggesting possible conversion of TBI to active TB. A high burden was recorded among people residing in the northern and southern regions of the country. Such local epidemiologic variation need to be considered to reprioritize and implement-tailored strategies for managing TBI in India. |
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AbstractList | The National Prevalence Survey of India (2019-2021) estimated 31 per cent tuberculosis infection (TBI) burden among individuals above 15 years of age. However, so far little is known about the TBI burden among the different risk groups in India. Thus, this systematic review and meta-analysis, aimed to estimate the prevalence of TBI in India based on geographies, sociodemographic profile, and risk groups.
To identify the prevalence of TBI in India, data sources such as MEDLINE, EMBASE, CINAHL, and Scopus were searched for articles reporting data between 2013-2022, irrespective of the language and study setting. TBI data were extracted from 77 publications and pooled prevalence was estimated from the 15 community-based cohort studies. Articles were reviewed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines and were sourced using a predefined search strategy from different databases.
Out of 10,521 records, 77 studies (46 cross-sectional and 31 cohort studies) were included. The pooled TBI prevalence for India based on the community-based cohort studies was estimated as 41 per cent [95% confidence interval (CI) 29.5-52.6%] irrespective of the risk of acquiring it, while the estimation was 36 per cent (95% CI 28-45%) prevalence observed among the general population excluding high-risk groups. Regions with high active TB burden were found to have a high TBI prevalence such as Delhi and Tamil Nadu. An increasing trend of TBI was observed with increasing age in India.
This review demonstrated a high prevalence of TBI in India. The burden of TBI was commensurate with active TB prevalence suggesting possible conversion of TBI to active TB. A high burden was recorded among people residing in the northern and southern regions of the country. Such local epidemiologic variation need to be considered to reprioritize and implement-tailored strategies for managing TBI in India. |
Author | Rade, Kirankumar Dash, Girish Chandra Sahoo, Krushna Chandra Chauhan, Sandeep Sharma, Jessica Rao, Raghuram Parmar, Malik Chauhan, Arohi Kumar, Ravinder Mahapatra, Pranab Solanki, Hardik Pati, Sanghamitra |
AuthorAffiliation | 2 WHO Country Office for India 3 Central TB Division, WHO NTEP Technical Support Network, New Delhi, India 6 Department of Psychiatry, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India 5 Indian Council of Medical Research-Regional Medical Research Centre, Bhubaneswar, Odisha, India 1 Public Health Foundation of India 4 Central TB Division, Ministry of Health & Family Welfare, Government of India, New Delhi, India |
AuthorAffiliation_xml | – name: 4 Central TB Division, Ministry of Health & Family Welfare, Government of India, New Delhi, India – name: 5 Indian Council of Medical Research-Regional Medical Research Centre, Bhubaneswar, Odisha, India – name: 1 Public Health Foundation of India – name: 2 WHO Country Office for India – name: 3 Central TB Division, WHO NTEP Technical Support Network, New Delhi, India – name: 6 Department of Psychiatry, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India |
Author_xml | – sequence: 1 givenname: Arohi surname: Chauhan fullname: Chauhan, Arohi organization: Public Health Foundation of India, Ministry of Health & Family Welfare, Government of India, New Delhi, India – sequence: 2 givenname: Malik surname: Parmar fullname: Parmar, Malik organization: WHO Country Office for India, Ministry of Health & Family Welfare, Government of India, New Delhi, India – sequence: 3 givenname: Girish Chandra surname: Dash fullname: Dash, Girish Chandra organization: Indian Council of Medical Research-Regional Medical Research Centre, Bhubaneswar, Odisha, India – sequence: 4 givenname: Hardik surname: Solanki fullname: Solanki, Hardik organization: Central TB Division, WHO NTEP Technical Support Network, Ministry of Health & Family Welfare, Government of India, New Delhi, India – sequence: 5 givenname: Sandeep surname: Chauhan fullname: Chauhan, Sandeep organization: Central TB Division, WHO NTEP Technical Support Network, Ministry of Health & Family Welfare, Government of India, New Delhi, India – sequence: 6 givenname: Jessica surname: Sharma fullname: Sharma, Jessica organization: Indian Council of Medical Research-Regional Medical Research Centre, Bhubaneswar, Odisha, India – sequence: 7 givenname: Krushna Chandra surname: Sahoo fullname: Sahoo, Krushna Chandra organization: Indian Council of Medical Research-Regional Medical Research Centre, Bhubaneswar, Odisha, India – sequence: 8 givenname: Pranab surname: Mahapatra fullname: Mahapatra, Pranab organization: Department of Psychiatry, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India – sequence: 9 givenname: Raghuram surname: Rao fullname: Rao, Raghuram organization: Central TB Division, Ministry of Health & Family Welfare, Government of India, New Delhi, India – sequence: 10 givenname: Ravinder surname: Kumar fullname: Kumar, Ravinder organization: Central TB Division, Ministry of Health & Family Welfare, Government of India, New Delhi, India – sequence: 11 givenname: Kirankumar surname: Rade fullname: Rade, Kirankumar organization: WHO Country Office for India, Ministry of Health & Family Welfare, Government of India, New Delhi, India – sequence: 12 givenname: Sanghamitra surname: Pati fullname: Pati, Sanghamitra organization: Indian Council of Medical Research-Regional Medical Research Centre, Bhubaneswar, Odisha, India |
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Title | The prevalence of tuberculosis infection in India: A systematic review and meta-analysis |
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