ArticleIndian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine2025
First-ever Experience of Implementing Therapeutic Nutrition for Very Severely Undernourished Adults with TB in Routine Program Settings: A Longitudinal Descriptive Study.
Article in Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Comprehensive assessment of adults severely ill with TB referred after triage in Tamil Nadu, India.Public health action · 2026Article
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Authors and funding
20 authors.
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Abstract
Background: 'Delhi Triage and Treat Tuberculosis (D-TAT)' is a statewide differentiated tuberculosis care initiative to reduce tuberculosis deaths involving triaging for severe illness at diagnosis, followed by inpatient care. This operational research aimed to assess the feasibility in settings like Delhi (high transfers out of state, tuberculosis burden, and population density) and provide therapeutic nutrition (oral liquid Formula75) with a focus on inpatient care for very severely undernourished (one of the conditions identified during triaging) adults with tuberculosis. Methods: This was a longitudinal descriptive study among public notified adults (≥15 y) with tuberculosis. Secondary data from Results: Of 48 407 notified during January to September 2024, 22 326 (46%) were triaged, 899 (4% of triaged) were triage-positive, and 335 (38%) were admitted for a median of 8 days. Of 216 triage-positive in the January to June 2024 cohort, 75 had very severe undernutrition along with the provision of Formula 75, with a mean of 1085 mL consumption per day. Of these 75, 44 (59%) were unable to stand without support at admission, and this reduced to 11 (15%) on day 7. A total of 52 (69%) were stabilized and shifted to a high protein diet after a mean of 4 days (standard deviation: 2). Three died during admission. Conclusion: There is a need to improve the quality and coverage of triaging and earmark isolation beds with therapeutic nutrition in additional hospitals. The first-ever findings of therapeutic nutrition are encouraging and should be scaled up.
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