TAILIEUCHUNG - Effect of iron supplementation on mild to moderate anaemia in pulmonary tuberculosis

Anaemia is a common complication of pulmonary tuberculosis. The precise mechanism of anaemia in pulmonary tuberculosis is not clearly known, but anaemia of inflammation as well as of Fe deficiency has been implicated. Both are common in developing countries. It is extremely difficult to distinguish anaemia of Fe deficiency from anaemia of inflammation with the haematological indices used routinely. Therefore, Fe preparations are usually prescribed for all anaemic patients irrespective of the aetiology. This approach has been questioned. The present study aimed to assess the effect of Fe supplementation on anaemic patients with pulmonary tuberculosis. Adult male patients 15–60 years of age with pulmonary tuberculosis. | British Journal of Nutrition 2003 90 541-550 The Authors 2003 DOI BJN2003936 Effect of iron supplementation on mild to moderate anaemia in pulmonary tuberculosis Uma Devi C. Mohan Rao Vinod K. Srivastava Pramod K. Rath and Bhabani S. Das Departments of Chest and Tubercular Diseases Pathology and Biochemistry Ispat General Hospital Rourkela - 769 005 Orissa India Received 19 April 2002 - Revised 23 December 2002 - Accepted 10 May 2003 Anaemia is a common complication of pulmonary tuberculosis. The precise mechanism of anaemia in pulmonary tuberculosis is not clearly known but anaemia of inflammation as well as of Fe deficiency has been implicated. Both are common in developing countries. It is extremely difficult to distinguish anaemia of Fe deficiency from anaemia of inflammation with the haematological indices used routinely. Therefore Fe preparations are usually prescribed for all anaemic patients irrespective of the aetiology. This approach has been questioned. The present study aimed to assess the effect of Fe supplementation on anaemic patients with pulmonary tuberculosis. Adult male patients 15-60 years of age with pulmonary tuberculosis and a blood haemoglobin concentration 80-110g l were included in the study healthy adult males matched for age and socio-economic status were taken as controls. Blood haemoglobin concentration total erythrocyte count TEC packed cell volume PCV mean corpuscular volume MCV mean corpuscular haemoglobin and serum Fe total Fe-binding capacity and ferritin were estimated before treatment and 1 2 and 6 months after treatment. The patients were divided randomly into three groups and during the initial 2 months of treatment were provided with one of three supplementary regimens consisting of placebo Fe alone or Fe with other haematinics. Significant improvements in haematological indices and Fe status were noticed in all three groups. Blood haemoglobin concentration MCV and PCV were significantly higher at 1 month in both .

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