Diagnostic And Treatment Protocol Adopted by Private Practitioners of Surat City for Drug Resistant Tuberculosis Patients

• Main Authors: Prakash B Patel (Author), Jayesh J Rana (Author), R K Bansal (Author)
• Format: Book
• Published: Medsci Publications, 2015-09-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

Introduction: This study explores the practices adopted by Private Practitioners for diagnosis and management of Drug Resistant Tu- berculosis patients in Surat city of Western India. Methodology: In this descriptive cross sectional study of Private Physicians of Surat city were selected randomly from IMA Surat member list. A pre-test questionnaire including Profile of the doc- tor, Profile of patients suspected for MDR TB, Diagnostic & Treat- ment practices and Follow up issues was used to collect data. Data Analysis was done using Epi-info software calculating descriptive statistics. Results: Most common investigative methods used by private phy- sicians to diagnose MDR TB were sputum microscopy, x-ray chest and sputum culture. Commonly used second line drugs for MDR TB patients were Fluoroquinolones, Aminoglycosides and Ethion- amide. Nearly three forth physicians preferred 4 or more drug combination for MDR TB treatment. Most of them preferred 2 or 3 second line drugs in their prescriptions. Common investigations preffered by them during follow up were Sputum AFB, Culture and Chest X-Ray. Conclusion: Compliance to recommended standards of MDR TB management was common among the private physicians but quite a few were unacceptable in context of WHO recommendations. There is need to streamline these protocols according to the general guideline for MDR TB management.

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