Analysis of factors influencing lack of response in patients under Revised National Tuberculosis Control Programme (RNTCP) protocol
Journal Title: Journal of the Indian Medical Association - Year 2019, Vol 117, Issue 8
Abstract
Tuberculosis (TB) is one of the most prevailing, contagious, chronic and a morbid infection. Our country has a high burden of TB. According to 2015 WHO statistics, India alone accounts to 23% of the total global incidence of TB cases. It is essential to provide complete and proper treatment as it is a contagious disease with high incidence. Though being curable, there is no 100% treatment success rate. If it is not treated properly, it can be fatal. To identify the various underlying factors affecting the treatment failure rate. Once the factors are identified, then the targeted strategies to address them can be formulated. It is a cross sectional study. Recorded cases of patients who were with sputum positive results despite undergoing TB treatment were included. The patients were interviewed using a questionnaire. Data were analysed using MS Excel. Among the retreatment cases most of them were from a low income profile. Most of them were malnourished. Nearly half of them had a positive history of TB in the surroundings. A quarter of them were co infected with HIV. More than half of them were smokers or alcoholic. There was discontinuity of drugs in half of the cases due to various side effects and some discontinued with a feeling of being cured. A few did not use the drugs regularly. Treating the underlying causes is essential to ensure successful treatment. Proper nutrition should be provided along with appropriate health education. There should be proper monitoring of the drug intake and any side effects should be treated immediately to ensure continuous usage.
Authors and Affiliations
D Ranga Rao, K Sree Vardhani, Kalyan Chakravarthy
Keywords
Related Articles
- EP ID EP626859
- DOI -
- Views 157
- Downloads 0
Ileal Tricho-phytobezoar a rare cause of intestinal obstruction : a case report
A bezoar is a ball of swallowed foreign material that collects in the gastrointestinal tract and usually fails to passs through. Trichobezoar (hair) and phytobezoar (vegetable fibres) are the most frequent forms. Rarely...
Prevalence of urinary tract infection among pregnant women in a tertiary care hospital in West Bengal
Urinary tract infection is one of the most commonly diagnosed infections in pregnancy. Common causative organisms are Gram Negative Bacilli like Escherichia coli, Klebsiella sp. or Gram-positive bacteria like Enterococcu...
BK Polyomavirus Nephropathy leads to rejection in Kidney Transplant Recipients
Over the past decade, infection of kidney transplants with BK polyomavirus has become increasingly appreciated. The infection is manifested by both an inflammatory response and subsequent fibrotic response, leading to re...
A wandering foreign body ingested fish bone migrating to thyroid gland
An interesting case of an accidently ingested foreign body ie, a sharp fish bone which has travelled to the left lobe of thyroid gland without causing any complication like oesophageal perforation or tear is reported her...
Target-based therapies in thyroid cancer
Poor prognosis of thyroid cancer and advanced disease together with the absence of effective therapeutic measures has induced recent intensified basic and clinical research in this area. Complete total thyroidectomy is t...