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
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