Private Allopathic Medical Practitioners’ Approach to Management of Multi-drug Resistant Tuberculosis: A Cross-sectional Study from Uttarakhand State of North India
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 4
Abstract
Introduction: In India, a significant proportion of TB patients prefer to seek care from the private health sector which is vast, heterogenous and largely unregulated. Optimal management of MDR-TB by the private health sector is therefore crucial for India’s Revised National Tuberculosis Control Programme’s (RNTCP) effort to control drug resistant TB. The present study was therefore undertaken to assess whether the MDRTB management practices of allopathic private practitioners (PPs) are according to the RNTCP’s guidelines. Material and methods: A cross- sectional study on MDRTB management practices of 71 PPs practising in urban areas of districts of Kumaon Division of Uttarakhand Province of India. Results: Of 71 PPs, there were 85.9% non-chest specialists and 14.1% chest specialists. Only 26 (36.6%) PPs could correctly define MDR TB. Majority PP’s (63.4%) referred their suspected MDR-TB patients to public sector. Only 26 (36.6%) PPs prescribed MDR-TB treatment. Most PPs (61.5%) prescribed two or less number of 2nd line anti-TB drugs. Analysis in terms of one or more aspect of treatment i.e. composition of drug regimen, duration of treatment and drug dosages prescribed showed that none of the PPs, not even the chest specialists could write the RNTCP recommended MDRTB treatment. Conclusions: Management of MDR-TB in private health sector is largely sub-optimal.
Authors and Affiliations
Ram Gopal Nautiyal, Rajesh Kumar Singh
Keywords
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