Are we missing ‘previously treated’ smear-positive pulmonary tuberculosis under programme settings in India? A cross-sectional study
| Autor: | A. James Jeyakumar Jaisingh, Madhav Deshpande, Srinath Satyanarayana, Ishwar Koli, Manas Ranjan Singh Lohar, Ajay M. V. Kumar, Gayadhar Mallick, Hemant Deepak Shewade, G Sumesh, Sharifa Yasin Bale, Binod Kumar Srivastava, Sripriya Pandurangan, Sudhi Nath, Kamlesh Singh, Banuru Muralidhara Prasad, Moumita Biswas, Naresh Kumar, Ashwini Kumar Sharma, Atul Kharate, Vijesh Mathew, Gurukartick Jayaraman, Ganesh Parate, Subrat Mohanty, Prafulla Verma, Ali Jafar Naqvi, Sanjeeb Barik, Jaya Prasad Tripathy, Ganesh Venkatraman, Vivek Gupta, Ashwin Kumar Bharadwaj, Mohammed Salauddin Ansari, Prabhat Pandey, Chandrashekhar S. Gaurkhede, Jinesh Lal, Priyanka Singh, P. Rajeswaran, Karuna D. Sagili, Kulathu Iyer Sathiyanarayanan, Soundappan Kathirvel, Vaibhav Haribhau Ghule, Lakshmi Murali, Sarabjit Chadha, Om Prakash Bera, U N Bajpai, Prafulla C. Mishra |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male 0301 basic medicine Pediatrics medicine.medical_specialty Tuberculosis Adolescent Cross-sectional study Vulnerable populations India General Biochemistry Genetics and Molecular Biology Young Adult 03 medical and health sciences 0302 clinical medicine Pulmonary tuberculosis Humans Medicine National level Recurrent TB General Pharmacology Toxicology and Pharmaceutics Tuberculosis Pulmonary Aged Tuberculosis/classification New TB General Immunology and Microbiology business.industry Articles General Medicine Middle Aged medicine.disease Previously treated TB Past history Cross-Sectional Studies 030104 developmental biology Female business Pulmonary tb Previously treated Tb treatment 030217 neurology & neurosurgery Research Article |
| Zdroj: | F1000Research |
| ISSN: | 2046-1402 |
| DOI: | 10.12688/f1000research.18353.2 |
| Popis: | Background: In 2007, a field observation from India reported 11% misclassification among ‘new’ patients registered under the revised national tuberculosis (TB) control programme. Ten years down the line, it is important to know what proportion of newly registered patients has a past history of TB treatment for at least one month (henceforth called ‘misclassification’). Methods: A study was conducted among new smear-positive pulmonary TB patients registered between March 2016 and February 2017 in 18 randomly selected districts to determine the effectiveness of an active case-finding strategy in marginalised and vulnerable populations. We included all patients detected through active case-finding. An equal number of randomly selected patients registered through passive case-finding from marginalised and vulnerable populations in the same districts were included. Before enrolment, we enquired about any history of previous TB treatment through interviews. Results: Of 629 patients, we interviewed 521, of whom, 11% (n=56) had past history of TB treatment (public or private) for at least a month: 13% (34/268) among the active case-finding group and 9% (22/253) among the passive case-finding group (p=0.18). No factors were found to be significantly associated with misclassification. Conclusion: Around one in every ten patients registered as ‘new’ had previous history of TB treatment. Corrective measures need to be implemented, followed by monitoring of any change in the proportion of ‘previously treated’ patients among all registered patients treated under the programme at national level. |
| Databáze: | OpenAIRE |
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