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Abstract: Poster Presentations |

A STUDY ON CHRONIC CASES (CAT IV) UNDER REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME (RNTCP) IN INDIA FREE TO VIEW

Rajendra Prasad, MD, FCCP*; Salik Raza, MBBS; Sanjeev K. Verma, MD; R.A.S. Kushwaha, MD; Rajiv Garg, MBBS, MD; Amita Jain, MD
Author and Funding Information

K.G. Medical University, Lucknow, India



Chest. 2006;130(4_MeetingAbstracts):284S. doi:10.1378/chest.130.4_MeetingAbstracts.284S-b
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Abstract

PURPOSE: To assess the drug resistance pattern in chronic cases of tuberculosis.

METHODS: Chronic cases who attended the department of Pulmonary Medicine from December 2004 to December 2005 were interviewed on a predesigned proforma to know the socio-demographic profile and their culture & sensitivity pattern of sputum for mycobacterium tuberculosis.

RESULTS: Out of 48 cases, 34 cases were interviewed and 14 cases did not give consent for interview. Out of 34 cases, Culture /sensitivity was available for 31 cases. 30(97%) cases were resistant to one or more than one primary anti-tubercular drugs. 14(45.2%) cases had Multi-drug resistant tuberculosis (MDR-TB). Prevalence of MDR-TB was statistically significant and higher in joint families, rural areas and in patients with long duration of illness (> 4 years). Prevalence of MDR-TB was low in patients who received Directly Observed Treatment Shortcourse (DOTS)(33.3%)in comparison to other than DOTS (50.0%) .

CONCLUSION: Among chronic cases (Category IV) of tuberculosis, MDR-TB was found in 45.2% only.

CLINICAL IMPLICATIONS: Adequate supervised treatment under RNTCP is most effective way to prevent the emergence of chronic cases.

DISCLOSURE: Rajendra Prasad, None.

Wednesday, October 25, 2006

12:30 PM - 2:00 PM


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