Short course chemotherapy in the National Tuberculosis Programme: issues and implications
Jagota, P.; Chakraborty, A.K.; Sreenivas, T.R.; Balasangameshwara, V.H. and Chaudhuri, K. (1990) Short course chemotherapy in the National Tuberculosis Programme: issues and implications. NTI Newsletter, 26 (3&4). pp. 42-51.
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Chemotherapy under the District Tuberculosis Programme (DTP) has been undergoing far reaching changes, consequent upon the addition of Short Course Chemotherapy regimens (SCC) to the available conventional Standard Regimens (SR) for treatment of sputum positive patients. At the moment, more than 200 districts have been implemented with SCC. The remaining districts are designed to be covered in due course in a phased manner. For smear negative patients also, treatment under DTP has evolved from initial monotherapy in the early days to use of two or three drug containing regimens. The ongoing evolution could possibly result in wider acceptance of the new regimens by the programme workers at different levels as well as by the patients. Ultimately, it could be reflected in achievement of higher levels of case-holding as well as sputum conversion in the programme, due to use of more effective as well as acceptable drug regimens. In this paper, recent trends in treatment situation and the likely consequence of introduction of SCC in the context of tuberculosis control is discussed.
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