Treatment dynamics and profile of tuberculosis patients under the district tuberculosis programme (DTP): a prospective cohort study

Vijay, Sophia; Balasangameshwara, V.H. and Srikantaramu, N. (1999) Treatment dynamics and profile of tuberculosis patients under the district tuberculosis programme (DTP): a prospective cohort study. Indian Journal of Tuberculosis, 46. pp. 239-250.

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Abstract

A prospective cohort study among new smear positive pulmonary tuberculosis cases initiated on short course chemotherapy was undertaken in Kolar district of Karnataka. The objective was to study the treatment outcome and patient profiles of treatment adherent (completed) and non-adherent (lost) patients. Data collection was done through interviews based on pretested structured schedules, soon after diagnosis and at the end of treatment. Of the 224 available patients in the cohort, 120 (53.6%) completed treatment, 68 (30.4%), were lost, 29 (12.9%) died and 7 (3.1 %) migrated outside the district. Persistence of cough at the end of treatment was significantly more among lost patients. The general profile of the patients, relating to socio-economic, demographic, literacy and employment details did not differ significantly between the 2 subgroups. However, the treatment related factors like distance from health centre, Knowledge of treatment duration, advice on treatment given after diagnosis, payments made to staff and for tonics were significantly more among patients lost to treatment. Raising of money to meet the expenditure, particularly through selling of valuables too was proportionately more among lost patients. Defaulter retrieval action was not taken for more than 85% of all eligibles, both among completed and lost groups.

EPrint Type:Article
Additional Information:Paper presented at the 53rd National Conference on Tuberculosis and Chest Diseases, Bhubaneshwar, 27th to 30th December, 1998
Uncontrolled Keywords:Tuberculosis, Treatment, District Tuberculosis Programme, Patients Profile, Cohort Study
Subjects:Diagnosis > Diagnostic Techniques and Procedures
Bacterial Infections and Mycoses > Bacterial Infections > Gram-Positive Bacterial Infections > Actinomycetales Infections > Mycobacterium Infections > Tuberculosis
Therapeutics > Drug Therapy
-Institutional Repositories > National Tuberculosis Institute
Therapeutics > Combined Modality Therapy
Health Care Economics and Organizations > Health Planning > National Health Programs
Respiratory Tract Diseases > Respiratory Tract Infections > Tuberculosis, Pulmonary
Persons > Patients
Respiratory Tract Diseases > Lung Diseases > Tuberculosis, Pulmonary
-Journal Repositories > Indian Journal of Tuberculosis
ID Code:603
Deposited By:Librarian Sudha S Murthy
Deposited On:08 August 2005

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