Fate of smear positive patients of pulmonary tuberculosis at an urban district tuberculosis centre, five years after treatment
Jagota, P.; Venkatarama Gupta, E.V. and Channabasavaiah, R. (1994) Fate of smear positive patients of pulmonary tuberculosis at an urban district tuberculosis centre, five years after treatment. Indian Journal of Tuberculosis, 41. pp. 223-232.
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The fate of smear positive patients, five years after their treatment at an urban District Tuberculosis Centre is reported along with the problems faced by the patients with regard to persistence of symptoms, the need for subsequent treatment and employment status following treatment. Among the 1,227 patients treated with either Standard Regimen (SR) or Short Course Chemotherapy (SCC), only 502 (40.0%) could be traced out : 370 on SR and 132 on SCC. Of those on SR, 40.5% were reported to be dead compared with 12.1% on SCC. The higher death rate among the SR cases was mainly contributed by those not completing treatment (lost cases). Taking culture negative status as the favourable outcome, 80.8% of the patients on SCC compared with 45.7% on SR had a favourable response. Emergence of drug resistance was not seen to be a major problem. Persistence of chest symptoms was observed among 35.5% of the satisfactorily interviewed patients and significantly higher among those lost on SR (48.3%), than ‘SR completed’ and ‘SCC completed’ or lost patients. About 75% of those who were lost from SR and 50%from SCC had treatment subsequently. Favourable outcome was reached among the SR lost who took subsequent treatment to the same extent as among those who did not. This effect was not seen in the SCC lost group. There was on change in employment status in about 80% of the patients, whether o n SR or SCC. The overall outcome was the best among patient completing treatment with SCC. The fate of the SR, lost group was similar to those who had on chemotherapy.
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