Persistant chest symptoms in smear positive pulmonary tuberculosis patients treated with standard and short course chemotherapy regimes under a District Tuberculosis Programme: a five year follow up
Balasangameshwara, V.H.; Jagota, P. and Channabasavaiah, R. (1996) Persistant chest symptoms in smear positive pulmonary tuberculosis patients treated with standard and short course chemotherapy regimes under a District Tuberculosis Programme: a five year follow up. Indian Journal of Tuberculosis, 43. pp. 143-150.
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In an earlier study about the fate of smear positive pulmonary tuberculosis patients five years after diagnosis in a District Tuberculosis Programme, information regarding persistent chest symptoms and history of subsequent treatment was also collected. The present report gives the proportion of patients having persistent chest symptoms five years after diagnosis, according to present culture status, treatment adherence during primary treatment and the influence of subsequent treatment. Chest symptoms persisted more among those now found culture positive compared to those now having negative culture (about 1/3rd of the culture negative patients were still attending health institutions. Majority (about 80%) of such patients who had availed of government health facilities initially continued to take anti-tuberculosis treatment for persistent symptoms from government facilities. Effective treatment with standard regimens (SR) had reduced the proportion of patients with persistent chest symptoms and the situation was still better with SCC. In about 1/3rd of the now smear positive patients, the presence of persistent chest symptoms did not prompt the attending physicians to examine their sputum again for AFB. And they had not received specific subsequent treatment. However, subsequent treatment did not reduce the proportion of patients having persistent chest symptoms. The practice of prescribing specific subsequent treatment, therefore, should be based on the result of smear examination and not on symptoms in treated cases.
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