Treatment of bacillary pulmonary tuberculosis at the chest clinics in the private sector in Korea, 1993
OBJECTIVE: To assess the treatment behaviour of physicians in private chest clinics and the treatment outcomes of their patients.
DESIGN: 1) A retrospective analysis of a cohort of patients admitted from July through October in 1993, and 2) comparison with results from health centres under the National Tuberculosis Programme (NTP).
RESULTS: Nine hundred and sixty bacillary patients (507 newly diagnosed—‘new’, and 453 retreatment— ‘old’) were admitted to the study. Initial smears and cultures were not performed in 7% and 21%, and follow-up smears and cultures not done in 19% and 28%, respectively. The regimens prescribed were variable: 23 in ‘new’ and 72 in ‘old’ patients, 86 in total. Six-month short-course treatment using HRZE was prescribed for 26.2% of ‘new’ patients. In many instances, the planned treatment duration was excessive. The success rates (cured plus completed) for ‘new’ and ‘old’ patients were 74% and 51%, respectively. The failure rates were less than 1% in ‘new’ and 9% in ‘old’ patients.
CONCLUSION: Prescribed regimens were variable in terms of drug combinations and treatment duration. Overall treatment outcome was inferior to that of the health centres under the NTP.
Document Type: Regular Paper
Affiliations: Korean Institute of Tuberculosis/Korean National Tuberculosis Association, Seoul, Korea
Publication date: 1999-08-01
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