Relationship between self reporting of past history of anti-tuberculosis treatment and radiographic findings in multidrug-resistant tuberculosis
Abstract:SETTING: A referral hospital for multidrug-resistant tuberculosis (MDR-TB) patients in KwaZulu-Natal, South Africa.
OBJECTIVE: To investigate how self-reporting of past exposure to anti-tuberculosis therapy in MDR-TB patients relates to their chest radiographs.
RESULTS: Chest radiographs of 406 patients with bacteriologically confirmed MDR-TB who were admitted to a tertiary referral hospital during 1998–2001 were reviewed. Of 245 patients with chronic radiographic changes, 91% reported previous anti-tuberculosis treatment, while of 161 patients with acute radiographic changes, 70% reported no previous history of TB treatment.
CONCLUSION: Self-reporting by patients of previous anti-tuberculosis treatment relates to the duration of disease assessed radiologically, and is much more reliable than previously postulated.
Document Type: Short Communication
Affiliations: 1: Nelson Mandela School of Medicine, Caprisa, Congella, Durban, KwaZulu-Natal, South Africa; and Medical Research Council, TB Clinical and Biomedical Research, Durban, KwaZulu-Natal, South Africa 2: Medical Research Council, TB Clinical and Biomedical Research, Durban, KwaZulu-Natal, South Africa 3: Department of Health, King George V Hospital, Durban, KwaZulu-Natal, South Africa
Publication date: 2004-11-01
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