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Free Content Relationship between self reporting of past history of anti-tuberculosis treatment and radiographic findings in multidrug-resistant tuberculosis

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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.

Keywords: South Africa; chest radiograph; multidrug-resistant tuberculosis; past history of TB; self reporting

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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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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