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Free Content Observations on categorisation of new TB cases: implications for controlling drug resistance [Notes from the Field]

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Abstract:

In the context of rising rates of drug-resistant tuberculosis (TB) in India, this communication presents some field observations during screening of new cases registered with the Revised National Tuberculosis Control Programme (RNTCP) in urban and rural areas of Maharashtra, India. It appears that erroneous categorisation and treatment that contributes to multiple drug resistance results from a lack of patient screening for previous treatment, ambiguity in categorisation and reluctance to disclose a history of anti-tuberculosis treatment. Suggested measures include detailed screening of new cases, computerisation of patient records and an empathetic dialogue between patient and health care provider.

Keywords: RNTCP; drug resistance; erroneous categorisation; screening

Document Type: Short Communication

Affiliations: 1: Foundation for Research in Community Health (FRCH), Pune, India 2: Foundation for Medical Research (FMR), Mumbai, India 3: Foundation for Research in Community Health (FRCH), Pune, India; and Foundation for Medical Research (FMR), Mumbai, India

Publication date: 2007-10-01

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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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