||Singh MM & Banerji D
||A follow-up study of patients of pulmonary tuberculosis
treated in an urban clinic.
||INDIAN J TB 1968, 15, 157-164.
A two-year follow-up study of treatment default
among 193 patients with pulmonary TB, who were receiving domiciliary
treatment in a Delhi urban clinic, revealed that the percentage
of defaulting (that is, collecting drugs for less than 10 months)
fell from 57% to 44% when the duration for calculating drug collection
was raised from 12 to 24 months. The propensity to default appeared
to be inversely related to the precision of diagnosis and the extent
of lesions. While the default rate was 20.2% among those who were
initially sputum positive, it was 100% among those sputum negative
cases who had only minimal radiological lesions. This study, thus,
questions the rationality of assessing the performance of a TB clinic
on the basis of the traditional definition of a defaulter.
It has presented data to make a case for a more precise definition
of a defaulter by offering a longer period for calculation of drug
collection and by stressing the need for greater precision in diagnosis
of cases who are put under treatment.
|KEYWORDS: SOCIAL BEHAVIOUR; DEFAULT; INDIA.
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