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AU |
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Jagota P, Sujatha Chandrasekaran & Sumathi G |
TI |
: |
Follow-up of Pulmonary Tuberculosis patients treated
with Short Course Chemotherapy through traditional birth attendants
(Dais) |
SO |
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Indian J TB 1998, 45, 89-93. |
DT |
: |
Per |
AB |
: |
The feasibility of improving adherence to and outcome
of treatment among smear positive pulmonary tuberculosis patients
by involving traditional birth attendants (Dais) in administering
anti-tuberculosis drugs was earlier studied and 86.9% were reported
to be cured, 5.72% had died and 7.38% had remained sputum positive,
at the end of 6 months. The present study reports the status of
those patients at the end of 2 years. Of the 288 patients eligible
for follow up, 283 could be contacted through home visits and interviewed
for the presence of symptoms and further treatment taken; if dead,
the cause of death was ascertained from relatives. Two sputum specimens
were also collected from the contacted patients for microscopy,
culture and drug sensitivity tests. At the end of 2 years, 79.6%
had remained relapse free 7.42% had relapsed and 3.53% remained
sputum positive (chronic cases) while 8.5% had died. Of the 251
patients interviewed, 131 still had chest symptoms, 2 years after
treatment, but only 24 of them had bacteriologically positive disease.
The remaining 7 sputum positive cases were either having non suggestive
symptoms or no symptoms.
In view of the above findings, it is considered
that DOTS delivered through Dais is feasible
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KEYWORDS: ADHERENCE, COMPLIANCE, DAIS; INDIA |