PakMediNet Discussion Forum : Medicine : Tubercolosis(Most common disease but incorrectedly treated
do u know that according to a study in Pakistan one out of seven doctors know the correct TB treatment.
pl give me feed backa nd your TB tratment regimens. i want to confirm it,
thanks
Posted by: chughtaiPosts: 22 :: 30-07-2004 :: | Reply to this Message
Please give reference of your study.
Expert guidelines for TB are available on WHO webpage.
http://www.who.int/gtb/publications/ttgnp/
I recommend that everybody in Pakistan should follow it.
Posted by: docosamaPosts: 333 :: 30-07-2004 :: | Reply to this Message
yes it is true.
reference is National TB Control Programme Pakistan (Training Module for Doctors) PAGE 3.
I AM WORKING IN A TB CENTER AND IN MY DAILY PRACTICE IT IS PROVED. I HAVE SEEN MANY PRESCRIPTIONS FROM THE GPs WHICH ARE REALLY NOT FOLLOWING WHO GUIDELINES OF TB CONTROL i.e. DOTS. I WOULD ALSO THANKS TO U FOR YOUR KIND REPLY OF MY SUGGESTIONS.
DR ABRAR
quote:
docosama wrote:
Please give reference of your study.
Expert guidelines for TB are available on WHO webpage.
http://www.who.int/gtb/publications/ttgnp/
I recommend that everybody in Pakistan should follow it.
Posted by: chughtaiPosts: 22 :: 04-08-2004 :: | Reply to this Message
The internationally-recommended TB control strategy is DOTS. DOTS combines five elements: political commitment, microscopy services, drug supplies, surveillance and monitoring systems, and use of highly efficacious regimes with direct observation of treatment.
Once patients with infectious TB (bacilli visible in a sputum smear) have been identified using microscopy services, health and community workers and trained volunteers observe and record patients swallowing the full course of the correct dosage of anti-TB medicines (treatment lasts six to eight months). The most common anti-TB drugs are isoniazid, rifampicin, pyrazinamide, streptomycin and ethambutol.
Sputum smear testing is repeated after two months, to check progress, and again at the end of treatment. A recording and reporting system documents patients' progress throughout, and the final outcome of treatment.
Posted by: chughtaiPosts: 22 :: 05-08-2004 :: | Reply to this Message
The level of TB in prisons has been reported to be up to 100 times higher than that of the civilian population.
Cases of TB in prisons may account for up to 25% of a country's burden of TB.
Late diagnosis, inadequate treatment, overcrowding, poor ventilation and repeated prison transfers encourage the transmission of TB infection.
HIV infection and other pathology more common in prisons (e.g. malnutrition, substance abuse) encourage the development of active disease and further transmission of infection.
Posted by: chughtaiPosts: 22 :: 06-08-2004 :: | Reply to this Message
Tb is very common and yes most of the young doctors can not confidently write prescription for it.
Posted by: sohai110lPosts: 2 :: 17-10-2004 :: | Reply to this Message