Source of previous treatment for re-treatment TB cases registered under the National TB control Programme, India, 2010.

<h4>Background</h4>In 2009, nearly half (289,756) of global re-treatment TB notifications are from India; no nationally-representative data on the source of previous treatment was available to inform strategies for improvement of initial TB treatment outcome.<h4>Objectives</h4&g...

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Autores principales:	Kuldeep Singh Sachdeva, Srinath Satyanarayana, Puneet Kumar Dewan, Sreenivas Achuthan Nair, Raveendra Reddy, Debasish Kundu, Sarabjit Singh Chadha, Ajay Kumar Madhugiri Venkatachalaiah, Malik Parmar, Lakhbir Singh Chauhan
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2011
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/daf1e937125e40f78fe2692506f44836
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spelling	oai:doaj.org-article:daf1e937125e40f78fe2692506f448362021-11-18T06:49:42ZSource of previous treatment for re-treatment TB cases registered under the National TB control Programme, India, 2010.1932-620310.1371/journal.pone.0022061https://doaj.org/article/daf1e937125e40f78fe2692506f448362011-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21814566/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>In 2009, nearly half (289,756) of global re-treatment TB notifications are from India; no nationally-representative data on the source of previous treatment was available to inform strategies for improvement of initial TB treatment outcome.<h4>Objectives</h4>To assess the source of previous treatment for re-treatment TB patients registered under India's Revised National TB control Programme (RNTCP).<h4>Methodology</h4>A nationally-representative cross sectional study was conducted in a sample of 36 randomly-selected districts. All consecutively registered retreatment TB patients during a defined 15-day period in these 36 districts were contacted and the information on the source of previous treatment sought.<h4>Results</h4>Data was collected from all 1712 retreatment TB patients registered in the identified districts during the study period. The data includes information on 595 'relapse' cases, 105 'failure' cases, 437 'treatment after default (TAD)' cases and 575 're-treatment others' cases. The source of most recent previous anti-tuberculosis therapy for 754 [44% (95% CI, 38.2%-49.9%)] of the re-treatment TB patients was from providers outside the TB control programme. A higher proportion of patients registered as TAD (64%) and 'retreatment others' (59%) were likely to be treated outside the National Programme, when compared to the proportion among 'relapse' (22%) or 'failure' (6%). Extrapolated to national registration, of the 292,972 re-treatment registrations in 2010, 128,907 patients would have been most recently treated outside the national programme.<h4>Conclusions</h4>Nearly half of the re-treatment cases registered with the national programme were most recently treated outside the programme setting. Enhanced efforts towards extending treatment support and supervision to patients treated by private sector treatment providers are urgently required to improve the quality of treatment and reduce the numbers of patients with recurrent disease. In addition, reasons for the large number of recurrent TB cases from those already treated by the national programme require urgent detailed investigation.Kuldeep Singh SachdevaSrinath SatyanarayanaPuneet Kumar DewanSreenivas Achuthan NairRaveendra ReddyDebasish KunduSarabjit Singh ChadhaAjay Kumar Madhugiri VenkatachalaiahMalik ParmarLakhbir Singh ChauhanPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 7, p e22061 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Kuldeep Singh Sachdeva Srinath Satyanarayana Puneet Kumar Dewan Sreenivas Achuthan Nair Raveendra Reddy Debasish Kundu Sarabjit Singh Chadha Ajay Kumar Madhugiri Venkatachalaiah Malik Parmar Lakhbir Singh Chauhan Source of previous treatment for re-treatment TB cases registered under the National TB control Programme, India, 2010.
description	<h4>Background</h4>In 2009, nearly half (289,756) of global re-treatment TB notifications are from India; no nationally-representative data on the source of previous treatment was available to inform strategies for improvement of initial TB treatment outcome.<h4>Objectives</h4>To assess the source of previous treatment for re-treatment TB patients registered under India's Revised National TB control Programme (RNTCP).<h4>Methodology</h4>A nationally-representative cross sectional study was conducted in a sample of 36 randomly-selected districts. All consecutively registered retreatment TB patients during a defined 15-day period in these 36 districts were contacted and the information on the source of previous treatment sought.<h4>Results</h4>Data was collected from all 1712 retreatment TB patients registered in the identified districts during the study period. The data includes information on 595 'relapse' cases, 105 'failure' cases, 437 'treatment after default (TAD)' cases and 575 're-treatment others' cases. The source of most recent previous anti-tuberculosis therapy for 754 [44% (95% CI, 38.2%-49.9%)] of the re-treatment TB patients was from providers outside the TB control programme. A higher proportion of patients registered as TAD (64%) and 'retreatment others' (59%) were likely to be treated outside the National Programme, when compared to the proportion among 'relapse' (22%) or 'failure' (6%). Extrapolated to national registration, of the 292,972 re-treatment registrations in 2010, 128,907 patients would have been most recently treated outside the national programme.<h4>Conclusions</h4>Nearly half of the re-treatment cases registered with the national programme were most recently treated outside the programme setting. Enhanced efforts towards extending treatment support and supervision to patients treated by private sector treatment providers are urgently required to improve the quality of treatment and reduce the numbers of patients with recurrent disease. In addition, reasons for the large number of recurrent TB cases from those already treated by the national programme require urgent detailed investigation.
format	article
author	Kuldeep Singh Sachdeva Srinath Satyanarayana Puneet Kumar Dewan Sreenivas Achuthan Nair Raveendra Reddy Debasish Kundu Sarabjit Singh Chadha Ajay Kumar Madhugiri Venkatachalaiah Malik Parmar Lakhbir Singh Chauhan
author_facet	Kuldeep Singh Sachdeva Srinath Satyanarayana Puneet Kumar Dewan Sreenivas Achuthan Nair Raveendra Reddy Debasish Kundu Sarabjit Singh Chadha Ajay Kumar Madhugiri Venkatachalaiah Malik Parmar Lakhbir Singh Chauhan
author_sort	Kuldeep Singh Sachdeva
title	Source of previous treatment for re-treatment TB cases registered under the National TB control Programme, India, 2010.
title_short	Source of previous treatment for re-treatment TB cases registered under the National TB control Programme, India, 2010.
title_full	Source of previous treatment for re-treatment TB cases registered under the National TB control Programme, India, 2010.
title_fullStr	Source of previous treatment for re-treatment TB cases registered under the National TB control Programme, India, 2010.
title_full_unstemmed	Source of previous treatment for re-treatment TB cases registered under the National TB control Programme, India, 2010.
title_sort	source of previous treatment for re-treatment tb cases registered under the national tb control programme, india, 2010.
publisher	Public Library of Science (PLoS)
publishDate	2011
url	https://doaj.org/article/daf1e937125e40f78fe2692506f44836
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Source of previous treatment for re-treatment TB cases registered under the National TB control Programme, India, 2010.

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