Status of universal drug susceptibility testing in pulmonary tuberculosis patients initiated on treatment in an Urban setting, South India
Introduction: Early initiation of drug susceptibility testing (DST) guided anti-tuberculosis treatment benefits the patient in terms of better treatment outcomes and possibly reduces the transmission of tuberculosis (TB) disease in the community. To determine the status of universal DST (UDST) cover...
Ausführliche Beschreibung
Autor*in: |
Banurekha Velayutham [verfasserIn] Lavanya Jayabal [verfasserIn] Basilea Watson [verfasserIn] Saraswathy Jagadeesan [verfasserIn] Chandra Suresh [verfasserIn] Dina Nair [verfasserIn] Radha Gopalaswamy [verfasserIn] Bella Devaleenal [verfasserIn] Sriram Selvaraju [verfasserIn] Chandrasekaran Padmapriyadarsini [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2023 |
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Übergeordnetes Werk: |
In: Indian Journal of Community Medicine - Wolters Kluwer Medknow Publications, 2004, 48(2023), 1, Seite 103-107 |
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Übergeordnetes Werk: |
volume:48 ; year:2023 ; number:1 ; pages:103-107 |
Links: |
Link aufrufen |
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DOI / URN: |
10.4103/ijcm.ijcm_315_22 |
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Katalog-ID: |
DOAJ087833824 |
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520 | |a Introduction: Early initiation of drug susceptibility testing (DST) guided anti-tuberculosis treatment benefits the patient in terms of better treatment outcomes and possibly reduces the transmission of tuberculosis (TB) disease in the community. To determine the status of universal DST (UDST) coverage in smear-positive pulmonary TB patients (PTB) initiated on treatment under the TB program in Greater Chennai Corporation. In addition, the barriers and facilitators for UDST were explored. Material and Methods: The data of PTB patients who were initiated on anti-TB treatment from July to December 2019 was abstracted from the NI-KSHAY database of TB Program. The barriers and facilitators for UDST were explored in 5 focus group discussions (FGDs) among the TB program healthcare workers (HCW). UDST coverage was based on the availability of Cartridge-based Nucleic Acid Amplification test (CBNAAT) results in the NI-KSHAY database. Results: The CBNAAT result was available for 1628 (82.6%) of the 1970 smear-positive PTB patients. Non-availability of CBNAAT results was significantly higher among the older age group (<50 years), in female PTB patients, and the Private Sector. Issues with sputum collection, transport of specimens, and receipt of results were highlighted by the HCWs for the non-availability of UDST results. Conclusion: Universal DST coverage in smear-positive PTB patients initiated on treatment in 2019 in Chennai was optimal as per National Strategic Plan for TB elimination UDST target of 80% for the year 2020 but with scope for improvement. The low UDST coverage in the private sector, among female patients and older age groups, needs to be addressed. | ||
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10.4103/ijcm.ijcm_315_22 doi (DE-627)DOAJ087833824 (DE-599)DOAJ97dea7457b9543aa9afb965a86852fd7 DE-627 ger DE-627 rakwb eng RA1-1270 Banurekha Velayutham verfasserin aut Status of universal drug susceptibility testing in pulmonary tuberculosis patients initiated on treatment in an Urban setting, South India 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Early initiation of drug susceptibility testing (DST) guided anti-tuberculosis treatment benefits the patient in terms of better treatment outcomes and possibly reduces the transmission of tuberculosis (TB) disease in the community. To determine the status of universal DST (UDST) coverage in smear-positive pulmonary TB patients (PTB) initiated on treatment under the TB program in Greater Chennai Corporation. In addition, the barriers and facilitators for UDST were explored. Material and Methods: The data of PTB patients who were initiated on anti-TB treatment from July to December 2019 was abstracted from the NI-KSHAY database of TB Program. The barriers and facilitators for UDST were explored in 5 focus group discussions (FGDs) among the TB program healthcare workers (HCW). UDST coverage was based on the availability of Cartridge-based Nucleic Acid Amplification test (CBNAAT) results in the NI-KSHAY database. Results: The CBNAAT result was available for 1628 (82.6%) of the 1970 smear-positive PTB patients. Non-availability of CBNAAT results was significantly higher among the older age group (<50 years), in female PTB patients, and the Private Sector. Issues with sputum collection, transport of specimens, and receipt of results were highlighted by the HCWs for the non-availability of UDST results. Conclusion: Universal DST coverage in smear-positive PTB patients initiated on treatment in 2019 in Chennai was optimal as per National Strategic Plan for TB elimination UDST target of 80% for the year 2020 but with scope for improvement. The low UDST coverage in the private sector, among female patients and older age groups, needs to be addressed. chennai cbnaat private sector pulmonary tb udst Public aspects of medicine Lavanya Jayabal verfasserin aut Basilea Watson verfasserin aut Saraswathy Jagadeesan verfasserin aut Chandra Suresh verfasserin aut Dina Nair verfasserin aut Radha Gopalaswamy verfasserin aut Bella Devaleenal verfasserin aut Sriram Selvaraju verfasserin aut Chandrasekaran Padmapriyadarsini verfasserin aut In Indian Journal of Community Medicine Wolters Kluwer Medknow Publications, 2004 48(2023), 1, Seite 103-107 (DE-627)352261749 (DE-600)2085330-0 19983581 nnns volume:48 year:2023 number:1 pages:103-107 https://doi.org/10.4103/ijcm.ijcm_315_22 kostenfrei https://doaj.org/article/97dea7457b9543aa9afb965a86852fd7 kostenfrei http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2023;volume=48;issue=1;spage=103;epage=107;aulast=Velayutham kostenfrei https://doaj.org/toc/0970-0218 Journal toc kostenfrei https://doaj.org/toc/1998-3581 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 48 2023 1 103-107 |
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10.4103/ijcm.ijcm_315_22 doi (DE-627)DOAJ087833824 (DE-599)DOAJ97dea7457b9543aa9afb965a86852fd7 DE-627 ger DE-627 rakwb eng RA1-1270 Banurekha Velayutham verfasserin aut Status of universal drug susceptibility testing in pulmonary tuberculosis patients initiated on treatment in an Urban setting, South India 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Early initiation of drug susceptibility testing (DST) guided anti-tuberculosis treatment benefits the patient in terms of better treatment outcomes and possibly reduces the transmission of tuberculosis (TB) disease in the community. To determine the status of universal DST (UDST) coverage in smear-positive pulmonary TB patients (PTB) initiated on treatment under the TB program in Greater Chennai Corporation. In addition, the barriers and facilitators for UDST were explored. Material and Methods: The data of PTB patients who were initiated on anti-TB treatment from July to December 2019 was abstracted from the NI-KSHAY database of TB Program. The barriers and facilitators for UDST were explored in 5 focus group discussions (FGDs) among the TB program healthcare workers (HCW). UDST coverage was based on the availability of Cartridge-based Nucleic Acid Amplification test (CBNAAT) results in the NI-KSHAY database. Results: The CBNAAT result was available for 1628 (82.6%) of the 1970 smear-positive PTB patients. Non-availability of CBNAAT results was significantly higher among the older age group (<50 years), in female PTB patients, and the Private Sector. Issues with sputum collection, transport of specimens, and receipt of results were highlighted by the HCWs for the non-availability of UDST results. Conclusion: Universal DST coverage in smear-positive PTB patients initiated on treatment in 2019 in Chennai was optimal as per National Strategic Plan for TB elimination UDST target of 80% for the year 2020 but with scope for improvement. The low UDST coverage in the private sector, among female patients and older age groups, needs to be addressed. chennai cbnaat private sector pulmonary tb udst Public aspects of medicine Lavanya Jayabal verfasserin aut Basilea Watson verfasserin aut Saraswathy Jagadeesan verfasserin aut Chandra Suresh verfasserin aut Dina Nair verfasserin aut Radha Gopalaswamy verfasserin aut Bella Devaleenal verfasserin aut Sriram Selvaraju verfasserin aut Chandrasekaran Padmapriyadarsini verfasserin aut In Indian Journal of Community Medicine Wolters Kluwer Medknow Publications, 2004 48(2023), 1, Seite 103-107 (DE-627)352261749 (DE-600)2085330-0 19983581 nnns volume:48 year:2023 number:1 pages:103-107 https://doi.org/10.4103/ijcm.ijcm_315_22 kostenfrei https://doaj.org/article/97dea7457b9543aa9afb965a86852fd7 kostenfrei http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2023;volume=48;issue=1;spage=103;epage=107;aulast=Velayutham kostenfrei https://doaj.org/toc/0970-0218 Journal toc kostenfrei https://doaj.org/toc/1998-3581 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 48 2023 1 103-107 |
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10.4103/ijcm.ijcm_315_22 doi (DE-627)DOAJ087833824 (DE-599)DOAJ97dea7457b9543aa9afb965a86852fd7 DE-627 ger DE-627 rakwb eng RA1-1270 Banurekha Velayutham verfasserin aut Status of universal drug susceptibility testing in pulmonary tuberculosis patients initiated on treatment in an Urban setting, South India 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Early initiation of drug susceptibility testing (DST) guided anti-tuberculosis treatment benefits the patient in terms of better treatment outcomes and possibly reduces the transmission of tuberculosis (TB) disease in the community. To determine the status of universal DST (UDST) coverage in smear-positive pulmonary TB patients (PTB) initiated on treatment under the TB program in Greater Chennai Corporation. In addition, the barriers and facilitators for UDST were explored. Material and Methods: The data of PTB patients who were initiated on anti-TB treatment from July to December 2019 was abstracted from the NI-KSHAY database of TB Program. The barriers and facilitators for UDST were explored in 5 focus group discussions (FGDs) among the TB program healthcare workers (HCW). UDST coverage was based on the availability of Cartridge-based Nucleic Acid Amplification test (CBNAAT) results in the NI-KSHAY database. Results: The CBNAAT result was available for 1628 (82.6%) of the 1970 smear-positive PTB patients. Non-availability of CBNAAT results was significantly higher among the older age group (<50 years), in female PTB patients, and the Private Sector. Issues with sputum collection, transport of specimens, and receipt of results were highlighted by the HCWs for the non-availability of UDST results. Conclusion: Universal DST coverage in smear-positive PTB patients initiated on treatment in 2019 in Chennai was optimal as per National Strategic Plan for TB elimination UDST target of 80% for the year 2020 but with scope for improvement. The low UDST coverage in the private sector, among female patients and older age groups, needs to be addressed. chennai cbnaat private sector pulmonary tb udst Public aspects of medicine Lavanya Jayabal verfasserin aut Basilea Watson verfasserin aut Saraswathy Jagadeesan verfasserin aut Chandra Suresh verfasserin aut Dina Nair verfasserin aut Radha Gopalaswamy verfasserin aut Bella Devaleenal verfasserin aut Sriram Selvaraju verfasserin aut Chandrasekaran Padmapriyadarsini verfasserin aut In Indian Journal of Community Medicine Wolters Kluwer Medknow Publications, 2004 48(2023), 1, Seite 103-107 (DE-627)352261749 (DE-600)2085330-0 19983581 nnns volume:48 year:2023 number:1 pages:103-107 https://doi.org/10.4103/ijcm.ijcm_315_22 kostenfrei https://doaj.org/article/97dea7457b9543aa9afb965a86852fd7 kostenfrei http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2023;volume=48;issue=1;spage=103;epage=107;aulast=Velayutham kostenfrei https://doaj.org/toc/0970-0218 Journal toc kostenfrei https://doaj.org/toc/1998-3581 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 48 2023 1 103-107 |
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10.4103/ijcm.ijcm_315_22 doi (DE-627)DOAJ087833824 (DE-599)DOAJ97dea7457b9543aa9afb965a86852fd7 DE-627 ger DE-627 rakwb eng RA1-1270 Banurekha Velayutham verfasserin aut Status of universal drug susceptibility testing in pulmonary tuberculosis patients initiated on treatment in an Urban setting, South India 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Early initiation of drug susceptibility testing (DST) guided anti-tuberculosis treatment benefits the patient in terms of better treatment outcomes and possibly reduces the transmission of tuberculosis (TB) disease in the community. To determine the status of universal DST (UDST) coverage in smear-positive pulmonary TB patients (PTB) initiated on treatment under the TB program in Greater Chennai Corporation. In addition, the barriers and facilitators for UDST were explored. Material and Methods: The data of PTB patients who were initiated on anti-TB treatment from July to December 2019 was abstracted from the NI-KSHAY database of TB Program. The barriers and facilitators for UDST were explored in 5 focus group discussions (FGDs) among the TB program healthcare workers (HCW). UDST coverage was based on the availability of Cartridge-based Nucleic Acid Amplification test (CBNAAT) results in the NI-KSHAY database. Results: The CBNAAT result was available for 1628 (82.6%) of the 1970 smear-positive PTB patients. Non-availability of CBNAAT results was significantly higher among the older age group (<50 years), in female PTB patients, and the Private Sector. Issues with sputum collection, transport of specimens, and receipt of results were highlighted by the HCWs for the non-availability of UDST results. Conclusion: Universal DST coverage in smear-positive PTB patients initiated on treatment in 2019 in Chennai was optimal as per National Strategic Plan for TB elimination UDST target of 80% for the year 2020 but with scope for improvement. The low UDST coverage in the private sector, among female patients and older age groups, needs to be addressed. chennai cbnaat private sector pulmonary tb udst Public aspects of medicine Lavanya Jayabal verfasserin aut Basilea Watson verfasserin aut Saraswathy Jagadeesan verfasserin aut Chandra Suresh verfasserin aut Dina Nair verfasserin aut Radha Gopalaswamy verfasserin aut Bella Devaleenal verfasserin aut Sriram Selvaraju verfasserin aut Chandrasekaran Padmapriyadarsini verfasserin aut In Indian Journal of Community Medicine Wolters Kluwer Medknow Publications, 2004 48(2023), 1, Seite 103-107 (DE-627)352261749 (DE-600)2085330-0 19983581 nnns volume:48 year:2023 number:1 pages:103-107 https://doi.org/10.4103/ijcm.ijcm_315_22 kostenfrei https://doaj.org/article/97dea7457b9543aa9afb965a86852fd7 kostenfrei http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2023;volume=48;issue=1;spage=103;epage=107;aulast=Velayutham kostenfrei https://doaj.org/toc/0970-0218 Journal toc kostenfrei https://doaj.org/toc/1998-3581 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 48 2023 1 103-107 |
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10.4103/ijcm.ijcm_315_22 doi (DE-627)DOAJ087833824 (DE-599)DOAJ97dea7457b9543aa9afb965a86852fd7 DE-627 ger DE-627 rakwb eng RA1-1270 Banurekha Velayutham verfasserin aut Status of universal drug susceptibility testing in pulmonary tuberculosis patients initiated on treatment in an Urban setting, South India 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Early initiation of drug susceptibility testing (DST) guided anti-tuberculosis treatment benefits the patient in terms of better treatment outcomes and possibly reduces the transmission of tuberculosis (TB) disease in the community. To determine the status of universal DST (UDST) coverage in smear-positive pulmonary TB patients (PTB) initiated on treatment under the TB program in Greater Chennai Corporation. In addition, the barriers and facilitators for UDST were explored. Material and Methods: The data of PTB patients who were initiated on anti-TB treatment from July to December 2019 was abstracted from the NI-KSHAY database of TB Program. The barriers and facilitators for UDST were explored in 5 focus group discussions (FGDs) among the TB program healthcare workers (HCW). UDST coverage was based on the availability of Cartridge-based Nucleic Acid Amplification test (CBNAAT) results in the NI-KSHAY database. Results: The CBNAAT result was available for 1628 (82.6%) of the 1970 smear-positive PTB patients. Non-availability of CBNAAT results was significantly higher among the older age group (<50 years), in female PTB patients, and the Private Sector. Issues with sputum collection, transport of specimens, and receipt of results were highlighted by the HCWs for the non-availability of UDST results. Conclusion: Universal DST coverage in smear-positive PTB patients initiated on treatment in 2019 in Chennai was optimal as per National Strategic Plan for TB elimination UDST target of 80% for the year 2020 but with scope for improvement. The low UDST coverage in the private sector, among female patients and older age groups, needs to be addressed. chennai cbnaat private sector pulmonary tb udst Public aspects of medicine Lavanya Jayabal verfasserin aut Basilea Watson verfasserin aut Saraswathy Jagadeesan verfasserin aut Chandra Suresh verfasserin aut Dina Nair verfasserin aut Radha Gopalaswamy verfasserin aut Bella Devaleenal verfasserin aut Sriram Selvaraju verfasserin aut Chandrasekaran Padmapriyadarsini verfasserin aut In Indian Journal of Community Medicine Wolters Kluwer Medknow Publications, 2004 48(2023), 1, Seite 103-107 (DE-627)352261749 (DE-600)2085330-0 19983581 nnns volume:48 year:2023 number:1 pages:103-107 https://doi.org/10.4103/ijcm.ijcm_315_22 kostenfrei https://doaj.org/article/97dea7457b9543aa9afb965a86852fd7 kostenfrei http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2023;volume=48;issue=1;spage=103;epage=107;aulast=Velayutham kostenfrei https://doaj.org/toc/0970-0218 Journal toc kostenfrei https://doaj.org/toc/1998-3581 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 48 2023 1 103-107 |
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Banurekha Velayutham Lavanya Jayabal Basilea Watson Saraswathy Jagadeesan Chandra Suresh Dina Nair Radha Gopalaswamy Bella Devaleenal Sriram Selvaraju Chandrasekaran Padmapriyadarsini |
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status of universal drug susceptibility testing in pulmonary tuberculosis patients initiated on treatment in an urban setting, south india |
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Status of universal drug susceptibility testing in pulmonary tuberculosis patients initiated on treatment in an Urban setting, South India |
abstract |
Introduction: Early initiation of drug susceptibility testing (DST) guided anti-tuberculosis treatment benefits the patient in terms of better treatment outcomes and possibly reduces the transmission of tuberculosis (TB) disease in the community. To determine the status of universal DST (UDST) coverage in smear-positive pulmonary TB patients (PTB) initiated on treatment under the TB program in Greater Chennai Corporation. In addition, the barriers and facilitators for UDST were explored. Material and Methods: The data of PTB patients who were initiated on anti-TB treatment from July to December 2019 was abstracted from the NI-KSHAY database of TB Program. The barriers and facilitators for UDST were explored in 5 focus group discussions (FGDs) among the TB program healthcare workers (HCW). UDST coverage was based on the availability of Cartridge-based Nucleic Acid Amplification test (CBNAAT) results in the NI-KSHAY database. Results: The CBNAAT result was available for 1628 (82.6%) of the 1970 smear-positive PTB patients. Non-availability of CBNAAT results was significantly higher among the older age group (<50 years), in female PTB patients, and the Private Sector. Issues with sputum collection, transport of specimens, and receipt of results were highlighted by the HCWs for the non-availability of UDST results. Conclusion: Universal DST coverage in smear-positive PTB patients initiated on treatment in 2019 in Chennai was optimal as per National Strategic Plan for TB elimination UDST target of 80% for the year 2020 but with scope for improvement. The low UDST coverage in the private sector, among female patients and older age groups, needs to be addressed. |
abstractGer |
Introduction: Early initiation of drug susceptibility testing (DST) guided anti-tuberculosis treatment benefits the patient in terms of better treatment outcomes and possibly reduces the transmission of tuberculosis (TB) disease in the community. To determine the status of universal DST (UDST) coverage in smear-positive pulmonary TB patients (PTB) initiated on treatment under the TB program in Greater Chennai Corporation. In addition, the barriers and facilitators for UDST were explored. Material and Methods: The data of PTB patients who were initiated on anti-TB treatment from July to December 2019 was abstracted from the NI-KSHAY database of TB Program. The barriers and facilitators for UDST were explored in 5 focus group discussions (FGDs) among the TB program healthcare workers (HCW). UDST coverage was based on the availability of Cartridge-based Nucleic Acid Amplification test (CBNAAT) results in the NI-KSHAY database. Results: The CBNAAT result was available for 1628 (82.6%) of the 1970 smear-positive PTB patients. Non-availability of CBNAAT results was significantly higher among the older age group (<50 years), in female PTB patients, and the Private Sector. Issues with sputum collection, transport of specimens, and receipt of results were highlighted by the HCWs for the non-availability of UDST results. Conclusion: Universal DST coverage in smear-positive PTB patients initiated on treatment in 2019 in Chennai was optimal as per National Strategic Plan for TB elimination UDST target of 80% for the year 2020 but with scope for improvement. The low UDST coverage in the private sector, among female patients and older age groups, needs to be addressed. |
abstract_unstemmed |
Introduction: Early initiation of drug susceptibility testing (DST) guided anti-tuberculosis treatment benefits the patient in terms of better treatment outcomes and possibly reduces the transmission of tuberculosis (TB) disease in the community. To determine the status of universal DST (UDST) coverage in smear-positive pulmonary TB patients (PTB) initiated on treatment under the TB program in Greater Chennai Corporation. In addition, the barriers and facilitators for UDST were explored. Material and Methods: The data of PTB patients who were initiated on anti-TB treatment from July to December 2019 was abstracted from the NI-KSHAY database of TB Program. The barriers and facilitators for UDST were explored in 5 focus group discussions (FGDs) among the TB program healthcare workers (HCW). UDST coverage was based on the availability of Cartridge-based Nucleic Acid Amplification test (CBNAAT) results in the NI-KSHAY database. Results: The CBNAAT result was available for 1628 (82.6%) of the 1970 smear-positive PTB patients. Non-availability of CBNAAT results was significantly higher among the older age group (<50 years), in female PTB patients, and the Private Sector. Issues with sputum collection, transport of specimens, and receipt of results were highlighted by the HCWs for the non-availability of UDST results. Conclusion: Universal DST coverage in smear-positive PTB patients initiated on treatment in 2019 in Chennai was optimal as per National Strategic Plan for TB elimination UDST target of 80% for the year 2020 but with scope for improvement. The low UDST coverage in the private sector, among female patients and older age groups, needs to be addressed. |
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Status of universal drug susceptibility testing in pulmonary tuberculosis patients initiated on treatment in an Urban setting, South India |
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https://doi.org/10.4103/ijcm.ijcm_315_22 https://doaj.org/article/97dea7457b9543aa9afb965a86852fd7 http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2023;volume=48;issue=1;spage=103;epage=107;aulast=Velayutham https://doaj.org/toc/0970-0218 https://doaj.org/toc/1998-3581 |
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