Tuberculosis Prescription Practices In Private And Public Sector In India
Tuberculosis Prescription Practices In India
DOI:
https://doi.org/10.70284/njirm.v4i2.2153Keywords:
Tuberculosis, TB, TB treatment, TB prescriptions, RNTCP, Private PractitionersAbstract
Introduction: India has the highest burden of tuberculosis in world, accounting for 20% of global incidence of TB (Tuberculosis). TB treatment is available both in private and public sector in India. Aim & objectives: The current study was carried out to study and compare the prescribing practices of anti-tuberculosis medications by private practitioners and healthcare providers in public sector (under RNTCP-Revised National Tuberculosis Control Programme). Material and Methods: 105 anti TB prescriptions of private practitioners and 105 RNTCP (Revised National Tuberculosis Programme) treatment cards were analysed. Results: 9.52% prescriptions by private practitioners and 4.76 % RNTCP prescriptions were correct. Factors for drug resistance were present in 67.62 % of prescriptions by private practitioners and 28.57 % of RNTCP prescriptions whereas overdosing was present in 53.33 % of prescriptions by private practitioners and 68.57 % of RNTCP prescriptions. Conclusion: The anti TB treatment offered in private and public sector in India is not satisfactory at present and needs to be improved.
References
2. Udwadia ZF, Pinto LM, Uplekar MW. Tuberculosis Management by Private Practitioners in Mumbai, India: Has Anything Changed in Two Decades? PLoS ONE 2010; 5(8): e12023.
3. Wells WA, Ge CF, Patel N, Oh T, Gardiner E, et al. Size and Usage Patterns of Private TB Drug Markets in the High Burden Countries. PLoS ONE 2011; 6(5):e18964.
4. Uplekar MW, Rangan S. Private doctors and tuberculosis control in India. Tuber Lung Dis 1993;74(5):332-7
5. Treatment of Tuberculosis, 4th ed. (World Health Organisation, Geneva, Switzerland), 2010.
6. Uplekar MW, Shepard DS. Treatment of tuberculosis by private general practitioners in India. Tubercle 1991; 72(4):284-90.7. Jain RF Faulty prescription: an avoidable cause of MDR-TB. The Indian Journal of Tuberculosis. 1998 July; 45(3): 141-3.
8. Singla, N., Sharma, P., Singla, R., & Jain, R. Survey of knowledge, attitudes and practices for tuberculosis among general practitioners in Delhi, India. International Journal of Tuberculosis and Lung Disease. 1998;2(5):384-389.
9. Bhalla, A. Why blame private practitioners? Chest.2001; 119(4); 1288-89.
10. Prasad R, Nautiyal RG, Mukherji PK, Jain A, Singh K, Ahuja RC. Treatment of new pulmonary tuberculosis patients: what do allopathic doctors do in India? International Journal of Tuberculosis and Lung Disease.2002; 6(10): 895-902.
11. Baxi RK, Shah AR. Management of TB by the general practitioners of Vadodara city. Indian J Commun Med 2006; 31(4):10-12.
12. Vandan N, Ali M, Prasad R, Kuroiwa C Assessment of doctors' knowledge regarding tuberculosis management in Lucknow, India: a public-private sector comparison. Public Health.2009; 123: 484–489.
13. Tuberculosis Coalition for Technical Assistance. International Standards for Tuberculosis Care (ISTC). The Hague: Tuberculosis Coalition for Technical Assistance, 2006.
14. Toman’s Tuberculosis Case detection, treatment and monitoring.2004.
15. Revised National Tuberculosis Control Programme (RNTCP).Training module for medical practitioners. Central TB division, Directorate General of Health Services, Ministry of Health and Family Welfare.2010; 31.
16. Parthasarathy R, Sarma GR, Janardhanam B, et al. Hepatic toxicity in South Indian patients during treatment of tuberculosis with short-course regimens containing Isoniazid, rifampicin and Pyrazinamide. Tubercle 1986; 67:99-108.
17. Revised National Tuberculosis Control Programme. Technical guidelines for tuberculosis control 1997. New Delhi: Central TB, Directorate General of Health Services; 1997:18.
18. DOTS-Plus Guidelines. Central TB Division, Directorate General of Health Services.2010
Available at http://tbcindia.nic.in/pdfs/DOTS_Plus_Guidelines_Jan2010.pdf. Accessed on 23.7.2012.
19. Gillon R. "Medical ethics: four principles plus attention to scope". British Medical Journal 1994; 309:184. doi:10.1136/bmj.309.6948.184
