journalistsagainsttb

Fusing journalism and TB – telling the stories as they are

Archive for June 2013

Crisis looms as country faces TB drugs stock-out | The Hindu

leave a comment »

This is alarming news and has to be addressed.

Crisis looms as country faces TB drugs stock-out | The Hindu.

Written by JournalistsAgainstTB

June 18, 2013 at 8:16 am

Posted in TB and Media

Anti TB treatment in India needs to be improved

leave a comment »

JATB features the findings of a study sent in by Dr Gyanshankar Mishra, Assistant Professor, Pulmonary Medicine, GMC Nagpur, India. I feature it below, accompanied by the mail he sent us, which can tell readers more than I can. Dr Mishra is available for discussion or to answer queries on the study at gpmishra81@gmail.com. Thank you Dr Mishra for considering JATB for this.

Letter from Dr Gyanshankar Mishra

Dear journalistagainsttb members,

You are doing a commendable job via your website in our fight against TB. Recently our study on anti TB prescriptions in India has shown that more than 90 % of anti tb prescriptions are incorrect. This is the first time a study has included both private and public sector (RNTCP)prescriptions in a single study. Please consider for publication on your website.

Regards
Dr. Gyanshankar Mishra MD
Assistant Professor
Pulmonary Medicine
GMC Nagpur
India

May 04, 2013

India has the highest burden of tuberculosis in world accounting for 20% of global incidence of TB. Recently, a survey of tuberculosis prescription practices in private and public sector in India was published in the current issue of National journal of integrated research in medicine by Dr. Gyanshankar Mishra from Nagpur, India. The study found that more than 90% prescriptions in the private sector and RNTCP (Revised National Tuberculosis Control Programme) were incorrect as per the WHO (World Health Organization) norms. The study further showed that factors for development of drug resistant TB were more in prescriptions by private practitioners whereas overdoses of anti TB medicines were more in RNTCP. The study notes that the patients above 30 kg in RNTCP receive the same dose of all anti TB drugs except Rifampicin. As a result a person weighing 30 kg receives 300 mg of INH whereas another person weighing 31 kg receives 600 mg of INH , thus receiving almost double the recommended dose of 10 mg per kg. The study has recommended creation of weight bands under RNTCP for persons weighing more than 30 kg. The study concludes that the anti TB treatment offered in private and public sector in India at present is not satisfactory and needs to be improved.

Link to article:http://www.scopemed.org/index.php?nid=87&jid=18, http://www.scopemed.org/fulltextpdf.php?mno=36915

The abstract of this article is given as below.

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

Reference: Mishra G, Mulani J. Tuberculosis Prescription Practices In Private And Public Sector In India. NJIRM. 2013; 4(2): 71-78.

About the Author: Dr. Gyanshankar Mishra, Assistant Professor in Pulmonary Medicine, GMC Nagpur, India.

The views expressed in this article are those of the author/s and JATB might or might not subscribe to them.

Written by JournalistsAgainstTB

June 2, 2013 at 10:53 am

Posted in TB and Media

%d bloggers like this: