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Journal Article > Research

Management of previously treated tuberculosis patients in Kalutara district, Sri Lanka: how are we faring?

Abeygunawardena SC, Sharath BN, Van der Bergh R, Naik B, Pallewatta N, Masaima MNN
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Abstract
SETTING
District Chest Clinic, Kalutara, Sri Lanka.

OBJECTIVES
To determine the coverage of culture and drug susceptibility testing (CDST), delays in CDST, treatment initiation, obtaining CDST results and treatment outcomes of previously treated tuberculosis (TB) patients.

DESIGN
Retrospective cohort study involving review of records and reports. All previously treated TB patients from January 2008 to June 2013 were included in the study.

RESULTS
Of 160 patients, 126 (79%) samples were sent for CDST; 79 (63%) were culture-positive and no multi-drug-resistant (MDR) TB cases were reported. Respectively 9% and 15% of patients experienced a delay in sending samples (median delay 21 days) and receiving CDST reports (median delay 71 days), while 20% experienced delays in initiating the retreatment regimen (median delay 11.5 days). The cohort recorded an 82% treatment success rate.

CONCLUSION
Of all retreatment patients, only 79% were tested for CDST and there were sizeable delays in sample transportation and treatment initiation. Possible ways forward to strengthen the programme are discussed.
Countries
Sri Lanka
Subject Area
tuberculosisSORT-IT
DOI
10.5588/pha.13.0111
Published Date
21-Jun-2014
PubMed ID
26399208
Languages
English
Journal
Public Health Action
Volume / Issue / Pages
Volume 4, Issue 2, Pages 105-9
Issue Date
21-Jun-2014
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