Original Research Article
Year: 2020 | Month: January | Volume: 7 | Issue: 1 | Pages: 6-11
Study of Default and Its Determinants amongst TB Patients under RNTCP in Bareilly District of Uttar Pradesh
Ratnesh
Department of Community Medicine, Dumka Medical College, Dumka, Jharkhand, India.
Corresponding Author: Ratnesh
ABSTRACT
Introduction: Tuberculosis (TB) is caused by Mycobacterium tuberculosis. It primarily affects lungs and causes Pulmonary TB (PTB). Defaulter is a patient who has not taken anti-TB drugs for 2 months or more consecutively after starting treatment. Default is one of the unfavourable outcomes for patients on DOTS and represents an important challenge for the control program. It increases the risk of drug resistance, treatment failures, relapses, deaths and prolonged infectiousness, which is a hurdle to the success of TB programmes.
The present study objective is to find out prevalence and various factors that influence to default TB patients under DOTS in RNTCP in district Bareilly, Uttar Pradesh.
Methodology: A cross-sectional study was conducted among the TB patients registered during 1st April 2014 to 31st March 2016 under RNTCP for DOTS in Bareilly. Purposive sampling was carried out, 10 DMCs were selected in district Bareilly of which a total of 2010 TB patients were interviewed. Logistic regression (LR) was used for statistical analysis.
Results and Conclusion: In the present cross-sectional study, total 2010 TB patients were interviewed in which 489 (24.3%) belonged to the age group of less than 20 years and 1119 (55.7%) were male. 83.1% of the cases were taking treatment of category I. The overall prevalence of defaulters in the present study was found to be 9.35%.By applying LR the strength of association of default was seen more in 20 – 29 years of age group, sputum smear negative cases, pulmonary TB cases and patients having history of treatment of interruption and patients belonging to category II in DOTS.
Keywords: Tuberculosis, Default, RNTCP, DOTS
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