EVALUATION OF SECOND LINE ANTI�TUBERCULAR DRUGS PRESCRIPTION OF PRIVATE PRACTITIONERS: CHEST VERSUS NON�CHEST PHYSICIANS

Dr. Jitendra Bhargava; Dr. Balvir Singh

Volume : VI, Issue : X, October - 2016

EVALUATION OF SECOND LINE ANTI�TUBERCULAR DRUGS PRESCRIPTION OF PRIVATE PRACTITIONERS: CHEST VERSUS NON�CHEST PHYSICIANS

Dr. Jitendra Bhargava, Dr. Balvir Singh

Abstract :

All PPs are not well aware about the treatment of TB guidelines; they at times irrationally prescribe the TB regimen. The present study was conducted to evaluate rationality prescription of private practitioner both Chest and non–chest physician. A total of 82 patients were registered. Non–chest physicians showed a larger irrational to rational prescription ratio of 72 against the ratio in chest physicians (4:2). This difference was statistically significant (p<0.0001). Chest physicians, prescribed adequate dose in 60% (n=6) patients while 33.33% (n=24) in 72 patients treated by non–chest physicians (p<0.01). 2nd Line ATT was indicated in 70% (n=7) patients, treated by chest physicians while indicated only in 25% (n=18) in 72 patients treated by non–chest physicians (p<0.005). Out of all 10 patients treated by chest physicians drug sensitivity testing was done in 50% (n=5) patients while done only in 6.94% (n=5) in 72 patients treated by non–chest physicians (p<0.001). Private practitioners specially non–chest physicians need training for prescribing according to RNTCP guidelines.