Factors can improve the treatment outcome in treatment failure pulmonary tuberculosis patients

Dr. Ajay Kumar Gupta; Dr. Vipin Kumar

Volume : VIII, Issue : III, March - 2018

Factors can improve the treatment outcome in treatment failure pulmonary tuberculosis patients

Dr. Ajay Kumar Gupta, Dr. Vipin Kumar

Abstract :

Tuberculosis (TB) is a major global health problem and a leading cause of death in adults, especially among the economically productive age group. India accounts for the highest tuberculosis (TB) burden country approximating 20% of global TB burden. To tackle this problem, Revised National Tuberculosis Control Programme (RNTCP) based on the DOTS (Directly Observed Treatment Short course) strategy has been made available in the entire country since March 2006. According to the World Health Organization (WHO) Global Tuberculosis Report 2015, TB remains one of the world’s deadliest communicable diseases. India accounts for 23% of the global burden of TB¹. Emergence of anti tubercular drug resistance has further aggravated the public health problem. India is having the highest number of TB & MDR–TB cases among the notified TB patients in world². In 2016, there were an estimated 10.4 million new TB cases worldwide. Seven countries accounted for 64% of the total burden, with India having the maximum number of TB patients, followed by Indonesia, China, Philippines, Pakistan, Nigeria and South Africa². To control the increasing rate of tuberculosis; need to be focus on the factors those can improve the treatment outcome. There are some factors that can improve the tuberculosis treatment outcome; early diagnosis of tuberculosis and drug resistance, identification of non tuberculous mycobacterium (NTM), monitoring of hepatotoxicity and immune response of patients during the anti tubercular treatment.