Pathway to care for drug resistant tuberculosis cases identified during a retrospective study conducted in high TB burden wards in Mumbai | Zendy

Eunice Lobo | Zendy; Shimoni Shah | Zendy; Sheela Rangan | Zendy; Yatin Dholakia | Zendy; Nerges Mistry | Zendy

Open Access

Pathway to care for drug resistant tuberculosis cases identified during a retrospective study conducted in high TB burden wards in Mumbai

Author(s) -

Eunice Lobo,

Shimoni Shah,

Sheela Rangan,

Yatin Dholakia,

Nerges Mistry

Publication year - 2018

Publication title -

gates open research

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.069

H-Index - 9

ISSN - 2572-4754

DOI - 10.12688/gatesopenres.12785.2

Subject(s) - tuberculosis , medicine , pathology

Background: Mumbai is witnessing a rising incidence of all forms of drug resistant tuberculosis (DR-TB). Methods: A population-based, retrospective study was conducted between April and July 2014, in 15 high TB burden wards in Mumbai, to capture the patient pathways to TB care. A total of 23 DR-TB patients were identified and their pathways to access DR-TB care were recorded using semi-structured interviews. Results: The total DR-TB pathway time of new patients (who did not report any past episode of TB) (180 days; IQR 123,346) was found to be more than twice that of retreatment patients (who reported a past episode of TB) (69 days; IQR 42,128). Conclusions: The unacceptable delay for diagnosis and treatment of DR-TB in Mumbai advocates for consistent implementation of early screening of patients using rapid gene-based technologies.

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