TREATMENT OUTCOME OF PULMONARY TUBERCULOSIS UNDER OBSERVATIONAL THERAPY: AT DISTRICT SWAT, KPK, PAKISTAN
DOI:
https://doi.org/10.52206/jsmc.2012.2.2.196-200Abstract
Background & Objective: The treatment of tuberculosis is cheap and highly effective, yet world wide the
disease remains a serious cause of illness and death. That's why WHO has called for the universal adaptation
of DOTS (Directly observe treatment short course). The aim of this study was to analyze the effectiveness of
DOTS in term of cure and treatment completion rates among pulmonary tuberculoses patients at District
Swat, after the implication of DOTS.
Methods: 167 male and female pulmonary tuberculosis patients age more than 15 years were enrolled for
the third quarter of 2002 (July to September) and were assessed on the basis of history chest X-ray, sputum
smear microscopy and culture.
Results: Out of 167 patients, 108(65%) were sputum smear positive by direct microscopy and 59(35%)
were sputum smear negative patients confirmed on clinical grounds. The treatment outcome was calculated
12-15 months later. The outcome was 53% cured, 34% completed, 1% died, 9% defaulted, 0% failed and 3%
transferred out. Notification rate was 152/100,000 population and case detection rate was 65% in pulmonary
tuberculosis patients. Cure rates among the groups of supporters as by family members were 78% and 68%
by Lady Health Workers.
Conclusion: To achieve the target of 70% case detection and 85% treatment success, the health education
promotion, fully involvement of lady health workers in the program and training in DOTS of care providers
with flexible DOTS (individualized as necessary) component of observation with in the socio-cultural and
local circumstances are the needs of the future program.
Keywords: DOTS, Swat, Kyber Pakhtonkhwa, Pakistan
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